Infusion Collection Specialist

🔥 33 minutes ago

🇺🇸 United States – Remote

💵 $26 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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LUX Infusion

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2022

🏥 Healthcare

💊 Pharmaceuticals

Healthcare • Pharmaceuticals

LUX Infusion is a U. S. -based clinical services company that provides infusion therapy and specialty pharmacy solutions. It operates comfort-focused infusion locations and a nationwide at-home infusion nursing program, delivering therapies for conditions such as immune deficiencies (immunoglobulin), autoimmune/inflammatory diseases (biologics and biosimilars), transplant immunosuppression, and bleeding disorders. The company manages insurance navigation and prior authorizations, offers 340B and HUB services for manufacturers and payors, accepts commercial, Medicare, and Medicaid plans, and holds URAC-accredited locations in multiple states.

📋 Description

• 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 • Utilize 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 • Support continuity of infusion therapy and patient access to care • Resolve outstanding insurance claims and payer balances • Maintain accurate documentation and follow-up • Support a financially responsible, patient-first organization

🎯 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 your work • Preferred: 5+ years of collections experience • Preferred: Previous healthcare revenue-cycle experience • Preferred: Home infusion, specialty pharmacy, or infusion therapy collections experience • Employees must participate annually in required legal and ethical compliance training • Employees must comply with LUX Infusion’s legal, ethical, and compliance policies and Compliance Manual

🏖️ Benefits

• Reasonable accommodations during the application or interview process • Annual required legal and ethical compliance training

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