Happy Money is hiring an Insurance Follow-Up Specialist for Outpatient Infusion Therapy. In this role, you will investigate and resolve insurance claim denials with speed and accuracy, ensuring timely reimbursement and providing top-tier support to patients, insurance companies, and internal teams.
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 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.
- 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).
- A team player with a proactive mindset and a passion for patient-centered outcomes.
Nice to Have
- Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS TX.
Technical Stack
- Microsoft Office Suite (Outlook, Teams, Excel, etc.)
Team & Environment
Part of the Billing Operations team.
Benefits & Compensation
- Compensation: $22 - $25 USD
- Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
- Flexible Savings Options – Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA).
- Supplemental Protection – Accident, critical illness, and hospital indemnity plans.
- Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses.
- 401(k) Retirement Plan – Competitive company match.
- Disability Coverage – Voluntary short-term and long-term disability plans.
- Fertility and Family Support – Resources and benefits designed to support fertility care and family planning.
- Life and AD&D Insurance.
- Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being.
- Education Assistance – Tuition reimbursement and certification support.
- Continuing Education – Access to a CEU library.
- Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off.
- Employee Referral Bonus.
Work Mode
This role is hybrid and can be based remotely in the US or in our Brentwood, TN office.
IVX Health is proud to be an Equal Opportunity Employer, providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category.
