Billing Specialist

Gastromed, LLC; Florida; On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Health insurance 100%

Dental, Vision, Life, 401k

Job summary

Gastromed, LLC in Florida is seeking a Billing Specialist to manage daily medical claims, including infusion and biologic billing, ensuring accuracy and timely submission. You will work with CPT/ICD-10 coding, payer guidelines, and EHR billing software, while maintaining confidentiality and high-quality customer service.

This role requires at least two years of medical billing experience, English/Spanish bilingual preferred, and a detail-oriented, independent work style with strong

Qualifications

• High School Diploma required.
• Minimum 2 years of experience in medical billing and collections.
• Infusion billing experience required, including biologic and specialty medication billing.
• Experience with infusion claims, medication billing, J-codes, and payer reimbursement preferred.
• Bilingual English/Spanish preferred; read, write, speak English.
• Basic computer knowledge: Word, Excel, Internet, EHR, practice management systems, e-faxes, and email.

Responsibilities

• Process medical claims daily with correct diagnosis, CPT, HCPCS, and infusion-related codes.
• Submit infusion and specialty medication claims per payer guidelines.
• Review claims for authorizations or referrals and ensure documentation is complete.
• Maintain billing process within a 15-day timeframe.
• Process 80–100 claims per day with accuracy and productivity standards.
• Follow up with insurance carriers on unpaid, denied, or underpaid claims.
• Review provider docs to ensure accurate billing and coding.
• Analyze denial trends to improve reimbursement and reduce errors.
• Prepare and submit weekly productivity reports to Revenue Cycle Manager.

Skills

Infusion billing

CPT/ICD-10/HCPCS knowledge

Billing regulations

Communication skills

Organizational skills

Independent work

Education

High School Diploma

2+ years medical billing experience

CPC preferred

Tools

EHR systems

Billing software

Microsoft Office

Job description

Job Description

JOB SUMMARY:

The Billing Specialist is responsible for the accurate and timely submission, follow-up, and resolution of medical claims. This position requires in-depth knowledge of procedural coding, ICD-10, CPT, HCPCS, CMS-1500 claim forms, electronic claims submission, payment posting, denials, and appeals. We are seeking a candidate with infusion billing experience, including biologic and specialty medication billing, to support our growing infusion services.

QUALIFICATIONS/EDUCATION:

• High School Diploma required.
• Minimum 2 years of experience in medical billing and collections.
• Previous infusion billing experience required, including biologic and specialty medication billing.
• Experience with infusion claims, medication billing, J-codes, and payer reimbursement preferred.
• Bilingual English/Spanish preferred; must be able to read, write, and speak English.
• Basic computer knowledge, including Microsoft Word, Excel, Internet, Electronic Health Records (EHR), practice management systems, e-faxes, and email.

CERTIFICATIONS/LICENSES:

• CPC preferred.

ABILITIES/SKILLS:

• In-depth knowledge of CPT, ICD-10, HCPCS, and medical billing regulations.
• Knowledge of infusion billing, biologic medications, J-code billing, and payer reimbursement guidelines.
• Understanding of Medicare, Medicaid, and commercial payer billing requirements.
• Excellent communication, customer service, and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Must be able to work independently with minimal supervision.
• Ability to respect and maintain patient confidentiality at all times.
• Dependable, professional, and detail-oriented.
• Demonstrates proficiency in the use of personal computers, Electronic Health Records, billing software, and Microsoft Office applications.
• Must be able to follow company policies and procedures.

SUPERVISORY RESPONSIBILITIES:

• N/A

ESSENTIAL DUTIES/RESPONSIBILITIES:

• Process medical claims daily, ensuring the correct diagnosis, CPT, HCPCS, and infusion-related billing codes are utilized.
• Submit infusion and specialty medication claims accurately and in accordance with payer guidelines.
• Review claims to determine whether prior authorizations or referrals are required and ensure all necessary documentation is complete.
• Maintain the billing process within the established 15-day billing timeframe.
• Process between 80 and 100 claims per day while maintaining accuracy and productivity standards.
• Submit claim batches to the clearinghouse daily.
• Review and resolve claim rejections and denials, resubmitting corrected claims as appropriate.
• Follow up with insurance carriers regarding unpaid, denied, or underpaid infusion and medical claims.
• Review provider documentation and progress notes to ensure accurate billing and coding.
• Analyze denial trends and identify opportunities to improve reimbursement and reduce billing errors.
• Maintain accurate and detailed account notes within the billing system.
• Prepare and submit weekly productivity reports to the Revenue Cycle Manager.
• Collaborate with providers, coding staff, authorization staff, and infusion personnel to resolve billing issues and maximize reimbursement.
• Perform other duties as assigned by management.

We offer a competitive salary; Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.