Job Description UW Medicine Faculty Practice Plan Services (FPPS) has an outstanding opportunity for a full-time, day shift, INSURANCE FOLLOW-UP SPECIALIST LEAD (Patient Account Representative 3). WORK SCHEDULE - 40 hours per week - Day Shift - This position is Remote POSITION HIGHLIGHTS The Insurance Follow Up Lead is responsible for analyzing and developing more efficient and effective workflows for insurance denials and other assignments worked by the Patient Account Representatives. Additionally, the employee performs Patient Account Representative work to cover for absences and prevent backlogs; recommends improvement opportunities; and is familiar with all job functions of the department. The Patient Account Representative Lead will participate in on-the-job training thus the employee must possess superior claims management knowledge and skills, support learning and development opportunities for staff and effectively use one-on-one instructional techniques. PRIMARY JOB RESPONSIBILITIES - Work timely and accurately in assigned claims follow-up queues and other assignments. - Accurately decipher denial reason and prospectively plan follow-up steps. - Effectively communicate in writing and verbally with payers. - Help build strong workplace relationships and promotes a positive work environment through open and constructive communication. - Motivate, encourage and challenge staff. - Work collaboratively with the training department to develop effective desk level support training. - Mentor and train staff to support achievement of quality assurance expectations. - Assist the Manager and Supervisor with any special projects or tasking that routinely develop. Ensure completion on a timely basis. - Assist Insurance Follow-up Specialists with problem accounts in their work queues, including problems working with difficult payers. REQUIRED POSITION QUALIFICATIONS High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment OR equivalent education/experience. ABOUT FACULTY PRACTICE PLAN SERVICES UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 3,000 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Primary Care Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital. Teamwork. Community. Opportunity. Compensation, Benefits and Position Details Pay Range Minimum: $25.08 hourlyPay Range Maximum: $35.90 hourlyOther Compensation: -Benefits: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/Shift: First Shift (United States of America)Temporary or Regular? This is a regular positionFTE (Full-Time Equivalent): 100.00%Union/Bargaining Unit: SEIU Local 925 Nonsupervisory About the UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.

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.