Reimbursement Specialist

Why This Role Matters

This role plays an important part in helping LUX Infusion deliver a patient‑first experience by ensuring accurate, timely reimbursement so patients can access care without unnecessary delays or financial confusion.

In this role, you’ll contribute to work that:

• Helps patients receive life‑sustaining therapies without disruption
• Supports clinicians, pharmacy teams, and care coordinators through reliable billing and reimbursement processes
• Strengthens the financial foundation of a growing, clinician‑led organization focused on long‑term patient outcomes

Every claim represents a real person managing a complex condition and this role helps remove barriers so care can continue seamlessly.

Role Details

Schedule:
8:30am – 5:00pm CST or EST

Location:
This role can be on-site in Overland Park, KS or remote.

What You’ll Do

• Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers
• Review, correct, and resubmit rejected or denied claims promptly
• Verify insurance eligibility, authorizations, and documentation prior to medication delivery
• Maintain complete and accurate patient billing files, including CMNs, prescriptions, and supporting medical documentation
• Confirm delivery dates before claim submission and invoice patients for applicable responsibility amounts
• Serve as a key partner to pharmacy, care coordination, and field staff to resolve billing issues
• Track accounts receivable activity and maintain detailed AR status reporting
• Communicate regularly with insurance companies, providers, and internal teams regarding claim status
• Predict cash flow based on claim progression and payer response patterns
• Maintain documentation of all payer communications and follow‑ups
• Respond to payer requests for records, authorizations, and clinical documentation in a timely manner
• Support insurance contract maintenance and payer audits as needed
• Monitor trends in payer behavior, coverage changes, and industry updates, escalating concerns appropriately
• Participate in quality assurance activities, audits, training, and continuing education initiatives
• Bring reliability, organization, and follow‑through to a fast‑paced revenue cycle environment

What We’re Looking For

You may be a great fit if you bring:

• Deep care about how billing accuracy impacts patient access