Insurance Follow-Up Specialist

Insurance Follow-Up Specialist

Remote - US Remote (U.S.) | Full-Time | MondayFriday | Standard Business Hours Hybrid Optional if Local Office Located in Brentwood, TN

At IVX Health, we're reimagining what exceptional care looks likeand 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 hybridwith 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 accuracytypically 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 purposeliving 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.

Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits.

Insurance Follow-Up Pay Range $22 - $25 USD

IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose. Guided by Our Purpose Mission: To improve the lives of those we care for by redefining the care experience. Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions. Values: Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride.

Benefits & Perks Eligible employees may receive:

• 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

Benefits may vary based on employment status and eligibility.

EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where all employees are treated with respect and provided equal employment opportunities. Employment decisions are made based on business needs, job requirements, qualifications, merit, and applicable law. IVX Health prohibits discrimination, harassment, and retaliation of any kind and is committed to providing reasonable accommodations to qualified individuals with disabilities and those with sincerely held religious beliefs.