Reimbursement Specialist

LUX Infusion•Concord Township, PA

6d•Onsite

About The Position

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. 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, and 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.

Requirements

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

Nice To Haves

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

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