Reimbursement Specialist

Role Details

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.

Responsibilities

• 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

• 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

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

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 Careers@LUXInfusion.com or 954.385.7322 x 1425.

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

• 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
• Place patients first, work collaboratively with a “stacked-hands” mindset, and maintain 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.

Equal Opportunity Employer

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.