Billing Specialist (Medicare/Managed Care)
Description
Salary
$19.00 - 25.00 / HourOverview
Medical Billing Specialist – Medicare & Managed CareElderwood Administrative ServicesFull-Time, Onsite – Buffalo, NY (500 Seneca St.)
Put your Medicare billing experience to work, and see the impact every day.
Elderwood is a family of skilled nursing, rehab and assisted living communities across New York, Vermont and Massachusetts. Our central billing team in Buffalo keeps those communities financially healthy so they can focus on resident care. We're looking for a detail-oriented Medical Billing Specialist who knows Medicare and managed care claims and likes seeing an account through to payment.
Why you'll like working here
- Monday–Friday daytime schedule. No nights, weekends or holidays; Monday–Friday, [8:00 am – 4:30 pm]
- Pay of $19–$25/hour, with more for strong Medicare and managed care experience
- Health, dental and vision insurance
- 401(k) with match
- Paid time off and holidays
- Free parking at our downtown Buffalo office
If you enjoy investigating claims and seeing accounts through to completion, we'd love to hear from you. Apply today. Applications take about [5] minutes.
Employee Perks!
401K Retirement Plan with Company Match, Enjoy being a part of a strong and diverse team, Free On-Site Parking, Friendly and supportive staff, Generous PTO & holiday package, Life Insurance, Medical, Dental, and Vision insuranceResponsibilities
What You’ll Do as Medical Billing Specialist (Medicare/Managed Care):
Prepare and electronically submit managed care, commercial insurance, Medicare Part A, Medicare Part B and other assigned third-party claims
Review remittances for denials, payment discrepancies, copayments and deductibles
Investigate and follow up on outstanding claims over 30 days until payment or final resolution
Generate and review accounts receivable aging reports on a weekly or biweekly basis
Contact insurance carriers and managed care organizations to confirm claim status and support timely reimbursement
Prepare and submit corrected claims, rebills, billing adjustments and other assigned claim types
Prepare Medicare demand bills, informational claims, discharge claims and no-pay claims as assigned
Monitor claim denials and coordinate with facility and regional teams to support timely appeals
Maintain accurate documentation of collection activity in the PCC Collections module
Apply managed care and insurance contract requirements when reviewing reimbursement and billing issues
Help maintain current payer contracts, provider manuals and related billing resources
Respond promptly and professionally to billing and payment inquiries
Prepare recommended bad-debt write-offs for review by the Director of Accounts Receivable
Generate and develop ideas, which improve the quality of care for residents or increase job productivity and satisfaction.
From
Up to
Qualifications
What You’ll Need as Medical Billing Specialist (Medicare/Managed Care):
- High school diploma with some business training, including typing and bookkeeping required.
- Experience with electronic claim submission and follow up required.
- Experience with Microsoft Office.
- Excellent verbal and written communication skills.
- Strong organization and detail-orientation and ability to work in a fast-paced environment.
- Knowledge of the use of office machines and computer equipment.
- Ability to perform tasks to established standards of excellence.
- This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.