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Entry Level Medical Claims Processor Jobs in Rochester, NY

Medical Biller

Rochester, NY ยท Remote

$20 - $25/hr

Stay informed of billing requirements, payer updates, and process changes that may impact claims ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Medical Biller

Rochester, NY ยท On-site

$20 - $25/hr

Stay informed of billing requirements, payer updates, and process changes that may impact claims ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Medical Biller

Rochester, NY ยท On-site

$20 - $25/hr

Stay informed of billing requirements, payer updates, and process changes that may impact claims ... or medical claims processing preferred. * Experience with LHCSA, home care, or long-term care ...

Claims Adjuster Trainee

Rochester, NY ยท Hybrid

$60K - $63K/yr

... the claims process from start to finish. You'll have the support of a collaborative team and ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

Providing exceptional customer service throughout the claims process, addressing inquiries and ... All medical plans provide 100% coverage for in-network preventative care, AND you and your family ...

Be Seen First

Medical Biller

Newark, NY ยท On-site

$21/hr

Process medical insurance claims and troubleshoot clearinghouse rejections * Research and resolve denied or outstanding claims * Accurately post patient and insurance charges * Process and post ...

Entry-Level Investigator

Rochester, NY

$45K - $56K/yr

Ethos Risk Services is a leading insurance claims investigation and medical management company ... Our licensing team will guide you through the process of acquiring all investigator licensing to ...

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Entry Level Medical Claims Processor information

See Rochester, NY salary details

$13

$19

$25

How much do entry level medical claims processor jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for entry level medical claims processor in Rochester, NY is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $21.35 per hour, depending on experience, location, and employer.

What is an Entry Level Medical Claims Processor job?

An Entry Level Medical Claims Processor is responsible for reviewing and processing medical insurance claims submitted by healthcare providers and patients. They verify accuracy, ensure claims meet policy requirements, and enter data into processing systems. Their role helps facilitate timely payments and resolves issues related to denied or incorrect claims. Strong attention to detail, knowledge of medical billing codes, and basic computer skills are essential for success in this role.

What does a typical day look like for an Entry Level Medical Claims Processor?

A typical day for an Entry Level Medical Claims Processor involves reviewing medical claims for accuracy and completeness, inputting data into claims management systems, and communicating with healthcare providers or insurance companies to resolve discrepancies. You may also be responsible for verifying patient information, checking eligibility, and ensuring claims comply with current regulations and company policies. Collaboration with other claims processors, supervisors, or billing teams is common to resolve issues and meet processing deadlines. This role usually follows regular business hours in an office or remote work environment and provides structured training to help you learn the systems and processes. Over time, you may have the opportunity to advance to senior processor or specialist roles as you gain experience.

What are the key skills and qualifications needed to thrive in the Entry Level Medical Claims Processor position, and why are they important?

To thrive as an Entry Level Medical Claims Processor, you need attention to detail, basic knowledge of medical terminology or insurance procedures, and a high school diploma or equivalent. Familiarity with claims processing software, electronic health records (EHR) systems, and Microsoft Office tools is often required, while some employers may value a medical billing and coding certification. Strong organizational skills, problem-solving abilities, and clear communication are important soft skills in this position. These competencies ensure that claims are processed accurately and efficiently, which helps prevent errors, speeds up reimbursements, and supports overall workflow in healthcare administration.

What are the most commonly searched types of Medical Claims Processor jobs in Rochester, NY? The most popular types of Medical Claims Processor jobs in Rochester, NY are:
What job categories do people searching Entry Level Medical Claims Processor jobs in Rochester, NY look for? The top searched job categories for Entry Level Medical Claims Processor jobs in Rochester, NY are:
Infographic showing various Entry Level Medical Claims Processor job openings in Rochester, NY as of July 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $39,953 per year, or $19.2 per hour.

Medical Biller

Angels In Your Home

Rochester, NY โ€ข Remote

$20 - $25/hr

Other

Re-posted 3 days ago


Job description

Description

ย Angels In Your Home, a licensed home care services agency serving individuals across New York State, is seeking a detail-oriented and reliable Billing Specialist / Home Care Biller to join our administrative team.

This is a full-time position responsible for supporting accurate and timely billing, claims submission, payment follow-up, and account reconciliation for home care services. The Billing Specialist / Home Care Biller will work collaboratively with internal departments, payers, managed care plans, insurance representatives, and other stakeholders to ensure billing processes are completed accurately, efficiently, and in accordance with payer requirements and agency procedures.


Primary responsibilities include:

  • Prepare, review, and submit billing claims for home care services in accordance with payer requirements, agency procedures, and applicable regulations.
  • Ensure billing information is accurate, complete, and supported by appropriate documentation prior to submission.
  • Review authorizations, service records, schedules, timesheets, EVV data, and related documentation to support accurate billing.
  • Post payments, adjustments, denials, and other account activity accurately and timely.
  • Reconcile billed services, payments received, outstanding balances, and payer remittance information.
  • Identify billing discrepancies and work with appropriate internal staff to resolve issues.
  • Monitor aging accounts and follow up on unpaid or denied claims.
  • Communicate with payers, managed care plans, insurance representatives, and other parties regarding claim status, payment issues, and billing corrections.
  • Assist with resolving claim denials, rejections, underpayments, and outstanding balances.
  • Maintain accurate billing records and documentation in accordance with agency policy, payer requirements, and applicable regulatory standards.
  • Protect confidential client and agency information in compliance with HIPAA and agency privacy practices.
  • Stay informed of billing requirements, payer updates, and process changes that may impact claims submission or reimbursement.
  • Work closely with scheduling, intake, payroll, compliance, and clinical staff to address billing-related questions or documentation needs.
  • Communicate clearly and professionally regarding billing issues, missing information, authorizations, and claim corrections.

Requirements


  • Prior experience in healthcare billing, home care billing, Medicaid Managed Care billing, or medical claims processing preferred.
  • Experience with LHCSA, home care, or long-term care billing is strongly preferred.
  • Knowledge of Medicaid, managed care plans, authorizations, EVV, and payer billing requirements preferred.
  • Experience with HHAeXchange, eMedNY, managed care portals, or similar billing systems preferred.
  • Strong attention to detail and ability to identify discrepancies in documentation, schedules, authorizations, and claims.
  • Ability to manage multiple priorities, meet deadlines, and maintain organized records.
  • Strong written and verbal communication skills.
  • Proficiency with Microsoft Office, especially Excel and Outlook.
  • High school diploma or equivalent required.
  • Associate degree or additional healthcare billing training preferred.


Angels In Your Home is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, age, national origin, disability, veteran status, or any other protected status under federal, state, or local law.