Insurance Follow-Up Specialist

IVX Health

3d•$22 - $25•Remote

About The Position

The Insurance Follow-Up Specialist is part of IVX Health’s Billing Operations team and supports the patient care journey by handling insurance claims accurately and empathetically. The position may be performed fully remotely anywhere in the U.S., or hybrid/in-office from the Brentwood, Tennessee office for local candidates. The schedule is Monday through Friday during standard business hours. The specialist investigates and resolves insurance denials, works with payers to secure reimbursement, and helps meet revenue cycle goals through timely, compliant follow-up. The role handles approximately 50 to 100 denials per day and involves coordination with front desk and authorization teams, phone support, and use of payer portals and clearinghouses. IVX Health provides infusion and injection therapy to people managing complex chronic conditions. The company describes a patient-centered mission and a culture based on respect, empowerment, collaboration, and shared purpose.

Requirements

At least 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, including using Medicare portals and filing determinations and appeals.
Experience working with Medicaid and other commercial insurance plans.
Familiarity with reimbursement regulations, managed care contracts, and denial resolution strategies.
Strong attention to detail, analytical skills, and critical-thinking skills.
Proficiency in Microsoft Office Suite, including Outlook, Teams, and Excel.
A team-oriented, proactive approach and a passion for patient-centered outcomes.

Nice To Haves

Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS TX.

Responsibilities

Investigate and resolve insurance claim denials with speed and accuracy, typically handling 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.
Use payer portals, including NaviNet, Availity, and Medicare portals, as well as clearinghouses, to support efficient claim submission.
Deliver timely and compliant follow-up to meet revenue cycle goals.

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.