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Entry Level Medical Claims Processor Jobs in Rochester, NY

Medical Biller

Rochester, NY ยท Remote

$20 - $25/hr

Billing and Claims Processing * Prepare, review, and submit billing claims for home care services ... 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 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 ...

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 ...

New

Entry-Level Investigator

Rochester, NY ยท On-site

$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 9, 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 are popular job titles related to Entry Level Medical Claims Processor jobs in Rochester, NY? For Entry Level Medical Claims Processor jobs in Rochester, NY, the most frequently searched job titles are:
What cities near Rochester, NY are hiring for Entry Level Medical Claims Processor jobs? Cities near Rochester, NY with the most Entry Level Medical Claims Processor job openings:
Medical Biller

Medical Biller

Angels In Your Home

Rochester, NY โ€ข Remote

$20 - $25/hr

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Description

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 position is responsible for supporting accurate and timely billing, claims submission, payment follow-up, and account reconciliation for home care services. The ideal candidate will have experience in healthcare billing, strong attention to detail, and the ability to work collaboratively with internal departments, payers, and other stakeholders to ensure billing processes are completed accurately and efficiently.


ย Billing and Claims Processing

  • 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.
Payment Posting and Reconciliation
  • 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.
Collections and Follow-Up
  • 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.
Compliance and Recordkeeping
  • 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.
Internal Communication
  • 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

Qualifications

  • 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.
  • 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.
  • Experience with HHAeXchange, eMedNY, managed care portals, or similar billing systems preferred.
  • High school diploma or equivalent required; associate degree or additional healthcare billing training preferred.

Equal Opportunity Employer

We are an Equal Opportunity Employer and do 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.ย