Remote Insurance Claims Denial Resolution Specialist

IVX Health, Inc.; Brentwood (TN); Hybrid; USD 30,000 - 34,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Coverage

401(k) Retirement Plan with Company 5%

Life, AD&D, and Disability Insurance

Paid Time Off

Job summary

IVX Health is seeking an Insurance Follow-Up Specialist to investigate and resolve insurance claim denials, coordinate with payers, and ensure timely reimbursement across NaviNet, Availity, and Medicare portals. This remote/hybrid role supports our Billing Operations team and offers full-time hours with local Brentwood, TN options.

Ideal candidates have 5+ years in healthcare billing, with strong ICD-10, CPT/HCPCS knowledge, and Medicare/BCBS experience.

Qualifications

• 5+ years in healthcare billing, claims, or insurance follow-up.
• Strong knowledge of ICD-10, CPT, HCPCS, and payer policy nuances.
• Hands-on Medicare collections experience for specialty drug coverage using Medicare portals and filing determinations/appeals.
• Experience with Blue Cross payers (BCBS FL, Independence BC, BCBS TX) and Medicaid.
• Familiarity with reimbursement regulations, managed care contracts, and denial resolution strategies.
• Detail-oriented with strong analytical thinking and proactive teamwork.

Responsibilities

• Investigate and resolve insurance claim denials with speed and accuracy (50–100 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 and clearinghouses to ensure efficient claim submission.
• Deliver timely and compliant follow-up to meet revenue cycle goals.

Skills

ICD-10 knowledge

CPT/HCPCS coding

Payer policy nuances

Analytical thinking

Detail oriented

Team player

Tools

NaviNet

Availity

Medicare portals

Job description

IVX Health is seeking an Insurance Follow-Up Specialist to investigate and resolve insurance claim denials, coordinate with payers, and ensure timely reimbursement across NaviNet, Availity, and Medicare portals. This remote/hybrid role supports our Billing Operations team and offers full-time hours with local Brentwood, TN options.

Ideal candidates have 5+ years in healthcare billing, with strong ICD-10, CPT/HCPCS knowledge, and Medicare/BCBS experience.