Insurance Follow-Up Specialist

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IVX Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

🏥 Healthcare

💊 Pharmaceuticals

👥 B2C

Healthcare • Pharmaceuticals • B2C

IVX Health is a national network of outpatient infusion centers that provides biologic infusion and injection therapies for patients with complex chronic conditions such as Crohn’s disease, multiple sclerosis, rheumatoid arthritis, psoriasis, lupus, and severe asthma. The company emphasizes patient comfort and convenience with private suites, flexible scheduling including evenings and weekends, in-network insurance options, and high-quality care delivered by ARNPs, RNs, and medical directors across multiple U. S. locations.

📋 Description

• Investigate and resolve insurance claim denials, 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 phone support to patients, insurance companies, and internal teams • Work in payer portals including NaviNet, Availity, Medicare portals, and other clearinghouses • Deliver timely and compliant follow-up to meet revenue cycle goals

🎯 Requirements

• 5+ years of 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 • Experience using Medicare portals and filing determinations and appeals • Proven success in collections with Blue Cross payers; BCBS FL, Independence BC, and BCBS TX preferred • Experience 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, including Outlook, Teams, and Excel • Team-oriented, proactive mindset, and passion for patient-centered outcomes • Candidates must be based in the United States

🏖️ Benefits

• 401(k) retirement plan with competitive company match • Medical, dental, and vision coverage, including prescription drug plans and telemedicine services • Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) • Accident, critical illness, and hospital indemnity plans • Dependent Care FSA • Voluntary short-term and long-term disability plans • Fertility and family support resources and benefits • Life and AD&D insurance • Free counseling and wellness resources supporting emotional, physical, and financial well-being • Tuition reimbursement and certification support • CEU library for ongoing professional development • Matched charitable donations and paid volunteer time off • Employee referral bonus • Fully remote work option • Optional hybrid/in-office work for local employees • Work-life balance and culture of support