Insurance Follow-Up Specialist

At IVX Health, we’re reimagining what exceptional care looks like—and that vision extends far beyond the clinical setting. Our Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. 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. Note: This is a remote position open to candidates across the U.S. Local candidates may also opt to work from our Brentwood, TN office.

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; 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; 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.

Nice to have

Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS TX

Benefits

Medical, Dental, and Vision Coverage; Prescription Drug Coverage and Telemedicine Services; Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options; 401(k) Retirement Plan with Company Match; Life, AD&D, and Disability Insurance; Accident, Critical Illness, and Hospital Indemnity Coverage; Fertility and Family Planning Support; Tuition Reimbursement and Certification Assistance; Continuing Education and Professional Development Resources; Employee Assistance Program and Wellness Support; Paid Time Off; Volunteer Time Off and Charitable Giving Match; Employee Referral Bonus Program