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Entry Level Medical Claims Processor Jobs in Rochester, NY

Lthc

Personal Care Pharmacist

Rochester, NY · On-site

Utilize prescription and medical claims data to develop clinical recommendations that address ... Standardize tools, processes, and best practices to ensure consistency and scalability. * Provide ...

Lthc

Personal Care Pharmacist

Rochester, NY · On-site

Utilize prescription and medical claims data to develop clinical recommendations that address ... Standardize tools, processes, and best practices to ensure consistency and scalability. * Provide ...

Lthc

Personal Care Pharmacist

Rochester, NY · On-site

Utilize prescription and medical claims data to develop clinical recommendations that address ... Standardize tools, processes, and best practices to ensure consistency and scalability. * Provide ...

TEKsystems

Medical Records Analyst

Irondequoit, NY

$18.50 - $19/hr

... use a word processor, and browse the internet for information Organization skills - since HIM ... Experience Level Entry Level Job Type & Location This is a Contract position based out of ...

TEKsystems

Medical Records Analyst

Rochester, NY

$18.50 - $19/hr

... use a word processor, and browse the internet for information Organization skills - since HIM ... Experience Level Entry Level Job Type & Location This is a Contract position based out of ...

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Entry Level Medical Claims Processor information

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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 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:
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:
Entry Level Medical Claims Processor jobs near you
Clm Resltion Rep III, Hosp/Prv

Clm Resltion Rep III, Hosp/Prv

University of Rochester

Rochester, NY • Remote

$19.62 - $26.49/hr

Full-time

Posted yesterday

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 181 frontline employees who took The Breakroom Quiz

97th of 546 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910402 United Business Office

Work Shift:

UR - Day (United States of America)

Range:

UR URC 205 H

Compensation Range:

$19.62 - $26.49

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE
The Claims Resolution Representative III is responsible for working across the professional fee organization, handling follow-up activities designed to bring all open accounts receivable to successful closure. Responsible for effective claims follow-up on complex, multi-faceted accounts to obtain maximum revenue collection and closure. Responsibilities include, but are not limited to, independent research, claim correction and resubmission, handling payer specific appeal process taking timely and routine action to resolve unpaid claims. The Claims Resolution Representative III reports to Accounts Receivable Management.

ESSENTIAL FUNCTIONS

With general direction of the Manager/Supervisor/Lead:

  • 40% Follows department policies and procedures and maintains and exercises comprehensive knowledge of insurance company billing requirements and regulations to research and resolve unpaid accounts receivable, making any corrections in the professional billing system necessary to ensure balance resolution for all assigned URMFG physician services.
  • 25% Follows up on multi-faceted denials through review of remittances (EOBs), insurance correspondence, rejections received thru daily electronic and claims submission, etc. Research claims, identify problems, and takes appropriate action to assure claim resolution.
  • 20% Responds to all billing-related inquiries from colleagues, departments, patients, and payors in a timely and professional manner. Communicates any missing/incomplete information to providers and department administrative support staff to ensure accurate billing. Communicates with insurance representatives through telephone calls, payer website, and written communication to ensure accurate processing of claims. Collaborate with appropriate departments to generate a detailed rational for appeals and grievances to the insurance companies.
  • 10% Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Escalates system issues preventing claims submission and follow-up for review and resolution.
  • 5% Collaborates with Claim Edit Specialists and Patient Medical Billing Specialists assigned to pre claim WQ's to identify opportunities for improvement in clean claims rate.

May perform other duties as assigned.


QUALIFICATIONS

Required:

  • Associate degree and 2 years of related relevant experience; or equivalent combination of education and/or experience
  • Excellent problem-solving skills
  • Excellent communication skills
  • Excellent customer service skills

Preferred:

  • Strong working knowledge of the professional billing software applications
  • Ability to type 25 wpm.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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