Infusion Billing Specialist
About The Position
LUX Infusion is seeking an Infusion Billing Specialist to support accurate, timely reimbursement for home infusion services and help ensure patients have uninterrupted access to therapy. The role verifies reimbursement data, submits clean claims, reviews and applies payments, and resolves billing discrepancies while supporting clinicians and operations teams through reliable revenue-cycle work. The specialist works with payer contracts, coverage criteria, reimbursement guidelines, clearinghouses, and billing systems. The position also includes administrative and clerical billing tasks as needed and requires working in a fast-paced, deadline-driven environment while prioritizing competing demands.
Requirements
- High school diploma or GED.
- At least two years of experience in medical billing and collections.
- Experience providing customer service to internal and external stakeholders.
- Basic proficiency with Microsoft Office, including Word, Excel, and PowerPoint.
- Strong attention to detail and analytical thinking.
- Customer-service mindset paired with financial accuracy.
- Ability to work in a fast-paced, deadline-driven environment and prioritize competing demands.
- Clear written and verbal communication skills.
- Ownership and care in work that directly affects patient access.
Nice To Haves
- Five or more years of medical billing and collections experience.
- Prior home infusion therapy billing experience.
- Experience with CareTend, CPR+, or similar billing systems.
Responsibilities
- Prepare and submit insurance claims for home infusion services, including medications, nursing, and supplies.
- Process electronic pharmacy claims to Medicare Part D, Medicaid, and commercial insurance plans.
- Verify that prescription reimbursement data is complete, accurate, and entered on time before weekly and month-end close.
- Confirm documentation aligns with billed services, codes, and expected reimbursement.
- Review payments received and apply them accurately to patient accounts through final resolution.
- Maintain knowledge of payer contracts, coverage criteria, and reimbursement guidelines.
- Address billing inquiries and resolve discrepancies professionally and clearly.
- Stay current on billing regulations, coding guidelines, and payer requirements.
- Work with clearinghouses and billing systems to support clean claims and efficient workflows.
- Assist with data entry, administrative, and clerical billing tasks as needed.
- Participate annually in required legal and ethical compliance training and follow the organization's compliance policies, manual, standards, and procedures.
- Support the organization's mission, vision, and values through integrity, dedication, compassion, collaboration, quality, accountability, and continuous improvement.
Benefits
- Purpose-driven work that directly supports patient access to care.
- Patient-first, clinician-led culture.
- Collaborative revenue cycle, pharmacy, and operations teams.
- Opportunities to grow with a company building something meaningful.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
