IVX Health17.02.26
AI SCORE 8.5

Remote Insurance Follow Up Specialist - Outpatient Infusion Therapy

$60K–$80K/year

About the Role

We're hiring a Remote Insurance Follow Up Specialist to join our team at IVX Health. In this role, you will play a crucial part in the patient care journey, ensuring that every insurance claim is processed with precision and empathy. This is a full-time remote position that allows you to work from anywhere in the U.S., with the option to work hybrid if you're local to our Brentwood, TN office.

What You'll Do

  • Investigate and resolve insurance claim denials efficiently, handling typically 50 to 100 denials daily.
  • Partner with payers to resolve issues and secure timely reimbursement for outpatient infusion therapy services.
  • Interpret Local Coverage Determination (LCD) and National Coverage Determination (NCD) requirements to manage CPT/HCPCS-related denials.
  • Coordinate with front desk and authorization teams to reduce delays and optimize collections.
  • Provide exceptional phone support to patients and insurance representatives, ensuring clarity and understanding in all communications.

Requirements

  • Minimum of 2 years of experience in insurance follow-up or a related field.
  • Strong understanding of medical billing, coding, and insurance processes.
  • Excellent communication skills, both verbal and written.
  • Ability to work independently and manage time effectively in a remote setting.
  • Proficiency in using billing software and electronic health records (EHR).

Nice to Have

  • Experience with outpatient infusion therapy billing.
  • Knowledge of healthcare regulations and compliance.
  • Familiarity with various insurance payer requirements.

What We Offer

  • Competitive salary ranging from $60,000 to $80,000 annually.
  • Flexible work environment with remote work options.
  • Comprehensive health benefits including medical, dental, and vision coverage.
  • Generous paid time off and holiday schedule.
  • Opportunities for professional development and growth within the company.
Why This Job8.5 of 10

This Remote Insurance Follow Up Specialist role at IVX Health offers a competitive salary and flexible working conditions, making it an attractive opportunity for professionals in the healthcare billing sector.

Salary Range
Required
0/1
Optional
0/1
Bonus
0/1

Who Will Succeed Here

Strong knowledge of Medical Billing processes including CPT and HCPCS coding to accurately process outpatient infusion therapy claims.

Proficient in using EHR software to track and manage insurance claims, demonstrating a high level of detail orientation and organizational skills.

Empathetic mindset with the ability to communicate effectively with patients and insurance representatives, ensuring clarity and compassion in all interactions.

Learning Resources

Medical Billing and Coding Certification Coursecourse

Career Path

Remote Insurance Follow Up Specialist - Outpatient Infusion Therapy(Now)Insurance Claims Analyst(1-2 years)Customer Success Manager in Healthcare Tech(3-5 years)

Market Overview

Market Size 2024
$22.3B
Annual Growth
8.5%
AI Adoption
40%
Investment in Health Tech
+25%
Labour Demand for Medical Billing
+15%
Avg Salary for Medical Billing Specialists
$50K

Skills & Requirements

Required
Medical BillingInsurance ClaimsCPT Coding
Growing in Demand
Telehealth BillingData Analytics in HealthcarePatient Engagement Tools
Declining
Paper Claims ProcessingManual Data Entry

Domain Trends

Rise of Telehealth Services
With the increase in telehealth services, the demand for specialized billing practices has surged, with a 30% increase in telehealth claims processed in 2023.
Integration of AI in Medical Billing
AI technologies are being adopted to streamline claims processing, with 40% of organizations implementing AI solutions to reduce errors and improve efficiency.
Shift Towards Value-Based Care
There is a growing transition from fee-for-service to value-based care models, with 60% of providers expected to adopt value-based reimbursement by 2025.

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