Remote Bcbs Pharmacist Jobs (NOW HIRING)

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.
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.
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