Insurance Follow-Up Specialist
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Job Description
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At IVX Health, we’re reimagining what exceptional care looks like—and that vision extends far beyond the clinical setting. Our Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind.
This Full Time role is part of our Billing Operations team and offers the flexibility to work fully remote or hybrid—with the option to work in-office if you’re local and prefer it. We prioritize work-life balance and a culture of support, recognizing that behind every claim is a patient counting on us to make care happen.
Note: This is a remote position open to candidates across the U.S. Local candidates may also opt to work from our Brentwood, TN office.
What You’ll Do
- Investigate and resolve insurance claim denials with speed and accuracy—typically 50 to 100 denials daily.
- Partner with payers to resolve issues and secure timely reimbursement.
- Interpret LCD/NCD requirements and manage CPT/HCPCS-related denials.
- Coordinate with front desk and authorization teams to reduce delays and optimize collections.
- Provide top-tier phone support to patients, insurance companies, and internal teams.
- Work in payer portals (NaviNet, Availity, Medicare portals, and others) and clearinghouses to ensure efficient claim submission.
- Deliver timely and compliant follow-up to meet revenue cycle goals.
What We’re Looking For
- 5+ years’ experience in healthcare billing, claims, or insurance follow-up.
- Strong knowledge of ICD-10, CPT, HCPCS, and payer policy nuances.
- Hands-on experience with Medicare collections for specialty drug coverage, including using Medicare portals and filing determinations and appeals.
- Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS TX preferred.
- Experience working with Medicaid and other commercial insurance plans.
- Familiarity with reimbursement regulations, managed care contracts, and denial resolution strategies.
- Detail-oriented with strong analytical and critical thinking skills.
- Proficient in Microsoft Office Suite (Outlook, Teams, Excel, etc.).
- A team player with a proactive mindset and a passion for patient-centered outcomes.
Why IVX Health
IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. We’re redefining the care experience with an emphasis on comfort, convenience, and compassion.
We believe the best patient experience starts with a great employee experience. That’s why we foster a culture of respect, empowerment, and shared purpose—living out our values every day: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.
Whether you’re face-to-face with patients or supporting operations behind the scenes, at IVX Health, your work makes a meaningful difference.
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IVX Health
View Company ProfileIVX Health is a premier, enterprise-grade healthcare services platform engineered to orchestrate massive-scale clinical ecosystems and intelligent frictionless infusion therapy workflows. Operating as a highly integrated national outpatient hub, the company eliminates the operational friction of traditional hospital-based treatment by seamlessly deploying advanced biologic therapy telemetry, rigorous clinical safety architectures, and cohesive patient-first experience frameworks. Moving beyond rigid legacy healthcare settings, IVX Health empowers patients with complex chronic conditions, specialty physicians, and health systems to dynamically synchronize their long-term care pipelines with elite medical execution. Under the hood, their sophisticated proprietary care infrastructure natively handles complex specialty pharmaceutical ingestion, instantaneous benefit eligibility routing, and seamless EMR-integrated supervision, ensuring frictionless treatment readiness and uncompromising clinical excellence. What sets IVX Health apart is its uncompromising dedication to frictionless care orchestration; by bridging the gap between rigorous medical protocols and accessible high-amenity consumer experiences, the platform empowers the healthcare industry to radically accelerate treatment adherence velocity, optimize patient outcomes, and build an unassailable foundation for continuous clinical dominance in the modern outpatient landscape.
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