Infusion Billing Specialist: Claims & Reimbursement Expert

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

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