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Health Insurance Specialist Jobs in Rochester, NY

AMBA

Inside Sales Insurance Specialist

Rochester, NY · Remote

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Life and Health preferred Important Role Overview This is a high-volume outbound calling role in a ...

AMBA

Inside Sales Insurance Specialist

Rochester, NY · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Life and Health preferred Important Role Overview This is ahigh-volume outbound calling role in a ...

AMBA

Inside Sales Insurance Specialist

Rochester, NY · Remote

$50K - $60K/yr

Inside Sales Insurance Specialist (W2, Remote) Full-Time | Monday through Friday Compensation ... Life and Health preferred Important Role Overview This is a high-volume outbound calling role in a ...

Sutherland

AVP - CDE - Insurance

Pittsford, NY · On-site +1

Sutherland Healthcare Solutions is a leading provider of Health Information Management, Revenue ... Sutherland Insurance is witnessing a stellar growth, with leading AI solutions bundled with BPO ...

Helio Health

Guest Services Specialist

Rochester, NY · On-site

$15.38 - $17.50/hr

The Guest Services Specialist will work on a Full-Time basis out of Helio Health's Rochester ... Health insurance including dental and vision for employees and families. * Paid Vacation and Sick ...

Helio Health

Guest Services Specialist

Rochester, NY · On-site

$15.38 - $17.50/hr

The Guest Services Specialist will work on a Full-Time basis out of Helio Health's Rochester ... Health insurance including dental and vision for employees and families. * Paid Vacation and Sick ...

Helio Health

Guest Services Specialist

Rochester, NY · On-site

$15.38 - $17.50/hr

The Guest Services Specialist will work on aFull-Time basis out of Helio Health'sRochester ... Health insurance including dental and vision for employees and families. * Paid Vacation and Sick ...

The Arc

Employment Specialist

Rochester, NY · Hybrid

The Employment Specialist works directly with adults with intellectual and developmental ... Health Insurance with agency contribution Generous Paid Time Off (PTO) Employer Paid term life ...

The Arc of Monroe

Employment Specialist

Rochester, NY · On-site

$21.55 - $24.05/hr

The Employment Specialist works directly with adults with intellectual and developmental ... Benefit Offerings: • Health Insurance with agency contribution • Generous Paid Time Off (PTO ...

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All JobsHealth Insurance Specialist JobsHealth Insurance Specialist Jobs in Rochester, NY

Health Insurance Specialist information

See Rochester, NY salary details

$31.6K

$84.7K

$153.4K

How much do health insurance specialist jobs pay per year?

As of Aug 21, 2026, the average yearly pay for health insurance specialist in Rochester, NY is $84,743.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,800.00 and $98,700.00 per year, depending on experience, location, and employer.

What is a health insurance specialist?

Health or medical insurance specialist is a general name given to those who work in a healthcare facility, overseeing financial proceeding for patients. As a health insurance specialist, your responsibilities may include checking for insurance coverage, verifying health information, and liaising with health professionals and patients on all factors related to billing. You may also be responsible for proofreading all billing and medical coding to make sure there are no errors. As this is an umbrella term covering several jobs, your specific duties vary based on your position. You must have excellent organizational skills and may need some post-secondary education training in this career.

What are the key skills and qualifications needed to thrive as a health insurance specialist, and why are they important?

To thrive as a Health Insurance Specialist, you need strong knowledge of insurance policies, medical billing, coding systems, and typically a background in healthcare administration or related certifications. Familiarity with ICD-10, CPT coding, claims processing software, and government regulations like HIPAA is essential. Attention to detail, organizational skills, and effective communication help specialists resolve claims efficiently and interact with patients and providers. These competencies are vital to ensure accurate claims processing, regulatory compliance, and positive customer experiences.

What are some common challenges health insurance specialists face when working with claims processing?

Health Insurance Specialists often encounter challenges such as navigating complex policy details, keeping up with frequently changing regulations, and ensuring the accuracy of claim documentation. Handling discrepancies or denials requires strong attention to detail and effective communication with both healthcare providers and insurance companies. Staying organized and continuously updating knowledge on billing codes and compliance standards are crucial for success in this role.
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What cities near Rochester, NY are hiring for Health Insurance Specialist jobs?

Cities near Rochester, NY with the most Health Insurance Specialist job openings:

Health Insurance Specialist jobs near you
Infographic showing various Health Insurance Specialist job openings in Rochester, NY as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 91% In-person, 4% Hybrid, and 5% Remote job distribution, with an average salary of $84,743 per year, or $40.7 per hour.

Health Insurance & Authorization Specialist II

Highland Hospital

Rochester, NY • On-site

$20.99 - $28.34/hr

Other

Re-posted 2 days ago

Highland Hospital (New York) rating

7.7

Company rating: 7.7 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

226th of 1,061 rated hospitals

Job description

18272BR

Title:

Health Insurance & Authorization Specialist II

Department/Cost Center:

846 - Business Office/Cashiers

Job Description:

he Health Insurance and Authorization Specialist is responsible for verifying patient insurance eligibility and coverage and securing third-party payer authorization for our urgent/emergent inpatients, observation cases, maternity, and newborn admissions and notifies Utilization Management of clinical requests during the hospital stay. The Specialist also works closely with the uninsured/underinsured for appropriate referrals to our Financial Case Management team to assess patients for health insurance or financial assistance. They track our Medicare patients for benefit exhaustion to ensure compliance with Medicare Life Time Reserve (LTR) consent forms and consistently exercise judgment to resolve insurance barriers on the assigned admissions to avoid billing delays. This role involves a more significant amount of external coordination with outside agencies, including MVA/WC carriers, Motor Vehicle Accident Indemnification Corporation (MVAIC) agency, attorney offices, and works with parents to add their newborn through the NYS Marketplace or employer group.

Supervision: Responsible for monitoring own performance on assigned tasks. Self-directed and must make complex decisions independently. May train other support staff.

This role may have the option to work a hybrid-remote schedule and communicate daily through virtual meetings.

Salary Range:

$20.99- $28.34 an hour

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.

Auto req ID:

18272BR

Job Requirements:

  1. Education: High school Diploma or equivalent required. Associate degree preferred in related discipline (admitting/registration/patient billing/insurance); or equivalent experience

  2. Experience: Minimum of 3 years of related experience preferably in a hospital setting, medical office billing and or knowledge of third-party insurance regulations.

  3. Skills: Require high degree of professionalism and motivation with excellent communication and customer service skills, and medical terminology. Good interpersonal and telephone skills. Detail oriented. Computer, copier and FAX skills.

Employment Status:

Full-Time

Hours/Week:

40hrs

Posting Title:

Health Insurance & Authorization Specialist II

City:

Rochester

Work Shift:

Days

Area of Interest:

Clerical

The Hospital is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by law.

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