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

This is a 100% remote opportunity; however, please only apply if you have3 to 5 years of medical insurance collections experience. AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience. AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services that includes contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. The perfect candidate should have an in-depth knowledge of collection practices related to billing and collection activities. AIS Healthcare offers great benefits, including health, vision and dental insurance, long term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer contribution. Additionally, we offer a 100% work from home model. EDUCATION AND EXPERIENCE: - A high school diploma or general education degree (GED) equivalent is required. - 3-5 years of healthcare industry experience required. - 3-5 years of medical billing and collections experience required. - Home Infusion, Intrathecal Pain Management experience preferred. ESSENTIAL DUTIES AND RESPONSIBILITIES: - Recognizes patients’ rights and responsibilities and supports them in the performance of job duties, respects patient’s rights to privacy and confidentiality. - Follows up on invoices submitted to ensure prompt and timely payment and escalates issues, as necessary. - Evaluates payments/denials received for correctness and ensures they are applied accordingly. - Identifies bad debt write-offs and A/R adjustments. Initiates write-offs and adjustments in accordance with policies and procedures. - Identifies any overpayments and/or duplicate payments and investigates and resolves accordingly. - Processes refund requests, in accordance with policies and procedures. - Maintains contact with other departments to obtain patient or insurance information needed for claim payment. - Responsible for understanding all procedures within regulatory mandates. - Ensures that the activities of the collection operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulation, guidelines, and requirements. - Makes calls to troubleshoot payment discrepancies and establish resolution. - Documents, in detail, phone calls, phone number, person spoken to, and call details on a consistent basis. - Consistently looks for areas to maximize claim reimbursement. - Resolves issues that created a denial within 5 days of receipt of denial. - Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. - Maintains understanding of NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies. - Maintains a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes. - Shares knowledge gained with other staff members and works as a team member. - Interacts with others in a positive, respectful, and considerate manner. - Performs other job-related duties as assigned. QUALIFICATION REQUIREMENTS: - Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations. - Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders. - Strong work ethic with personal qualities of integrity and credibility. - Self-directed, detail oriented, conscientious, organized, and able to follow through. - Ability to deal in an organized manner with problems involving multiple variables within the scope of the position. - Tolerant of frequent interruptions and distractions from staff and other internal support teams. - Proficient in Microsoft Office, including Outlook, Word, and Excel. Steps to Apply: To apply for this role, you must complete a Culture Index Assessment to be considered.Please note that your application will not be considered if the Assessment is not completed. Copy and paste the following link into your browser and press enter. Then, select the corresponding position for which you are applying. (Only one assessment per candidate is required.) The assessment is brief, taking less than ten minutes to complete. portal.cultureindex.com/public/survey/general/0BFB8F0000 AIS HealthCare™is the leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies. These services, combines with your advanced nursing and care coordination solutions, assist physicians and hospitals in delivering a superior level of care for optimal therapeutic outcomes. We offer a wonderful work culture, looking for an impact player who is positive, earnest, and hardworking.

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Medical Insurance Collections Specialist Location: Fully Remote Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST - No weekends Training Schedule: 6 weeks 9:00am-5:30pm EST Pay Rate: Starting at $18 an hour DOE- please note this rate may be below your state’s minimum wage. Consider this when applying. Job Summary The Insurance/Collections Specialist is responsible for identifying, analyzing, and recovering overpaid medical claims from healthcare providers, third parties, and insurance carriers. This role includes resolving discrepancies related to coordination of benefits (COB), duplicate payments, and other claim errors through research, communication, and follow-up. This position requires managing a high volume of calls, maintaining positive provider relationships, and ensuring timely resolution of accounts while meeting performance standards for collections, compliance, and productivity. Key Responsibilities - Recover medical claim overpayments through phone, email, and fax outreach - Analyze claims data to identify overpayments and determine recovery actions - Handle provider disputes, appeals, and complex collection scenarios - Coordinate with clients and providers to process adjustments and reversals - Maintain accurate follow-ups to ensure timely resolution - Develop effective collection strategies to maximize recovery - Communicate clearly with internal teams and external partners Required Experience & Knowledge - Minimum 2 years of medical billing and/or insurance collections experience and account management - Strong understanding of: - Medical claims processing and reimbursement - Medicare (Parts A, B, C, D), Medicaid, and commercial insurance - Coordination of Benefits (COB) - Claim denials, appeals, and rebilling processes - Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) - CPT and ICD-9/10 coding - Healthcare settings (inpatient, outpatient, pharmacy, etc.) - Ability to identify and explain overpayment types (duplicates, contractual, PPO, bundled claims, etc.) Skills & Requirements - Must be able to successfully complete a background check and drug screening - Associate degree or equivalent combination of education and experience - Strong analytical, organizational, and problem-solving skills - Excellent verbal and written communication - Ability to manage high call volume and work independently - Proficiency in Microsoft Office (Word, Excel, Outlook) - Strong customer service and negotiation skills Requirements: - Must pass an internet speed test (download equal to or greater than 25, upload equal to or greater than 5, Ping ms equal to or less than 175) - Must have the ability to connect with an ethernet cable to a modem/router - Live in one of the following states, AL, AR, AZ, CO CT, DE, FL, GA, ID, IN, IA, KS, KY, LA, ME, MI, MS, MO, NE, NV, NH, NJ,NM, NC, OH, OK, PA, RI, SC, SD, TN, TX,UT, VT, VA, WA, WV, WI, WY We are currently NOT hiring in the following geographies, included but not limited to: States: AK, CA, CT, HI, MA, IL, MT & NY Metro Areas: MN – Minneapolis, IL – Chicago, NY – New York City, OR - Portland, MD - Montgomery County, WA - Seattle, Washington, DC Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time. Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate is $18.00. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.

