Insurance Follow-Up Specialist

United StatesRemotemid

Other

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Quick Summary

Overview

Remote (U.S.) | Full-Time | Monday–Friday | Standard Business Hours Hybrid Optional if Local – Office Located in Brentwood, TN At IVX Health,

Technical Tools

Other

Responsibilities

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→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.

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.

What We Offer

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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

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.

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