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Infusion Collection Specialist
LUX Infusion. Follow up on submitted insurance claims to ensure accurate and timely reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare collections and accounts receivable management, with a strong focus on resolving insurance claims and reimbursement issues. Proficient in utilizing billing systems and maintaining compliance with legal and ethical standards in the revenue cycle.
Highest-signal resume keywords
Healthcare Collections ExperienceInsurance Claims Follow-UpDenials ResolutionAnalytical Problem-SolvingExcellent Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Collections ManagementReimbursement ResolutionData EntryAccount DocumentationClaim InvestigationPayer Account ManagementBilling System UtilizationMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint
Soft Skills
Attention to DetailPersistenceConfidenceCustomer ServiceOwnership
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Revenue CyclePayer PoliciesInfusion TherapySpecialty PharmacyCompliance Training
About the role
Key responsibilities & impact- Follow up on submitted insurance claims to ensure accurate and timely reimbursement
- Manage assigned payer accounts and outstanding balances
- Investigate denials, underpayments, unpaid claims, and payment discrepancies
- Communicate directly with insurance payers to resolve reimbursement issues
- Determine whether claims were billed correctly or require correction and rebilling
- Review payer requirements, reimbursement guidelines, and coverage requirements
- Document collection activity and maintain accurate account notes
- Utilize billing systems and clearinghouses to manage collection workflows
- Collaborate with billing, pharmacy, operations, and other internal teams
- Respond to internal and external questions regarding claim status
- Stay current on payer policies, billing requirements, and applicable regulations
- Assist with reporting, data entry, and other revenue-cycle responsibilities as needed
- Support continuity of infusion therapy and patient access to care
- Resolve outstanding insurance claims and payer balances
- Maintain accurate documentation and follow-up
- Support a financially responsible, patient-first organization
Requirements
What you’ll need- High school diploma or GED
- Minimum of 3 years of collections-related experience
- Experience providing customer service to internal and external stakeholders
- Basic proficiency with Microsoft Word, Excel, and PowerPoint
- Healthcare collections or accounts receivable experience
- Experience working with insurance payers and claim follow-up
- Strong knowledge of denials and reimbursement resolution
- Excellent analytical and problem-solving abilities
- Strong attention to detail
- Persistence and confidence with payer follow-up
- Excellent written and verbal communication
- Ability to manage multiple accounts and priorities
- Strong follow-through and ownership of your work
- Preferred: 5+ years of collections experience
- Preferred: Previous healthcare revenue-cycle experience
- Preferred: Home infusion, specialty pharmacy, or infusion therapy collections experience
- Employees must participate annually in required legal and ethical compliance training
- Employees must comply with LUX Infusion’s legal, ethical, and compliance policies and Compliance Manual
Benefits
Comp & perks- Reasonable accommodations during the application or interview process
- Annual required legal and ethical compliance training