Infusion Collection Specialist
About The Position
LUX Infusion is seeking an experienced Infusion Collections Specialist to follow insurance claims from submission through payment and support timely, accurate reimbursement. The role helps resolve outstanding payer balances, denials, underpayments, and other reimbursement issues in support of patient access to and continuity of infusion therapy. It collaborates with billing, pharmacy, operations, and other internal teams, and maintains accurate collection documentation and account notes. The position is in the Syracuse / Clinton, New York area, with a Monday through Friday schedule from 8:00 AM to 4:30 PM. The role operates in a fast-paced environment and requires the ability to prioritize competing demands and manage multiple tasks. Employees must complete annual legal and ethical compliance training and follow LUX Infusion’s compliance policies and procedures.
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.
- Strong knowledge of denials and reimbursement resolution.
- Excellent analytical and problem-solving abilities.
- Strong attention to detail.
- Persistence and confidence with payer follow-up.
- Excellent written and verbal communication.
- Ability to manage multiple accounts and priorities.
- Strong follow-through and ownership of work.
Nice To Haves
- 5 or more years of collections experience.
- Previous healthcare revenue-cycle experience.
- Home infusion, specialty pharmacy, or infusion therapy collections experience.
- Experience with medical or pharmacy benefit reimbursement.
- 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 directly 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 in required annual legal and ethical compliance training and adhere to LUX Infusion’s compliance policies and procedures.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
