IVX Health

• Supervise insurance follow-up team members, set clear expectations, and drive productivity, quality, and documentation standards through coaching and performance management. • Ensure timely follow-up on unpaid, underpaid, and denied claims. Monitor account activity for accuracy, compliance, and adherence to payer guidelines while reducing aged A/R. • Act as the first level of escalation for complex account issues. Identify denial trends, reimbursement barriers, and systemic issues impacting collections performance. • Partner with Prior Authorization, Credentialing, Coding, and Payment Posting teams to resolve discrepancies and remove barriers to reimbursement. • Enforce adherence to billing workflows, payer requirements, HIPAA regulations, and internal policies while maintaining audit-ready documentation. • Monitor team metrics, identify process gaps, and escalate opportunities for improvement to leadership. Adapt to evolving payer requirements and organizational priorities. • Maintain oversight, productivity, and team engagement in a remote or hybrid setting while supporting onboarding and ongoing development.

Role Description IVX Health is seeking an Intake Supervisor to lead the day-to-day operations, quality, and performance of the Intake Specialist team supporting patient referral intake and pre-authorization readiness across our infusion centers. This role is critical in ensuring referrals are processed accurately and efficiently to support timely patient access to care and minimize downstream operational and financial risk. - Lead & Develop Intake Teams: Supervise, coach, and support Intake Specialists through onboarding, training, performance management, and ongoing development. Reinforce accountability, productivity, and quality expectations across the team. - Oversee Daily Intake Operations: Manage work queues, task prioritization, and workload distribution to ensure referrals are processed within established turnaround times. Monitor staffing needs and escalate operational risks impacting patient access. - Ensure Documentation Accuracy & Quality: Validate completeness and accuracy of patient records, insurance information, and clinical documentation prior to authorization submission. Conduct audits and monitor quality metrics to maintain compliance with payer and organizational standards. - Drive Cross-Functional Coordination: Partner closely with Prior Authorization, Scheduling, Clinical, and Revenue Cycle teams to ensure smooth patient progression from intake through treatment. Serve as an escalation point for complex or high-risk cases. - Support Process Improvement Initiatives: Identify workflow inefficiencies and recommend improvements to enhance operational consistency, scalability, and patient readiness. Support implementation of standardized processes and system enhancements. - Maintain Compliance & Risk Management: Ensure adherence to payer requirements, organizational policies, and applicable healthcare regulations. Monitor and address risks related to incomplete documentation, authorization delays, and compliance exposure. - Operate Effectively in a Remote Environment: Maintain productivity, responsiveness, and data security while supporting a remote team environment. Qualifications - Strong understanding of healthcare intake workflows, insurance verification, and prior authorization processes. - Knowledge of commercial and government payer requirements, including Medicare and Medicaid. - Demonstrated leadership experience in high-volume healthcare operations. - Strong coaching, accountability, and team development skills. - Ability to analyze performance metrics and implement operational improvements. - Strong organizational, analytical, and problem-solving abilities. - Effective communication and collaboration skills across departments. - Proficiency with EMR systems, practice management platforms, and Microsoft Office applications. Requirements - High school diploma or equivalent required; Associate’s or Bachelor’s degree in healthcare administration or a related field preferred. - 3–5 years of experience in healthcare intake, patient access, prior authorization, or revenue cycle operations. - Previous lead or supervisory experience preferred. - Experience working with commercial and government payers, including Medicare and Medicaid. Benefits - 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.

Role Description The Credentialing Specialist is responsible for credentialing, enrollment of practitioners reporting for all states and jurisdictions in IVX Health operates. The Credentialing Specialist prepares, tracks, and submits licensure, certification and credentialing applications to various government and commercial payor offices. The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by commercial payers, Medicare, and Medicaid. Responsibilities - Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. - Credential new providers and re-credential current providers with clinics at which they hold staff privileges. - Responsible for facilitating the completion of all payer practitioner linking applications. - Manage and maintain contracts, licenses and credentials for all current providers. - Perform regular communication with payers including but not limited to receiving quarterly fee schedules, updates, and any additional relevant documentation. - Develop, implement, and monitor processes and procedures to ensure the consistent delivery of quality contracting and credentialing services in an efficient and cost-effective manner. - Ensure that the credentialing program is compliant with health plans, as well as State and Federal regulations including Medicare, Joint Commission, IMQ, AAAHC and other accrediting bodies. - Track enrollment status with each required organization, agency, affiliate, and third-party payer. - Maintain accurate provider profiles on CAQH, PECOS, and CMS databases. - Maintain databases for all active provider files to include Verity and Availity. Essential Competencies - Exceptional written and verbal communication skills, with a proven ability to interact effectively with a variety of external and internal constituents. - Strong analytical and problem-solving skills. - Ability to recognize and resolve ambiguous or conflicting objectives. - Knowledge of provider credentialing and its direct impact on the practices revenue cycle. - Proficiency with standard office software applications (Microsoft Office, Outlook, Teams, etc.). Qualifications - Bachelor's degree or equivalent work experience. - 3-5 years experience and demonstrated success in provider and facility contracting and credentialing with commercial and government payers. - Certified Provider Credentialing Specialist (CPCS) certification preferred. - Demonstrated experience in working with multi-site and/or multi-state providers. - Experience with Infusion, G/I, Rheum, Neuro and/or large distributed medical practices desired. Pay Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. Credentialing Specialist Pay Range: $20 — $26 USD Benefits - 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.

