Insurance Follow-Up Specialist

The role

This person will investigate and resolve insurance claim denials and partner with payers to secure reimbursement. They will work with payer portals and coordinate with internal teams to meet revenue cycle goals.

What you will do

• Investigate and resolve insurance claim denials with speed and accuracy.
• 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 and clearinghouses to ensure efficient claim submission.
• Deliver timely and compliant follow-up to meet revenue cycle goals.

Required qualifications

• 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.).

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

About the company

IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. They aim to improve lives by redefining the care experience.