Insurance Follow-Up Specialist

About Our Client

IVX Health is a national provider specializing in infusion and injection therapy for individuals with complex chronic conditions such as rheumatoid arthritis, Crohn's disease, and multiple sclerosis. The organization focuses on improving the patient care experience by emphasizing comfort and convenience while supporting employees through a culture based on core values.

About the Opportunity

The Insurance Follow-Up Specialist plays a critical role within the Billing Operations team by managing insurance claim denials to ensure timely and accurate reimbursement. This role contributes directly to the revenue cycle and patient access to care by resolving claim issues swiftly and coordinating with both internal teams and payers.

Responsibilities

• Investigate and resolve insurance claim denials, handling 50 to 100 daily.
• Collaborate with payers to address issues and secure reimbursements.
• Interpret LCD/NCD requirements and manage CPT/HCPCS-related denials.
• Coordinate with front desk and authorization teams to reduce delays.
• Provide phone support to patients, insurance companies, and internal teams.
• Use payer portals and clearinghouses to ensure efficient claim submissions.
• Conduct timely and compliant follow-up to meet revenue goals.

Requirements

• Minimum 5 years’ experience in healthcare billing, claims, or insurance follow-up.
• Strong knowledge of ICD-10, CPT, HCPCS, and payer policies.
• Experience with Medicare collections for specialty drug coverage, including portals and appeals.
• Proven success with Blue Cross payers; experience with BCBS FL, Independence BC, and BCBS TX preferred.
• Familiarity with Medicaid and other commercial insurance plans.
• Understanding of reimbursement regulations and denial resolution strategies.
• Detail-oriented with strong analytical and critical thinking skills.
• Proficiency in Microsoft Office Suite.
• Team player with a proactive, patient-centered approach.

Pay

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

Benefits

• Medical, dental, and vision insurance including prescription drug plans and telemedicine.
• Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA).
• Supplemental insurance plans: accident, critical illness, hospital indemnity.
• Dependent Care Flexible Spending Account.
• 401(k) retirement plan with company match.
• Short-term and long-term disability coverage.
• Fertility and family support benefits.
• Life and AD&D insurance.
• Counseling and wellness support resources.
• Tuition reimbursement and certification assistance.
• Continuing education opportunities.
• Charitable giving and volunteer programs with matched donations.
• Employee referral bonuses.