
2 - 10 employees
Founded 2022
🏥 Healthcare
đź’Š 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.
🔥 8 hours ago
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2 - 10 employees
Founded 2022
🏥 Healthcare
đź’Š 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.
• Direct and oversee the PAL team toward securing authorization and onboarding new patients • Act as PAL-Pending for aligned sales representatives and primary contact for referral sources, patients, and field-based sales representatives • Navigate new prescriptions through referral, authorization, and serviceability steps within the BioMatrix pharmacy network • Ensure team achievement of service level agreements and onboarding goals • Serve as a resource for escalations and escalate cases as appropriate • Monitor CareTend queues and team productivity • Manage team schedules, time off, quality of work, and personnel or performance issues • Build relationships with referral sources and BioMatrix field representatives • Keep referral source personnel informed about referral status • Collect patient demographic, benefits, clinical history, and prescription information • Convey benefit investigation outcomes, out-of-pocket costs, financial responsibility, and assistance options • Coordinate with Nurse Coordination on in-home nursing, prescription fulfillment, and shipping • Coordinate with Pharmacy Operations on onboarding and ongoing fulfillment • Document provider, patient, caregiver, and field team updates in systems of record • Track referral turnaround time, volume, workload metrics, and leadership goals • Support technology and digital communication channels for stakeholders • Communicate referral status, outcomes, and next steps • Conduct periodic chart audits for Reimbursement Specialists
• 1-3 years of experience managing patient referral and prescription activities or reimbursement services in infusion or specialty therapies • 1-3 years of experience providing customer service in a health care setting, including meeting high-quality service standards and evaluating customer satisfaction • Electronic health medical record or pharmacy patient management experience • High School Diploma or equivalent • Ability to multitask in a fast-paced environment • Proficiency in medical or pharmacy terminology, written or verbal • Moderate proficiency in Microsoft Office, including Word, Excel, and PowerPoint • Willingness to travel up to 5% of the time for business purposes • Annual participation in required legal and ethical compliance training • Compliance with LUX Infusion legal, ethical, and compliance policies and Compliance Manual • Ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate • Bachelor's degree preferred • 1-3 years of experience supporting prescribers, healthcare settings, patients, and field-facing communications related to referral or prescription services preferred • General understanding of prescription benefits, insurance/payer requirements, and verification processes preferred • General experience working in a health care setting or services environment preferred • General knowledge of infusion therapy processes and patient needs preferred
• Purpose-driven work with direct patient impact • Patient-first, collaborative intake environment • Close partnership with clinical, reimbursement, and pharmacy teams • Opportunities to grow your expertise while supporting meaningful care journeys • Reasonable accommodations during the application or interview process
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