Billing Specialist
$25 - $27 per hourLUX Infusion
See your work in a new light. 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. Schedule & Location: Monday through Friday, between 8:00 am and 5:00 pm Central Standard Time. It is anticipated that an incumbent in this role will work a hybrid schedule: three days on-site in Overland Park, KS.
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
OTHER REQUIREMENTS Employees are expected to:
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.
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.).
- 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
- 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.
- 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.
- 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.
OTHER REQUIREMENTS Employees are expected to:
- 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
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.
Vacancy posted 3 days ago
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