Medical Collections Specialist
hace 11 días
Clinton
Job Description See your work in a new light. 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. Schedule: Monday–Friday, 8:30 AM–5:00 PM EST (Schedule subject to change based on business needs) Location: Hybrid — following successful completion of onsite training, this role will work from one of the designated locations on Mondays, Wednesdays, and Fridays, with remote work on Tuesdays and Thursdays (Work location subject to change based on business needs) See Your Work in a New Light At LUX Infusion, we believe infusion care deserves more light — more warmth, more clarity, and more connection. That belief extends beyond clinical care to every interaction a patient has with our organization, including billing and reimbursement. We're looking for a Medical Collections Specialist who wants their work to mean something — someone who brings care, accountability, and purpose to managing patient accounts and payer relationships. Why This Role Matters Behind every successful infusion is a financial process that works smoothly, clearly, and fairly for patients. This role plays a critical part in ensuring billing accuracy, timely reimbursement, and clear communication — helping patients understand their responsibilities while supporting the sustainability of care delivery. In this role, you'll contribute to work that: • Helps patients feel informed and supported, not overwhelmed, by billing processes, • Supports clinicians and operations teams through accurate, timely reimbursement, • Ensures compliance with payer, state, and federal requirements, • Strengthens a growing, clinician‑led organization focused on long‑term outcomes The work may happen behind the scenes, but its impact is deeply felt by patients and teams alike. What You'll Do In this role, you will: • Manage patient and customer billing accounts efficiently and accurately in alignment with company, state, federal, and payer standards, • Submit, review, and follow up on insurance claims to ensure timely and accurate reimbursement, • Resolve denials and aged claims proactively, working toward quick resolution and payment, • Communicate clearly and professionally with patients, caregivers, internal teams, and payers regarding financial responsibilities and claim status, • Review and update patient account records to ensure accuracy and completeness, • Monitor claims aging, minimizing balances outstanding beyond established benchmarks, • Serve as a resource for reimbursement and payer processing questions, • Follow all applicable Medicare, Medicaid, state, and insurance carrier regulations, • Identify opportunities to improve billing workflows, accuracy, and patient experience, • Bring reliability, discretion, and strong follow‑through to daily responsibilitiesWhat We're Looking For You may be a great fit if you bring: • A strong sense of accountability and ownership over your work, • Clear, professional written and verbal communication skills, • Comfort working independently while collaborating with a broader team, • Strong prioritization and organizational skills, • A commitment to accuracy, compliance, and patient‑centered service Required Qualifications • High school diploma or GED, • Minimum of two (2) years of healthcare billing experience, • Strong computer proficiency and comfort learning billing systems, • Working knowledge of NYS Medicaid, Medicare Part B, and third‑party payers, • Ability to follow direction while managing responsibilities independently Preferred Qualifications • Associate's degree in Healthcare Services or a related field, • Prior billing experience with a home medical equipment or infusion provider You don't need to check every box — we care just as much about how you show up as what's on your resume. Why LUX Infusion At LUX Infusion, we believe care deserves more light — more warmth, more clarity, and more connection. Here, you'll find: • Purpose‑driven work that directly supports patient access to care, • A patient‑first, clinician‑led culture, • Supportive, collaborative teammates across operations and finance, • A hybrid work model following training, • The opportunity to grow with a company building something meaningful Come help make billing clearer, fairer, and more human — and see what's possible when care comes first. Pay Range/Rate $26—$28 USD PHYSICAL DEMANDS The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. If you require a reasonable accommodation during the application or interview process, please contact the LUX Infusion Talent Team at Careers@LUXInfusion.com or 954.385.7322 x 1425. While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee may also be required to occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this role include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER REQUIREMENTS Employees are expected to: • Participate annually in required legal and ethical compliance training, • Consistently act in compliance with LUX Infusion's legal, ethical, and compliance policies, • Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual, • Refrain from any behavior that could be considered unethical or unlawfulEXPECTATIONS FOR ALL EMPLOYEES All LUX Infusion team members are expected to support the organization's mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm. This includes placing patients first, working collaboratively with a "stacked‑hands" mindset, and maintaining a consistent focus on quality, accountability, and continuous improvement. GENERAL INFORMATION The statements above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. This role operates in a fast‑paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion's services for individuals with disabilities, including patients, visitors, employees, or others. LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.
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