Insurance Follow-Up Specialist

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $22 - $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 0%

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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 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 phone support to patients, insurance companies, and internal teams • Work in payer portals including NaviNet, Availity, Medicare portals, and other clearinghouses to ensure efficient claim submission • Deliver timely and compliant follow-up to meet revenue cycle goals • Support IVX Health’s patient-centered infusion and injection therapy operations

🎯 Requirements

• 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; 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, including Outlook, Teams, and Excel • Team player with a proactive mindset and passion for patient-centered outcomes • Available to work Monday–Friday during standard business hours

🏖️ Benefits

• Medical, Dental, and Vision Coverage • Prescription Drug Coverage and Telemedicine Services • Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options • 401(k) Retirement Plan with Company Match • Life, AD&D, and Disability Insurance • Accident, Critical Illness, and Hospital Indemnity Coverage • Fertility and Family Planning Support • Tuition Reimbursement and Certification Assistance • Continuing Education and Professional Development Resources • Employee Assistance Program and Wellness Support • Paid Time Off • Volunteer Time Off and Charitable Giving Match • Employee Referral Bonus Program • Fully remote or hybrid work flexibility for local employees • Meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose

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