Insurance Follow-Up Specialist

🕒 Junho 9

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IVX Health

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2013

💊 Farmacêutico

👥 B2C

Pharmaceuticals • B2C

A IVX Health é uma rede nacional de centros de infusão ambulatorial que oferece terapias de infusão e injeção biológica para pacientes com condições crônicas complexas, como doença de Crohn, esclerose múltipla, artrite reumatóide, psoríase, lúpus e asma grave. A empresa enfatiza o conforto e a conveniência dos pacientes com suítes privativas, agendamento flexível, incluindo noites e fins de semana, opções de seguro dentro da rede e atendimento de alta qualidade prestado por ARNPs, RNs e diretores médicos em várias localizações nos EUA.

Descrição

• 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.

🎯 Requisitos

• 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.

🏖️ Benefícios

• Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services. • Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs. • Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security. • Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses. • 401(k) Retirement Plan – Secure your future with a competitive company match. • Disability Coverage – Voluntary short-term and long-term disability plans to protect your income. • Fertility and Family Support – Resources and benefits designed to support fertility care and family planning. • Life and AD&D Insurance – Financial protection for you and your loved ones. • Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being. • Education Assistance – Tuition reimbursement and certification support to help you grow in your career. • Continuing Education – Access to a CEU library for ongoing professional development. • Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about. • Employee Referral Bonus – Earn rewards for helping us find top talent.