Role Description Join IVX Health as a Prior Authorization Coordinator! Join a team that’s redefining infusion care and creating exceptional patient experiences. Are you experienced in navigating the complexities of prior authorizations for biologics or oncology therapies? IVX Health is looking for a driven and detail-oriented Prior Authorization Coordinator to support our rapidly growing team. In this role, you’ll have the opportunity to make a meaningful impact by facilitating the approval process for life-changing specialty treatments. Location and Schedule at a Glance: - Work Options: Fully Remote, Hybrid, or In-office (Brentwood, TN) - Schedule: Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do - Review and Process Prior Authorizations: Thoroughly review Prior Authorization orders and ensure timely and accurate completion. - Manage Clinical Documentation: Obtain and assess necessary clinical information such as medical history, diagnosis, and lab reports to support Prior Authorization submissions. - Submit and Track Prior Authorizations: Follow criteria for medication approvals and accurately submit requests to insurance providers. - Resolve Authorization Issues: Investigate and resolve outstanding medical documentation concerns and assist in resolving denied claims. - Support Patients and Providers: Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. - Ensure Compliance and Process Improvement: Stay up to date with evolving payer policies and identify ways to enhance workflow efficiency. - Perform Additional Duties: Take on other responsibilities as assigned to support patient care and operational objectives. Qualifications - Prior Authorization Expertise is Essential: Hands-on experience with prior authorizations for biologics, oncology, or specialty therapies, along with a strong understanding of payer guidelines. - Exceptional Communication Skills: Frequent interaction with clinical teams, insurance companies, and patients; ability to communicate clearly and professionally. - Self-Motivated and Accountable: Expected to be present, engaged, and consistently perform at a high level without direct supervision. - Tech-Savvy and Detail-Oriented: Proficiency in Electronic Health Records (EHR) systems, payer portals, and Microsoft Office Suite is required. - High School Diploma or GED required. - Associate’s degree in Medical Office Management, Medical Insurance, or Medical Coding is a plus. - Minimum of three (3) years of experience in hospital or clinical service access, physician office scheduling, or a similar role. - Certified Medical Assistant (CMA) is a plus. - Experience with prior authorizations for biologics, oncology, or specialty therapies preferred. Benefits - 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.

• Lead and mentor the intake and prior authorization teams, ensuring an outstanding patient onboarding experience. • Collaborate with local, regional, and national teams to drive process improvements and resolve issues effectively. • Play a strategic role in onboarding new markets, working with leadership to develop a clear roadmap for success. • Oversee training and development efforts to ensure your team is fully equipped to excel. • Develop, review, and maintain intake processes, language, and training materials, ensuring compliance with company standards. • Track performance, identify potential issues, and ensure that patient access functions run smoothly and efficiently. • Conduct market and legislative research to stay ahead of trends and regulations in patient access and healthcare delivery. • Manage and lead department-specific projects that support overall business goals.

• Conduct structured audits of Intake and Prior Authorization cases • Evaluate documentation accuracy, medical necessity support, and adherence to internal SOPs and payer policies • Maintain defensible audit documentation and compliance standards • Monitor SLA performance, denial trends, and recurring workflow errors • Develop recurring QA reports with actionable insights • Identify systemic process vulnerabilities and training gaps • Document findings clearly and administer QA result notifications • Partner with Operations leadership on corrective action plans • Recommend workflow and SOP updates based on audit findings • Support readiness for internal audits and compliance reviews

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. Our Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. This Full Time role is part of our Billing Operations team and offers the flexibility to work fully remote or hybrid—with the option to work in-office if you’re local and prefer it. We prioritize work-life balance and a culture of support, recognizing that behind every claim is a patient counting on us to make care happen. 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. Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for 401(k), health benefits, and other company-provided benefits; some of these benefits may also be available to part-time employees. Insurance Follow-Up Pay Range $22—$25 USD 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 experience Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions Our 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. Note: Benefits may vary by employment type. Contact HR for details on eligibility and coverage. EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment 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 in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment. Privacy Policy

• Accurately assigning ICD-10, CPT, HCPCS, ASA, and modifiers for infusion services. • Reviewing medical documentation to ensure proper coding and compliance. • Collaborating with providers to clarify procedures and ensure accuracy. • Monitoring and following up on unpaid claims to support revenue cycle management. • Assisting patients with billing inquiries and resolving coding discrepancies. • Staying up to date with third-party payer regulations and compliance guidelines.

• Discuss insurance coverage with patients, including coinsurance, copays, and deductibles. • Provide balance estimates and explain financial obligations in a clear, approachable way. • Identify and enroll eligible patients in copay assistance or foundation-based financial aid programs. • Complete and manage applications through platforms like AssistPoint and various payer/foundation portals. • Coordinate payment arrangements pre- and post-treatment. • Accurately document all financial communications in systems such as the EMR, practice management platform, and internal tools. • Collaborate closely with both clinical and billing teams to ensure a seamless patient experience.

• 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.