Medical Billing Specialist
3 weeks ago
Elderwood is seeking a skilled Medical Billing Specialist to join our corporate team in Buffalo, NY. As a Medical Billing Specialist, you will be responsible for managing the billing process for our facilities, ensuring timely and accurate submission of claims to Managed Care and Insurance companies.
Key Responsibilities:- Review remittances for potential denials, rate discrepancies, and co-payments.
- Transfer co-payments and deductibles to valid payer sources.
- Prepare and submit all Managed Care and Insurance claims via electronic submission.
- Submit claims for Medicare A and B, or other third-party billing and rebills for reimbursement as assigned.
- Complete applicable billing adjustments relating to Managed Care and Insurance claims via electronic submission.
- Submit billing adjustments to Medicare A and B, or third-party payers as assigned.
- Generate and review aging reports on a weekly basis.
- Follow up on outstanding balances over 30 days.
- Prepare and submit demand bills/informational/discharge/no pay claims to Medicare as assigned.
- Prepare bad debt write-offs and forward to the Director of Accounts Receivable.
- Communicate information about billing and payments and answer inquiries regarding Managed Care/Insurance company charges regarding services.
- Ensure prompt responses to all requests from responsible parties, residents, or third-party payers regarding financial records.
- 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.
Elderwood offers a competitive compensation package, including a downtown location with free parking, hybrid work environment, medical, dental, and vision insurance, life insurance, 401(k) with employer matching, paid holidays, and generous paid time off.
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