Billing Specialist
6 days ago
Syracuse
Job Description 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: Monday–Friday, 8:00 AM–5:00 PM EST Location: On‑site — Syracuse, NY or Remote (Work location subject to change based on business needs) See Your Work in a New Light At LUX Infusion, we believe infusion care deserves more light — more warmth, more clarity, and more connection. That commitment extends beyond clinical care to the financial processes that ensure patients can begin and continue therapy without unnecessary barriers. We're looking for a Billing Specialist who wants their work to mean something — someone who brings accuracy, accountability, and purpose to the reimbursement process that supports patient access to care. Why This Role Matters Billing accuracy and timeliness are essential to keeping patients on therapy and ensuring care teams can focus on what matters most — the patient. The Billing Specialist plays a critical role in verifying reimbursement data, submitting clean claims, and resolving payments appropriately. In this role, you'll contribute to work that: • Helps patients maintain uninterrupted access to infusion therapy, • Supports clinicians and operations teams through reliable revenue‑cycle execution, • Ensures compliance with payer contracts and reimbursement standards, • 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, • 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, • 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, • Five (5) or more years of medical billing and collections experience, • Prior home infusion therapy billing experience Here, you'll find: • 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 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 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 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.