Division or Field Office: Underwriting Division Department of Position: Field Commercial Mgmt Dept Work from: Home in Illinois Salary Range: $97,388.00 - $155,567.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment. At Erie Insurance, you’re not just part of a Fortune 500 company; you’re also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits That Go Beyond The Basics We strive to be Above all in Service® to our customers—and to our employees. That’s why Erie Insurance offers you an exceptional benefits package, including: - Premier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. - Low contributions to medical and prescription premiums. We currently pay up to 97% of employees’ monthly premium costs. - Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. - 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. - Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. - Career development. Including a tuition reimbursement program for higher education and industry designations. Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year. Position Summary This is a high-impact leadership role where you’ll develop agents and District Sales Managers, help shape regional growth strategies, and make your mark at one of the most respected companies in the industry. The ideal candidate will live in the state of Illinois while working remotely. This position comes with a company car with paid gas card. What You’ll Do - Partner with branch leaders to set and achieve growth, profitability, and agency development goals. - Serve as a hands-on mentor to Agents and District Sales Managers, building expertise in ERIE’s commercial lines products and underwriting practices. - Evaluate complex commercial accounts, make underwriting and pricing decisions within authority, and collaborate with senior underwriters on larger risks. - Foster strong relationships with Agents, branch teams, and Home Office underwriting partners. - Represent ERIE in the community and maintain positive relationships with policyholders and stakeholders. Who You Are You’re a strategic thinker who leads with influence, not just authority. You enjoy rolling up your sleeves to develop others and have the commercial acumen to guide agents toward success. You’re comfortable making judgment calls on complex accounts and thrive on balancing growth with sound underwriting. In addition, this position trains, develops and guides Agents and district sales managers (DSM) in a designated branch territory in the promotion and sale of commercial lines products, providing assistance in the areas of production, product knowledge and application, and underwriting. Establishes and maintains relationships with branch managers and Agents to improve Agent willingness and ability to pursue and place quality commercial business with the ERIE. Duties and Responsibilities - Assists branch managers in establishing short- and long-range objectives related to commercial lines sales, with an emphasis on growth, underwriting profitability and agency development and training. - Provides hands-on training and guidance to Agents on ERIE's commercial lines products, resources, and services, including identifying web-based resources and training programs for Agent use. Builds commercial expertise of new and existing Agents for increased independence and sound judgment when pursuing commercial business. - Provides hands-on training and guidance to branch DSMs on ERIE's commercial lines products, resources, and services, including identifying web-based resources and training programs. Builds commercial expertise of new and existing DSMs for increased independence and sound judgment when working with Agents to pursue commercial business. - Identifies Agents requiring additional guidance and interaction from their DSMs on commercial lines products and services. Works directly with DSMs, branch managers, and commercial underwriting staff to develop a plan to deliver that guidance and interaction as appropriate. - Contacts and visits Agents regularly to evaluate quotations and applications for multiple commercial lines to determine acceptability, including larger, more complex commercial accounts. - Makes acceptability and pricing decisions on risks within defined binding authority. Refers risks that are beyond binding authority to a senior commercial lines underwriter, risk analyst or underwriting supervisor. - Develops and maintains effective relationships and contact with Home Office commercial lines underwriting management and production underwriters. - Serves as a company representative in maintaining favorable Policyholder relationships. Works closely with adjusters and other claims personnel on matters of mutual concern. - Develops and maintains strong working knowledge of ERIE's commercial product lines, including policy features and key endorsements and sources of information on ERIE's products. - Represents the company in community relations activities as directed. - For branch office accounts, handles insurance agency business as a licensed, non-commission company Agent. The first 7 duties listed are functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished. This position description in no way states or implies that these are the only duties to be performed by an incumbent. Employees are required to follow any other job- related instruction and to perform any other duties as requested by their supervisor, or as become evident. Capabilities - Values Diversity - Nimble Learning - Self-Development - Collaborates - Customer Focus - Cultivates Innovation - Instills Trust - Optimizes Work Processes (IC) - Decision Quality - Ensures Accountability Qualifications Minimum Educational and Experience Requirements - Bachelor’s degree, and six years of sales, underwriting, claims, loss control or marketing experience required; or - Associate’s degree and eight years of sales, underwriting, claims, loss control or marketing experience, required; or - High school diploma or GED and ten years of sales, underwriting, claims, loss control or marketing experience, required. Additional Experience - Incumbent must live in territory assigned unless a change is approved by the company. - Occasional overnight travel required. - Acceptance of hours beyond the normal work week and some restrictions on vacation during peak periods. Designations and/or Licenses - Willingness to obtain property/casualty insurance license for assigned state or branch office service territory required. - Valid driver's license and good driving record required. - One of the following professional designations is preferred: ARM, AU, ALCM, CRM, CIC, CPCU, or General Insurance Program. Physical Requirements - Lifting/Moving 0-20 lbs; Occasional (<20%) - Lifting/Moving 20-50 lbs; Occasional (<20%) - Ability to move over 50 lbs using lifting aide equipment; Occasional (<20%) - Driving; Often (20-50%) - Pushing/Pulling/moving objects, equipment with wheels; Occasional (<20%) - Manual Keying/Data Entry/inputting information/computer use; Often (20-50%) - Climbing/accessing heights; Rarely