Reimbursement Specialist

🔥 4 minutes ago

🌪️ Kansas – Remote

🌪️ Kansas – Remote

💵 $23 - $27 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Submit accurate, timely clean claims to primary and secondary payers • Review, correct, and promptly resubmit rejected or denied claims • Verify insurance eligibility, authorizations, and documentation before medication delivery • Maintain complete patient billing files, including CMNs, prescriptions, and medical documentation • Confirm delivery dates before claim submission and invoice patients for applicable responsibility amounts • Partner with pharmacy, care coordination, and field staff to resolve billing issues • Track accounts receivable activity and maintain detailed AR status reporting • Communicate with insurance companies, providers, and internal teams about claim status • Predict cash flow based on claim progression and payer response patterns • Document payer communications and follow-ups • Respond to payer requests for records, authorizations, and clinical documentation • Support insurance contract maintenance and payer audits • Monitor payer behavior, coverage changes, and industry updates, escalating concerns appropriately • Participate in quality assurance activities, audits, training, and continuing education initiatives

🎯 Requirements

• At least two years of medical insurance or reimbursement experience • Strong attention to detail and 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 • Ability to work 8:30am–5:00pm CST or EST • Participate annually in required legal and ethical compliance training • Comply with LUX Infusion’s legal, ethical, and compliance policies and Compliance Manual • Home infusion or specialty pharmacy reimbursement experience preferred but not required • Familiarity with CPR+ and/or CareTend systems preferred but not required • Certified Pharmacy Technician credentials preferred but not required • Experience supporting patients with chronic or rare conditions preferred but not required • Ability to occasionally stand, walk, sit, use hands, reach, climb stairs, balance, stoop, kneel, crouch, crawl, talk, and hear • Ability to occasionally lift and/or move up to 25 pounds

🏖️ Benefits

• Purpose-driven work that directly supports patient care • Patient-first, clinician-led culture • Collaborative teams across pharmacy, revenue cycle, and care coordination • Opportunities to grow expertise in specialty infusion reimbursement • Reasonable accommodations for individuals with disabilities