Medicare & Managed Care Billing Specialist (Mon-Fri)

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

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with match

Paid time off

Job summary

Elderwood Administrative Services in Buffalo, NY is seeking a Medical Billing Specialist focused on Medicare and managed care. This full-time, on-site role supports our central billing team serving Elderwood communities across New York.

You will prepare and submit Medicare/managed care claims, review denials, follow up on aging accounts, and coordinate with carriers to ensure timely reimbursement. The position offers daytime hours and competitive hourly pay.

Qualifications

• Excellent verbal and written communication skills.
• Strong organization and detail‑orientation in a fast‑paced environment.
• Experience with electronic claim submission and follow up.
• Knowledge of Medicare/Managed Care billing is a plus.

Responsibilities

• Prepare and electronically submit managed care, commercial insurance, Medicare Part A, 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 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.

Skills

Verbal communication

Written communication

Education

High school diploma with business training

Tools

Microsoft Office

Job description

Elderwood Administrative Services in Buffalo, NY is seeking a Medical Billing Specialist focused on Medicare and managed care. This full-time, on-site role supports our central billing team serving Elderwood communities across New York.

You will prepare and submit Medicare/managed care claims, review denials, follow up on aging accounts, and coordinate with carriers to ensure timely reimbursement. The position offers daytime hours and competitive hourly pay.