Insurance Follow-Up Specialist

About the role

At IVX Health, we’re reimagining what exceptional care looks like—and this role is a vital part of the patient care journey. Our Insurance Follow Up Specialists ensure every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind.

Responsibilities

• 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.
• Cook up coordination 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.

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, including BCBS FL, Independence BC, and BCBS TX preferred.
• 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.).

Qualifications

• A team player with a proactive mindset and a passion for patient-centered outcomes.

Skills

• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Attention to detail and ability to manage multiple tasks simultaneously.

Benefits

• Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
• Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
• Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security.
• Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses.
• 401(k) Retirement Plan – Secure your future with a competitive company match.
• Disability Coverage – Voluntary short-term and long-term disability plans to protect your income.
• Fertility and Family Support – Resources and benefits designed to support fertility care and family planning.
• Life and AD&D Insurance – Financial protection for you and your loved ones.
• Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being.
• Education Assistance – Tuition reimbursement and certification support to help you grow in your career.
• Continuing Education – Access to a CEU library for ongoing professional development.
• Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about.
• Employee Referral Bonus – Earn rewards for helping us find top talent.

Pay

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.

Schedule

This Full Time role is part of our Billing Operations team and offers the flexibility to work fully remote or hybrid—with 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.