Insurance Follow-Up Specialist

• →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.

IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.

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