Billing Specialist

Summary

LUX Infusion is a clinician-led, U.S.-based organization focused on providing human-centered infusion care and supporting patient access to therapy. The Billing Specialist will manage insurance and pharmacy claims, verify reimbursement data, apply payments, resolve billing discrepancies, and support compliant revenue-cycle operations.

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 all prescription reimbursement data is complete, accurate, and entered timely prior to 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 a strong understanding of payer contracts, coverage criteria, and reimbursement guidelines
• Address billing inquiries and resolve discrepancies with professionalism and clarity
• 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
• 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 unlawful
• Support the organization’s mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm
• Place patients first, work collaboratively with a “stacked‑hands” mindset, and maintain a consistent focus on quality, accountability, and continuous improvement
• Prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate
• Assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others

Skills

• Strong attention to detail and analytical thinking
• A customer‑service mindset paired with financial accuracy
• Comfort working in a fast‑paced, deadline‑driven environment
• Clear written and verbal communication skills
• Ownership and care in work that directly affects patient access
• High school diploma or GED
• Minimum of two (2) years of experience in medical billing and collections
• Experience providing customer service to internal and external stakeholders
• Basic proficiency with Microsoft Office (Word, Excel, PowerPoint)
• 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
• Five (5) or more years of medical billing and collections experience
• Prior home infusion therapy billing experience
• Experience with CareTend, CPR+, or similar billing systems

Qualifications

Must Haves

• Strong attention to detail and analytical thinking
• A customer‑service mindset paired with financial accuracy
• Comfort working in a fast‑paced, deadline‑driven environment
• Clear written and verbal communication skills
• Ownership and care in work that directly affects patient access
• High school diploma or GED
• Minimum of two (2) years of experience in medical billing and collections
• Experience providing customer service to internal and external stakeholders
• Basic proficiency with Microsoft Office (Word, Excel, PowerPoint)
• 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

Nice to Haves

• Five (5) or more years of medical billing and collections experience
• Prior home infusion therapy billing experience
• Experience with CareTend, CPR+, or similar billing systems

Benefits

• Purpose-driven work that directly supports patient access to care
• A patient-first, clinician-led culture
• Collaborative revenue cycle, pharmacy, and operations teams
• Flexibility through on-site or remote work options
• Opportunities to grow with a company building something meaningful