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IVX Health
Insurance Follow-Up Specialist
Career Insights for Claims Adjuster / Specialist (General)
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Based on Tennessee data
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$73,403 / year median in Tennessee
+16% projected growth
Job Description
Insurance Follow-Up Specialist IVX Health
- 3.1 Brentwood, TN Job Details Full-time $22
- $25 an hour 12 hours ago Benefits Continuing education credits Health savings account AD&D insurance Disability insurance Health insurance Dental insurance Flexible spending account Tuition reimbursement Paid time off Vision insurance Volunteer time off Referral program Qualifications Availity Appeals Microsoft Excel Microsoft Outlook Medicare Managed care 5 years Blue Cross Blue Shield health insurance Medicaid health insurance
ICD-10 HCPCS
Analysis skills Phone customer support Medicare regulations Medical insurance appeals management Microsoft Teams Centers for Medicare & Medicaid Services (CMS) billing regulations Medical claims submission Medicaid Handling patient inquiries Senior level Insurance claims appeal handling Medical claim status updates Full Job Description Remote (U.S.) | Full-Time | Monday-Friday | Standard Business Hours Hybrid Optional if Local- Office Located in Brentwood, TN At IVX Health, we're reimagining what exceptional care looks like—and that vision extends far beyond the clinical setting.
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. What You'll Do 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. What We're Looking For 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, including 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 (Outlook, Teams, Excel, etc.). A team player with a proactive mindset and a passion for patient-centered outcomes. Why IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn's disease, and multiple sclerosis. We're redefining the care experience with an emphasis on comfort, convenience, and compassion . We believe the best patient experience starts with a great employee experience. That's why we foster a culture of respect, empowerment, and shared purpose—living out our values every day: Be Kind , Do What's Right , Never Settle , Make It Happen , and Enjoy the Ride . Whether you're face-to-face with patients or supporting operations behind the scenes, at IVX Health, your work makes a meaningful difference. About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We're transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.Our Mission:
To improve the lives of those we care for by redefining the care experienceOur Vision:
To be the nation's preferred destination for pharmaceutical care of complex chronic conditionsOur Commitment:
To deliver an unmatched care experience with a foundation in world class service and clinical excellence Benefits We Offer Comprehensive Healthcare- Medical, dental, and vision coverage, including prescription drug plans and telemedicine services. Flexible Savings Options
- Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs. Supplemental Protection
- Accident, critical illness, and hospital indemnity plans to provide additional financial security. Dependent Care FSA
- Pre-tax savings for eligible childcare and dependent care expenses. 401(k) Retirement Plan
- Secure your future with a competitive company match. Disability Coverage
- Voluntary short-term and long-term disability plans to protect your income. Fertility and Family Support
- Resources and benefits designed to support fertility care and family planning. Life and AD&D Insurance
- Financial protection for you and your loved ones. Counseling and Wellness Support
- Free resources to support emotional, physical, and financial well-being. Education Assistance
- Tuition reimbursement and certification support to help you grow in your career. Continuing Education
- Access to a CEU library for ongoing professional development. Charitable Giving and Volunteer Program
- Matched donations and paid volunteer time off to support causes you care about. Employee Referral Bonus
- Earn rewards for helping us find top talent.