Reimbursement Specialist

Reimbursement Specialist

Garnet Valley, Pennsylvania, United States

See Your Work In A New Light.

At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence.

As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference.

We're looking for a Reimbursement Specialist who wants their work to mean something someone who brings care, accountability, and precision to every claim they touch.

Why This Role Matters

This role plays an important part in helping LUX Infusion deliver a patient-first experience by ensuring accurate, timely reimbursement so patients can access care without unnecessary delays or financial confusion.

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

Every claim represents a real person managing a complex condition and this role helps remove barriers so care can continue seamlessly.

Role Details

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 in a timely manner
• 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

You may be a great fit if you bring:

• 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

You don't need to check every box we care just as much about how thoughtfully you approach your work as your specific background.

Why LUX Infusion

At LUX Infusion, we believe infusion care deserves more light more warmth, more clarity, and more connection.

Here, you'll find:

• 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

Come help us elevate infusion care and see what's possible when accuracy, empathy, and accountability come together.

Pay Range/Rate

$23 - $27 USD

Physical Demands

The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. If you require a reasonable accommodation during the application or interview process, please contact the LUX Infusion Talent Team at View email address on click.appcast.io or View phone number on click.appcast.io.

While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee may also be required to occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this role include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Other Requirements

Employees are expected to:

• 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

All LUX Infusion team members are expected to 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 above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be 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 appropriate assistance - to ensure access to LUX Infusion's services 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.