Reimbursement Specialist

At LUX Infusion, we’re reimagining infusion care to be more human, supportive, and connected, guided by the meaning of light to bring clarity, compassion, and confidence to patients, providers, and partners. This clinician‑led, U.S.-based organization places people first, fostering inclusion, diversity, equity, and advancement (IDEA). Why This Role Matters This role helps ensure accurate, timely reimbursement, enabling patients to access care without delays or financial confusion. By managing claims, the specialist supports clinicians, pharmacies, and care coordinators, strengthening the financial foundation of a growing, patient‑first organization. In This Role, You’ll Contribute To Work That Helps patients receive life‑sustaining therapies without disruption Supports clinicians, pharmacy teams, and care coordinators through reliable billing and reimbursement processes Strengthens the financial foundation of a growing clinician‑led organization focused on long‑term patient outcomes Role Details Schedule 8:30am – 5:00pm CST or EST Location On‑site in Overland Park, KS or Garnet Valley, PA (subject to change based on business needs) Responsibilities Include Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers Review, correct, and resubmit rejected or denied claims promptly Verify insurance eligibility, authorizations, and documentation prior to medication delivery Maintain complete and accurate patient billing files, including CMNs, prescriptions, and supporting medical documentation Confirm delivery dates before claim submission and invoice patients for applicable responsibility amounts Serve as a key partner to pharmacy, care coordination, and field staff to resolve billing issues Track accounts receivable activity and maintain detailed AR status reporting Communicate regularly with insurance companies, providers, and internal teams regarding claim status Predict cash flow based on claim progression and payer response patterns Maintain documentation of all payer communications and follow‑ups Respond to payer requests for records, authorizations, and clinical documentation promptly Support insurance contract maintenance and payer audits as needed Monitor trends in payer behavior, coverage changes, and industry updates, escalating concerns appropriately Participate in quality assurance activities, audits, training, and continuing education initiatives Bring reliability, organization, and follow‑through to a fast‑paced revenue cycle environment What We’re Looking For Deep care about how billing accuracy impacts patient access and experience At least two years of medical insurance or reimbursement experience Strong attention to detail and the ability to manage multiple priorities Clear verbal and written communication skills Comfort working with billing systems, payer portals, and Microsoft Office tools Strong customer service mindset and professionalism when resolving complex payer issues Ability to stay organized and adaptable amid changing workloads Preferred (but Not Required) Home infusion or specialty pharmacy reimbursement experience Familiarity with CPR+ and/or CareTend systems Certified Pharmacy Technician credentials Experience supporting patients with chronic or rare conditions We care just as much about how thoughtfully you approach your work as your specific background. Why LUX Infusion Purpose‑driven work that directly supports patient care A patient‑first, clinician‑led culture Collaborative teams across pharmacy, revenue cycle, and care coordination Opportunities to grow your expertise in specialty infusion reimbursement Pay Range/Rate $23 - $27 USD Physical Demands May require standing, walking, sitting, hand use, reaching, climbing stairs, balancing, stooping, kneeling, crouching, or crawling, and talking or hearing. Occasionally lifting or moving up to 25 pounds is possible. Specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Other Requirements Participate annually in required legal and ethical compliance training Consistently act in compliance with LUX Infusion’s legal, ethical, and compliance policies Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual Refrain from any behavior that could be considered unethical or unlawful Expectations for All Employees Support the organization’s mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm. This includes placing patients first, working collaboratively with a stacked‑hands mindset, and maintaining a consistent focus on quality, accountability, and continuous improvement. General Information The statements provided describe the general nature and level of work performed in this role. They are not an exhaustive list of all responsibilities, duties, or skills required. This role operates in a fast‑paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate. Employees in this position may be required to assist directly or coordinate assistance to ensure access for individuals with disabilities, including patients, visitors, employees, or others. LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr