Billing Specialist

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 prescription reimbursement data is complete, accurate, and entered timely before weekly and month-end close Confirm documentation aligns with billed services, codes, and expected reimbursement Review payments and apply them accurately to patient accounts through final resolution Maintain understanding of payer contracts, coverage criteria, and reimbursement guidelines Address billing inquiries and resolve discrepancies 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 Prioritize competing demands, manage multiple tasks, and seek guidance when appropriate Assist or coordinate assistance to ensure access to LUX Infusion services for individuals with disabilities Requirements 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) Strong attention to detail and analytical thinking 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 Participation annually in required legal and ethical compliance training Compliance with LUX Infusion’s legal, ethical, and compliance policies and Compliance Manual Ability to occasionally stand, walk, sit, use hands, reach, climb stairs, balance, stoop, kneel, crouch, crawl, talk, or hear Ability to occasionally lift and/or move up to 25 pounds Core Competencies Demonstrates expertise in medical billing and collections, ensuring accurate claims submission and compliance with payer requirements. Strong analytical skills and attention to detail are essential for managing billing inquiries and maintaining financial accuracy. Highest-signal resume keywords Medical Billing Experience Claims Processing Attention To Detail Customer Service Skills Compliance Training Participation Hard Skills Medical Billing Claims Submission Reimbursement Verification Data Entry Coding Guidelines Soft Skills Analytical Thinking Clear Communication Customer-Service Mindset Time Management Problem Solving Certifications & Qualifications High School Diploma GED Industry Keywords Insurance Claims Medicare Part D Medicaid Payer Contracts Billing Regulations Tools & Technologies Microsoft Office Billing Systems Clearinghouses #J-18808-Ljbffr