Remote Insurance Claims Denial Specialist

IVX Health, Inc.; Oregon; Híbrido; USD 30.000 - 34.000; Tempo integral

Benefícios oferecidos por esta vaga

Medical coverage

Dental coverage

Vision coverage

401(k) with company match

Life insurance

Disability insurance

Tuition reimbursement

Professional development resources

Paid time off

Volunteer time off

Resumo da vaga

IVX Health, Inc. is a national provider delivering infusion and injection therapies for patients with complex chronic conditions. We are seeking an Insurance Follow Up Specialist to handle claims follow-up from a remote/hybrid setting, supporting revenue cycle efficiency and patient access to care.

The role requires 5+ years in healthcare billing, with strong knowledge of ICD-10, CPT, HCPCS, and payer policies. Experience with Medicare portals and Blue Cross payers is preferred.

Qualificações

• 5+ years of 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.
• Proven success in collections with Blue Cross payers (BCBS FL, Independence BC, BCBS TX).
• Experience with Medicaid and other commercial plans.

Responsabilidades

• Investigate and resolve insurance claim denials with speed and accuracy (50–100 denials daily).
• Coordinate with payers to secure timely reimbursement.
• Interpret LCD/NCD requirements and manage CPT/HCPCS denials.
• Collaborate with front desk and authorization teams to reduce delays and optimize collections.
• Provide top-tier phone support to patients, insurers, and internal teams.
• Work in payer portals and clearinghouses to ensure efficient claim submission.
• Deliver timely follow-up to meet revenue cycle goals.

Conhecimentos

Healthcare billing

Denials management

ICD-10 CPT HCPCS

Medicare/Medicaid know-how

Communication skills

Ferramentas

NaviNet

Availity

Medicare portals

Descrição da vaga

IVX Health, Inc. is a national provider delivering infusion and injection therapies for patients with complex chronic conditions. We are seeking an Insurance Follow Up Specialist to handle claims follow-up from a remote/hybrid setting, supporting revenue cycle efficiency and patient access to care.

The role requires 5+ years in healthcare billing, with strong knowledge of ICD-10, CPT, HCPCS, and payer policies. Experience with Medicare portals and Blue Cross payers is preferred.