Insurance Follow-Up Specialist – Outpatient Infusion Therapy
IVX Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $22 - $25 per hour
About the role
- 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.
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.
- 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.
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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10CPTHCPCSMedicare collectionsdenial resolutionreimbursement regulationsmanaged care contractsanalytical skillscritical thinking
Soft Skills
detail-orientedteam playerproactive mindsetpatient-centered outcomes