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Fiscal Intermediary Jobs in Rochester, NY (NOW HIRING)

100 Lawrence Memorial Hospital

Coder

Rochester, NY · On-site +1

Sequences diagnoses and procedures by following ICD‐10‐CM, ICD‐10‐PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross‐trained to assist with ...

100 Lawrence Memorial Hospital

Coder

Rochester, NY · On-site +1

Sequences diagnoses and procedures by following ICD‐10‐CM, ICD‐10‐PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross‐trained to assist with ...

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Fiscal Intermediary information

See Rochester, NY salary details

$25.7K

$43.1K

$61.2K

How much do fiscal intermediary jobs pay per year?

As of Aug 20, 2026, the average yearly pay for fiscal intermediary in Rochester, NY is $43,057.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,000.00 and $47,900.00 per year, depending on experience, location, and employer.

What is a fiscal intermediary?

A Fiscal Intermediary (FI) is an organization or individual that manages financial transactions on behalf of clients, typically in healthcare or social services. They process payroll, handle reimbursements, and ensure compliance with regulations related to funding sources. FIs commonly support programs like Medicaid or consumer-directed care, helping individuals manage budgets for personal assistance services. Their role is crucial in maintaining accurate financial records and ensuring timely payments.

What are the typical daily responsibilities of a fiscal intermediary?

Fiscal Intermediaries are responsible for processing timesheets, managing payroll for personal assistants or care workers, ensuring accurate record-keeping, and submitting required documentation to funding agencies. They regularly interact with clients, caregivers, and government entities to address questions, verify information, and help ensure proper use of allocated funds. Coordinating payments, staying up-to-date on regulatory changes, and providing training to clients or providers are also part of the role. This position involves a blend of back-office financial management and client-facing support, making strong interpersonal and organizational skills essential.

What are the key skills and qualifications needed to thrive in the fiscal intermediary position, and why are they important?

To excel as a Fiscal Intermediary, you need strong financial management skills, attention to detail, and a relevant background in accounting or finance. Familiarity with financial software such as QuickBooks, Excel, and payroll processing systems, as well as compliance with regulations like Medicaid or other governmental funding requirements, is typically required. Excellent communication, organizational ability, and problem-solving skills help Fiscal Intermediaries effectively liaise with clients, providers, and regulatory agencies. These abilities are vital to ensure accurate financial transactions, regulatory compliance, and smooth program administration.

How to become a fiscal intermediary?

To become a fiscal intermediary, individuals typically need relevant experience in finance, accounting, or program management, along with knowledge of Medicaid or other funding programs. Some roles require certification or training in financial management or compliance. Employers may also prefer candidates with strong organizational skills and familiarity with record-keeping systems.

What are popular job titles related to Fiscal Intermediary jobs in Rochester, NY?

For Fiscal Intermediary jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Fiscal Intermediary jobs in Rochester, NY look for?

The top searched job categories for Fiscal Intermediary jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Fiscal Intermediary jobs?

Cities near Rochester, NY with the most Fiscal Intermediary job openings:

Fiscal Intermediary jobs near you
Infographic showing various Fiscal Intermediary job openings in Rochester, NY as of August 2026, with employment types broken down into 33% Full Time, and 67% Part Time. Highlights an 100% In-person job distribution, with an average salary of $43,057 per year, or $20.7 per hour.

Fiscal Intermediary Coordinator

Heritage Christian Services

Rochester, NY • On-site

$17.50 - $23.75/hr

Other

Re-posted 12 days ago

Heritage Christian Services rating

5.6

Company rating: 5.6 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

Overview
Heritage Christian Services is seeking an energetic and positive person with a record of providing person centered supports. The Fiscal Intermediary Coordinator is responsible for providing support and guidance to individuals who self direct their services through a self directed budget. Responsibilities include active participation in the person centered planning process and oversight of the self directed budget once approved.
We're making the hiring process easier by using a video interviewing technology called HireVue. After completing your online application, record your job interview using your computer or smartphone at a time that works for you. HireVue will send you an email with a link and instructions. If you can't complete your interview right away, we'd love for you to complete it within a few days. One of our recruiters will be in touch within one to two business days with next steps. We can't wait to see what you have to offer.
Text "START" to 47257 or Click HERE to opt in to receive the invite via text message. Message and data rates may apply.
Pay for this position: $ 24.50 / hr - $ 26.50 / hr
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above range represents the organization's good faith and reasonable estimate of the range of possible compensation at the time of posting
Responsibilities
  • Read, understand and ensure compliance with relevant OPWDD and DOH guidance and ADMs including Community Habilitation, Broker, Respite, SEMP, FI, IDGS, etc.
  • Ensure timely and accurate enrollments in Self-Directed Services (CHOICES, eVero).
  • Actively participate in Circle of Support (COS) and Life Plan meetings for assigned individuals.
  • Provide information, guidance, support and education to Self-Directing Participants on Self-Direction rules and regulations and internal policies.
  • Review submitted self directed budgets; ensure all required elements are in place prior to submission to OPWDD.
  • Provide support as needed with obtaining and maintaining housing subsidies. Ensure all housing subsidies are renewed annually by November 15th.
  • Maintain a compliant, electronic record for each individual you are assigned to support including current Life Plans, budget justifications, Staff Action Plans, LCEDs, Psychological Evaluations, etc.
  • Supervise, train and co-manage Self-Hired employees.
  • Review all service documentation (staff documentation, invoices, reimbursement/payment requests, etc) for accuracy, completeness, and compliance with applicable requirements.
  • Complete self-hired staff management related activities and ensure level 3 FI Fee Billing requirements are met on a monthly basis.
  • Report all Reportable Incidences immediately and ensure immediate protections are in place in the event of a reportable incident.
  • Ensure timely process of payroll documentation.
  • Ensure timely reimbursement processing for reimbursement requests from Self-Directing participants, their families and self-hired staff.
  • Regularly monitor budget spending for assigned individuals and address issues/concerns proactively with the individual, broker, Care Coordinator/Manager and members of the COS as appropriate.
  • Attend FI/Broker OPWDD Webex quarterly meetings and other trainings as assigned.
  • Attend Team Meetings as scheduled.
  • Work cohesively as part of a larger team.

Qualifications
  • Associate's Degree Required or Equivalent of 2 years of relevant experience
  • Strong organizational and time management skills
  • Strong Writing and Communication Skills
  • Ability to multi-task
  • Personable and energetic with positive attitude
  • Bilingual in English and Spanish, with the ability to communicate effectively with Spanish-speaking individuals, preferred
  • Valid driver's license that is in compliance with Heritage Christian Services' motor vehicle record standards, and reliable transportation to and from work

Our Commitment to Equity and Justice
We believe that people are entitled to dignity, respect, equity and justice. We champion a society that removes barriers. We reject racism and discrimination of any kind. We protest systemic and political inequities that marginalize people, recognizing that there is a history of structural racism in the United States. We will continue to learn and change to achieve justice. We know that strength comes from unity.

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