Medical Collections Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $26 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

👻 Ghost score 0%

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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 work outstanding balances through resolution • Investigate denied, underpaid, and unpaid claims and determine appropriate next steps • Communicate directly with insurance payers to resolve claim issues and secure reimbursement • Identify claims requiring correction, reconsideration, appeal, or rebilling • Review payer contracts, coverage requirements, and reimbursement methodologies • Collaborate with billing, pharmacy, and operations teams to resolve reimbursement issues • Respond to internal and external inquiries regarding claim status • Maintain accurate documentation of collection activity and payer follow-up • Stay current on billing regulations, coding guidelines, and payer policy changes • Utilize clearinghouses and billing systems to support collections workflows • Assist with reporting, data entry, and additional revenue-cycle responsibilities as needed • Maintain accuracy, professionalism, and consistent follow-through across assigned accounts

🎯 Requirements

• High school diploma or GED • Minimum of 3 years of medical collections or related revenue-cycle experience • Experience communicating with insurance payers and/or resolving outstanding claims • Experience providing customer service to internal and external stakeholders • Basic proficiency with Microsoft Office, including Word, Excel, and PowerPoint • Strong analytical and problem-solving skills • Persistence and confidence when following up with insurance payers • Excellent attention to detail and follow-through • Customer-service mindset balanced with financial accountability • Ability to work effectively in a fast-paced, metrics-driven environment • Strong written and verbal communication skills • Ownership of assigned accounts and drive to see claims through to resolution • Preferred: 5+ years of medical collections experience • Preferred: Previous home infusion, specialty pharmacy, or infusion therapy billing/collections experience • Preferred: Experience working with insurance denials, underpayments, appeals, and payer follow-up • Preferred: Experience using healthcare billing platforms, clearinghouses, or revenue-cycle systems • Participate annually in required legal and ethical compliance training • Act in compliance with LUX Infusion’s legal, ethical, and compliance policies • Adhere to standards and procedures in the LUX Infusion Compliance Manual • Ability to prioritize competing demands and manage multiple tasks effectively

🏖️ Benefits

• Purpose-driven work that directly supports patient access to care • Patient-first, clinician-led culture • Strong collaboration across revenue cycle, pharmacy, clinical, and operations teams • Consistent Monday–Friday schedule • Clear expectations and opportunities for professional growth • Potential hybrid eligibility after six months based on performance and business needs

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