Infusion Collection Specialist

LUX Infusion•Syracuse, NY

About The Position

LUX Infusion is seeking an experienced Infusion Collections Specialist to support healthcare reimbursement and help ensure claims are followed through from submission to payment. The role contributes to continuity of infusion therapy by resolving outstanding insurance claims and payer balances, investigating denials and underpayments, coordinating with billing, pharmacy, and operations teams, and maintaining accurate documentation and follow-up. The position is located in the Syracuse / Clinton, NY area and is scheduled Monday through Friday, 8:00 AM to 4:30 PM. Infusion collections experience is strongly preferred. The specialist follows up on submitted insurance claims, manages assigned payer accounts and outstanding balances, communicates with insurance payers to resolve reimbursement issues, and determines whether claims require correction and rebilling. The role also reviews payer and coverage requirements, records collection activity, uses billing systems and clearinghouses, responds to claim-status questions, stays current on payer policies and regulations, and supports reporting, data entry, and other revenue-cycle responsibilities. The role operates in a fast-paced environment and requires prioritizing competing demands and managing multiple tasks. Candidates must have a high school diploma or GED, at least three years of collections-related experience, experience providing customer service to internal and external stakeholders, and basic proficiency with Microsoft Word, Excel, and PowerPoint. Healthcare collections or accounts receivable experience, payer follow-up, and knowledge of denials and reimbursement resolution are sought. Five or more years of collections experience and healthcare revenue-cycle or infusion-related collections experience are preferred. The pay range is $26–$28 per hour.

Requirements

  • High school diploma or GED.
  • Minimum of 3 years of collections-related experience.
  • Experience providing customer service to internal and external stakeholders.
  • Basic proficiency with Microsoft Word, Excel, and PowerPoint.
  • Healthcare collections or accounts receivable experience.
  • Experience working with insurance payers and claim follow-up.
  • Knowledge of denials and reimbursement resolution.
  • Strong analytical and problem-solving abilities.
  • Strong attention to detail.
  • Persistence and confidence with payer follow-up.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple accounts and priorities.
  • Strong follow-through and ownership of work.
  • Ability to prioritize competing demands and manage multiple tasks in a fast-paced environment.

Nice To Haves

  • Five or more years of collections experience.
  • Previous healthcare revenue-cycle experience.
  • Home infusion collections experience.
  • Specialty pharmacy reimbursement or collections experience.
  • Infusion therapy claims or collections experience.
  • Medical or pharmacy benefit reimbursement experience.
  • Experience with commercial insurance, Medicare, or Medicaid payer follow-up.
  • Specialty medication reimbursement experience.

Responsibilities

  • Follow up on submitted insurance claims to ensure accurate and timely reimbursement.
  • Manage assigned payer accounts and outstanding balances.
  • Investigate denials, underpayments, unpaid claims, and payment discrepancies.
  • Communicate with insurance payers to resolve reimbursement issues.
  • Determine whether claims were billed correctly or require correction and rebilling.
  • Review payer requirements, reimbursement guidelines, and coverage requirements.
  • Document collection activity and maintain accurate account notes.
  • Use billing systems and clearinghouses to manage collection workflows.
  • Collaborate with billing, pharmacy, operations, and other internal teams.
  • Respond to internal and external questions regarding claim status.
  • Stay current on payer policies, billing requirements, and applicable regulations.
  • Assist with reporting, data entry, and other revenue-cycle responsibilities as needed.
  • Participate annually in required legal and ethical compliance training and comply with organizational policies and procedures.
  • Support the organization’s mission, values, and patient-first approach through collaboration, accountability, quality, and continuous improvement.
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