Insurance Follow-Up Specialist

Remote (U.S.) | Full-Time | Monday–Friday | Standard Business Hours

Hybrid Optional if Local – Office Located in Brentwood, TN

What You’ll Do

• 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.

What We’re Looking For

• 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.

Why IVX Health

IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn’s disease, and multiple sclerosis. We’re redefining the care experience with an emphasis on comfort, convenience, and compassion.

We believe the best patient experience starts with a great employee experience. That’s why we foster a culture of respect, empowerment, and shared purpose—living out our values every day: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.

Whether you're face-to-face with patients or supporting operations behind the scenes, at IVX Health, your work makes a meaningful difference.

Pay is based on factors including relevant experience, qualifications, and location.