Lexie has worked at the Children's Hospital of Pittsburgh since the early 1980s. As of February 2013, Lexie had donated $200,000 over the course of his career to the Free Care Fund, more than a third of his lifetime salary.
Lexie built himself a shoeshine box while in eighth grade shop class at Monessen High School, the last year he attended school. In June 1999, Lexie was awarded an honorary diploma from Monessen High School.
Lexie was recognized by People Magazine's "All-Stars Among Us" program and was honored by People and the Major League Baseball organization  at the Major League Baseball All-Star Game in Anaheim, California on July 13, 2010.
On March 12, 2012, the book Albert's Kids: The Heroic Work of Shining Shoes for Sick Children (ISBN 143497278X) was published by RoseDog Books and the Children's Hospital of Pittsburgh Foundation which serves as a biographical account of Albert Lexie's life.
- "Shoe shiner donates $200K in tips to children in need - Albert Lexie has been shining shoes at Children's Hospital for 32 Years.". WTAE.COM ABC Action News 4 Pittsburgh. Retrieved February 22, 2013.
- "Mon Valley Shines on Lexie Day", Green County Observer-Reporter. June 22, 1999. Byron Smialek.
- "MLB and PEOPLE magazine announce 30 "All-Stars Among Us" after 1.7 million votes are cast" (Press release). MLB Advanced Media (MLB.com). 2012-06-28. Retrieved March 3, 2013.
- Crawley, Dave (2012-06-26). "Children’s Hospital Shoe Shine Man Tells Story In New Book". CBS Pittsburgh. Retrieved March 3, 2013.
- "From The Heart", People Magazine. September 21, 1998 Vol. 50 No. 10
- "He Keeps Going ... and Going ... and ...", Pittsburgh Magazine. June 2010. Li, Xiaomeng.
- "Courage Is Contagious: Ordinary People Doing Extraordinary Things To Change The Face Of America". Kasich, John. pp. 233–239. Published October 19, 1999.
- "Chasing Skinny Rabbits: What Leads You Into Emotional and Spiritual Exhaustion...and What Can Lead You Out". Trent, John. pp. 128–130. Published May 10, 2010.