Reimbursement Specialist

3 hours, 46 minutes ago
Full-time
Junior
Operations
Lux Infusion

Lux Infusion

LUX Infusion is a specialty infusion clinic in Anchorage, AK, providing high-quality IV infusion treatments and injectable therapies in a luxurious setting, offering a safe and convenient alternative to hospital-based care.

Health Care Providers & Services
1-10
Founded 2022

Description

  • Submit clean claims to primary and secondary payers and ensure timely reimbursement.
  • Review, correct, and resubmit rejected or denied claims.
  • Verify insurance eligibility, authorizations, delivery dates, and required documentation before medication delivery and claim submission.
  • Maintain accurate patient billing files, including CMNs, prescriptions, and medical records.
  • Invoice patients for applicable responsibility amounts.
  • Collaborate with pharmacy, care coordination, field staff, providers, and insurers to resolve billing issues and communicate claim status.
  • Track accounts receivable activity, maintain status reports, and forecast cash flow based on claim progression.
  • Respond to payer requests and document communications, follow-ups, audits, and authorizations.
  • Monitor payer trends, coverage changes, and industry updates, escalating concerns when appropriate.
  • Participate in quality assurance activities, audits, training, compliance requirements, and continuing education.

Requirements

  • At least 2 years of medical insurance or reimbursement experience.
  • Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.
  • Clear verbal and written communication skills.
  • Experience with billing systems, payer portals, and Microsoft Office.
  • Strong customer service mindset and professionalism when resolving complex payer issues.
  • Ability to remain organized and adaptable amid changing workloads.
  • Commitment to patient-centered service, accuracy, accountability, and ethical conduct.
  • Home infusion or specialty pharmacy reimbursement experience preferred.
  • Familiarity with CPR+ and/or CareTend preferred.
  • Certified Pharmacy Technician credentials and experience supporting patients with chronic or rare conditions preferred.
  • Ability to occasionally stand, walk, sit, climb stairs, bend, kneel, and lift or move up to 25 pounds.

Benefits

  • Remote work arrangement.
  • Pay range of $23–$27 USD per hour.
  • Purpose-driven work directly supporting patient care.
  • Patient-first, clinician-led culture with collaborative cross-functional teams.
  • Opportunities to develop expertise in specialty infusion reimbursement.
  • Reasonable accommodations available during the application and interview process.

Interested in this position?

Apply directly on the company website

Apply Now

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