Infusion Billing Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Prepare and submit insurance claims for home infusion services, which encompass medications, nursing services, and supplies.

• Process electronic pharmacy claims for Medicare Part D, Medicaid, and various commercial insurance plans.

• Ensure that prescription reimbursement information is thorough, accurate, and entered promptly before weekly and month-end closing.

• Review documentation to ensure alignment with billed services, coding, and anticipated reimbursement.

• Review and apply payments to patient accounts until final resolution is achieved.

• Maintain up-to-date knowledge of payer contracts, coverage criteria, and reimbursement guidelines.

• Address billing inquiries and resolve any discrepancies that arise.

• Stay informed about billing regulations, coding standards, and payer requirements.

• Collaborate with clearinghouses and billing systems to facilitate clean claims and streamline workflows.

• Assist with billing-related data entry, along with administrative and clerical duties.

• Provide support to patient access, clinical teams, operational teams, and enhance revenue-cycle efficiency.

⛳️ Requirements

• A high school diploma or GED is required.

• A minimum of 2 years of experience in medical billing and collections.

• Experience in delivering customer service to both internal and external stakeholders.

• Basic proficiency in Microsoft Office, including Word, Excel, and PowerPoint.

• Strong attention to detail coupled with analytical skills.

• A customer-service mindset paired with financial accuracy.

• Ability to perform effectively in a fast-paced, deadline-oriented environment.

• Excellent written and verbal communication abilities.

• A strong sense of ownership and accountability.

• A genuine understanding that precise billing is crucial for patient access to care.

• Availability to work Monday–Friday, from 8:00 AM to 5:00 PM EST.

• Willingness to participate annually in required legal and ethical compliance training.

• Adherence to LUX Infusion’s legal, ethical, and compliance policies along with the Compliance Manual.

• Capability to occasionally lift and/or move up to 25 pounds.

• Preferred: Over 5 years of experience in medical billing and collections.

• Preferred: Prior experience with home infusion or infusion therapy billing.

• Preferred: Familiarity with CareTend, CPR+, or similar healthcare billing systems.

🏝️ Benefits

• Purpose-driven work that directly enhances patient access to care.

• A patient-first, clinician-led culture.

• Opportunities for collaboration across revenue cycle, pharmacy, clinical, and operations teams.

• Consistent Monday–Friday work schedule.

• Opportunities for professional growth within an organization dedicated to building something meaningful.