Billing Specialist

Billing Specialist

Overland Park, Kansas, United States

At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence.

As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference.

Job Description

The Billing Specialist is responsible for verifying that all appropriate prescription reimbursement data has been obtained, entered into the system, and is accurate weekly and before the month-end. Processes electronic pharmacy insurance claims to Medicare D, Medicaid, and Commercial Insurance. Assures the timely and accurate submission of invoices to the responsible payer for services and products provided, and evaluates payments received for final resolution and application to the patient account.

Qualification Requirements

• GED or high school diploma required
• Minimum of two (2) years of working experience in medical billing & collection-related activities required
• Experience providing customer service to internal and external customers, including meeting service quality standards and evaluating customer satisfaction.
• Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.).

Qualifications Preferred

• Minimum of five (5) years of working experience in medical billing & collection-related activities preferred
• Previous home infusion therapy billing experience preferred
• Experience with CareTend preferred

Essential Functions and Responsibilities

• Prepare and submit insurance claims for home infusion services, including nursing, supplies, and medications.
• Verify documentation of supplied products aligns with the prepared claim.
• Verify the accuracy of billed codes and the accuracy of billed and expected amounts.
• Have a thorough understanding of payer contracts.
• Understanding the different types of home infusion medications and therapies.
• Knowledge of insurance verification and reimbursement processes.
• Address customer inquiries and resolve billing discrepancies, providing excellent customer service to both internal and external stakeholders.
• Stay up to date on relevant billing regulations, coding guidelines, and payer requirements to ensure compliance with all applicable standards.
• Familiarity with clearinghouses and the billing functionality.
• Assist with various data entry, administrative, and clerical tasks.

Knowledge, Skills, and Abilities Requirements

• Able to stay abreast of payer alerts and reimbursement changes.
• Able to work in a fast-paced environment.
• Able to navigate and interpret insurance contracts.
• Ability to actively communicate, inspire and motivate all levels of staff.
• Ability to think and act strategically and proactively.
• Ability to maintain accurate records and prepare reports and correspondence related to the work.
• Ability to organize and coordinate the work of others.
• Ability to set priorities and assign work to other professionals.
• Excellent analytical skills.

Communication Skills

• Oral Communication - Speaks clearly and persuasively in both positive and negative situations; listens and seeks clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Computer Skills

Become and remain proficient in all programs necessary for execution.

Pay Range/Rate

$25 - $27 USD

Physical Demands

The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. If you require a reasonable accommodation during the application or interview process, please contact the LUX Infusion Talent Team at View email address on click.appcast.io or View phone number on click.appcast.io.

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.

Other Requirements

• 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

Expectations for All Employees

All LUX Infusion team members are expected to support the organization's mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm. This includes placing patients first, working collaboratively with a "stacked?hands" mindset, and maintaining a consistent focus on quality, accountability, and continuous improvement.

General Information

The statements above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required.

This role operates in a fast?paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate.

Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion's services for individuals with disabilities, including patients, visitors, employees, or others.

LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.