Infusion Billing Specialist
About The Position
LUX Infusion is seeking an experienced Infusion Billing Specialist to support its revenue-cycle processes and help patients maintain access to infusion therapy. The role focuses on accurate, timely billing, reimbursement, and payment resolution for home infusion services, including medications, nursing services, and supplies. The specialist works with internal and external stakeholders, clearinghouses, and billing systems to support clean claims and efficient workflows. This remote position follows a Monday–Friday schedule from 8:00 AM to 5:00 PM EST. It operates in a fast-paced environment and requires the ability to prioritize competing demands, manage multiple tasks, and seek guidance when appropriate. The role also requires annual legal and ethical compliance training and adherence to LUX Infusion’s compliance policies and procedures.
Requirements
- High school diploma or GED.
- At least 2 years of medical billing and collections experience.
- 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 skills.
- A customer-service mindset combined with financial accuracy.
- Ability to work effectively in a fast-paced, deadline-driven environment and manage competing demands and multiple tasks.
- Strong written and verbal communication skills.
- Ownership and accountability.
- Understanding that accurate billing supports patient access to care.
Nice To Haves
- 5 or more years of medical billing and collections experience.
- Previous home infusion or infusion therapy billing experience.
- Experience with CareTend, CPR+, or similar healthcare billing systems.
Responsibilities
- Prepare and submit insurance claims for home infusion services, including medications, nursing services, and supplies.
- Process electronic pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans.
- Ensure prescription reimbursement information is complete, accurate, and entered in a timely manner before weekly and month-end close.
- Review documentation to ensure it aligns with billed services, coding, and expected reimbursement.
- Review and accurately apply payments to patient accounts through final resolution.
- Maintain knowledge of payer contracts, coverage criteria, and reimbursement guidelines.
- Respond to billing inquiries and resolve discrepancies professionally and efficiently.
- 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 billing-related data entry, administrative, and clerical responsibilities as needed.
- Participate annually in required legal and ethical compliance training and comply with LUX Infusion policies, procedures, and the Compliance Manual.
- Support the organization’s mission, vision, and values by demonstrating integrity, dedication, compassion, enthusiasm, collaboration, quality, accountability, and continuous improvement.
- Assist directly or coordinate appropriate assistance to ensure access to LUX Infusion’s services for individuals with disabilities, as needed.
Benefits
- Purpose-driven work that directly supports patient access to care.
- Patient-first, clinician-led culture.
- Collaboration across revenue cycle, pharmacy, clinical, and operations teams.
- Consistent Monday–Friday schedule.
- Opportunities to grow alongside an organization 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
