Reimbursement Specialist

About LUX Infusion

At LUX Infusion, we’re reimagining infusion care to be more human, supportive, and connected. Inspired by lux—meaning light—we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence. As a clinician‑led, U.S‑based organization, we put people first—helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference.

Up to $27.00 Per Hour Based Upon Experience. Final compensation offer to candidate may vary based upon work experience, education, and/or skill level. Bio Matrix pay range: $23–$27 USD.

8:30 am – 5:00 pm CST or EST on site in Overland Park, KS or Garnet Valley, PA. Work location may change based on business needs.

The Reimbursement Specialist is responsible for the accurate and timely billing and reimbursement of claims.

• High School Diploma or GED required
• Minimum of two (2) years of medical insurance experience required
• Basic computer and internet skills (e.g., Microsoft Office)
• Strong customer service skills, focus and dedication
• Commitment to excellent customer service and professionalism to resolve complex payer coverage issues

• Minimum of two (2) years of home infusion experience preferred
• Prior experience with CPR+ and/or Care Tend preferred
• Certified Pharmacy Technician license preferred, but not required

• Submit accurate claims to primary and secondary insurers and resubmit corrected/rejected claims in a timely manner
• Acquire necessary authorizations and current eligibility information from insurance companies prior to dispense release; communicate findings with pharmacy; document notes in system
• Maintain patient files with pertinent information required by insurance companies
• Confirm orders have been delivered before submitting claims
• Invoice patients for patient responsibility amounts (co‑pay, deductible, out‑of‑pocket, etc.)
• Communicate with field staff as needed (new referrals, signed tickets)
• Responsible for billing audits both internally and externally

• Track each claim weekly; maintain A‑R Manager report in Excel and update each outstanding claim with a status detail note, including insurance company’s reference number; submit report to the Director of Revenue Cycle Management; update claim’s billing note in CPR+ with the status detail note
• Predict cash flow from claim’s progress through insurance system
• Maintain documents showing proof of communication with insurance companies, providers, etc.
• Track incoming checks for receipt; if issued to patient, communicate with patient or RCC to collect monies
• Respond to insurance requests in a timely manner (medical records, prescriptions, CMNs, etc.)
• Make bank deposit and maintain accurate monthly deposit report, as needed

• Verify new patient referral information with insurance companies and report findings to the Director of Revenue Cycle Management via insurance verification form
• Complete insurance company contracts and/or necessary forms to maintain or become a provider
• Report unusual events or trends related to claims or insurance industry to the Director of Revenue Cycle Management
• Assist in insurance audits by providing all necessary billing paperwork in a timely manner
• Proactively improve understanding of bleeding disorders, products and treatments; stay current on legislative changes and insurance coverages, and disseminate this information to employees, patients and others within the bleeding disorder community
• Participate in QMC Quarterly Meetings, as needed
• Participate in orientation, education, training programs, CE’s, literature reviews and other materials, as assigned
• Complete all competence/skills billing assessments as required
• Provide courteous, cooperative and timely service to patients, visitors, and staff
• Participate in quality assurance activities and audits, as…