Billing Specialist (Medicare/Managed Care)

Elderwood Administrative Services; Buffalo (NY); On-site; USD 26,000 - 34,000; Full time

Benefits offered by this job

401K with match

Free parking

Paid time off and holidays

Health, dental and vision insurance

Job summary

Elderwood Administrative Services is seeking a Medical Billing Specialist (Medicare/Managed Care) for our Buffalo, NY on-site team. You will manage Medicare and managed care claims from submission through payment, ensuring accurate coding and timely reimbursements.

The role emphasizes detail orientation, strong communication, and the ability to navigate denials, remits, and follow-ups in a fast-paced environment. Monday–Friday daytime schedule with benefits and a focus on resident care support.

Qualifications

• Experience with electronic claim submission and follow up.
• Experience with Microsoft Office.
• Excellent verbal and written communication skills.
• Strong organization and detail orientation in a fast-paced environment.
• Knowledge of office machines and computer equipment.

Responsibilities

• Submit managed care, commercial, Medicare Part A/B and other third-party claims.
• Review remittances for denials and discrepancies.
• Follow up on outstanding claims over 30 days until payment or resolution.
• Generate AR aging reports weekly or biweekly.
• Contact insurance carriers to confirm claim status and support timely reimbursement.
• Prepare and submit corrected claims and rebills.

Skills

Medicare billing

Managed care

Electronic claims

Microsoft Office

Communication skills

Attention to detail

Education

High school diploma with business training

Tools

PCC Collections module

Billing software

Job description

Salary

$19.00 - 25.00 / Hour

Overview

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

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 insurance

Responsibilities

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.

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.

EOE Statement

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.