Infusion Billing Specialist
About The Position
LUX Infusion is seeking an experienced Infusion Billing Specialist to support patient access to infusion therapy through accurate, timely billing and reimbursement processes. The role prepares and submits claims for home infusion services, processes electronic pharmacy claims, verifies reimbursement information, reviews supporting documentation, applies payments, and resolves billing discrepancies. The specialist works with clearinghouses and billing systems and collaborates with revenue cycle, pharmacy, clinical, and operations teams in a fast-paced, deadline-driven environment. The position is on-site in Plantation, Florida, with a Monday–Friday schedule from 8:00 AM to 5:00 PM EST. The stated pay range is $25–$27 USD per hour. Employees must complete annual legal and ethical compliance training and follow the organization’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.
- Strong written and verbal communication skills.
- Ability to work effectively in a fast-paced, deadline-driven environment.
- Sense of ownership and accountability.
- Customer-service mindset combined with financial accuracy.
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 on time 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 organizational policies and procedures.
- Prioritize competing demands, manage multiple tasks, and seek guidance when appropriate.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
High school or GED
