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IVX Health

Infusion and injection services in clinics

Insurance Follow-Up Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • At least 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 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.
  • Proficiency in Microsoft Office Suite, including Outlook, Teams, and Excel.

Responsibilities

  • Investigate and resolve 50 to 100 insurance claim denials daily 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 phone support to patients, insurance companies, and internal teams.
  • Use payer portals, including NaviNet, Availity, and Medicare portals, and clearinghouses to ensure efficient claim submission.
  • Deliver timely and compliant follow-up to meet revenue cycle goals.

Desired Qualifications

  • Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS TX.

About the Company

IVX Health

Infusion and injection services in clinics

IVX Health provides infusion and injection services in dedicated infusion centers designed for comfort. Patients with chronic illnesses such as multiple sclerosis or rheumatoid arthritis receive treatments in private suites with leather recliners, TVs, Wi-Fi, and snacks, creating a calm experience compared to hospital settings. Treatments are administered by healthcare professionals, with service fees billed to patients’ health insurance. Revenue comes from charging for infusion and injection services, typically covered by insurance. The company differentiates itself by prioritizing a serene, personalized care environment and convenience, rather than operating traditional, crowded hospital infusion rooms. The goal is to improve the overall care experience and accessibility for patients who require regular infusion or injection therapy.

Company size
501-1,000
Company stage
Series F
Total funding
$136M
Headquarters
Brentwood, CA
Founded
2012

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