Reimbursement Specialist

Reimbursement Specialist

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

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