Insurance Follow-Up Specialist

IVX Health

. Investigate and resolve insurance claim denials with speed and accuracy, typically 50 to 100 denials daily .

Posted 11/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $22 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing and claims management, with a strong focus on ICD-10, CPT, HCPCS, and payer policies. Proven ability to resolve insurance claim denials efficiently while ensuring compliance with reimbursement regulations.

Highest-signal resume keywords

5+ Years Experience In Healthcare BillingStrong Knowledge Of ICD-10, CPT, HCPCSHands-On Experience With Medicare CollectionsProven Success In Collections With Blue Cross PayersFamiliarity With Reimbursement Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare BillingClaims ManagementDenial Resolution StrategiesAnalytical SkillsCritical ThinkingMedicare PortalsICD-10CPTHCPCSPayer Policy Nuances

Soft Skills

Detail-OrientedTeam PlayerProactive MindsetPassion For Patient-Centered Outcomes

Tools & Technologies

NaviNetAvailityMedicare PortalsMicrosoft Office SuiteOutlookTeamsExcel

Industry Keywords

Insurance Claim DenialsPayer PartnershipsRevenue Cycle GoalsSpecialty Drug CoverageManaged Care Contracts

About the role

Key responsibilities & impact

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 phone support to patients, insurance companies, and internal teams
Work in payer portals including NaviNet, Availity, Medicare portals, and other clearinghouses to ensure efficient claim submission
Deliver timely and compliant follow-up to meet revenue cycle goals
Support IVX Health’s patient-centered infusion and injection therapy operations

Requirements

What you’ll need

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; 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, including Outlook, Teams, and Excel
Team player with a proactive mindset and passion for patient-centered outcomes
Available to work Monday–Friday during standard business hours

Benefits

Comp & perks

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
Fully remote or hybrid work flexibility for local employees
Meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose