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Insurance Chart Review Jobs in Rochester, NY (NOW HIRING)

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Utilize software tools (eg Azara) and chart review to anticipate health maintenance, preventive and ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Community Health Center

LPN

Batavia, NY · On-site

$27 - $30.50/hr

Utilize software tools (eg Azara) and chart review to anticipate health maintenance, preventive and ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Community Health Center

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Utilize software tools (eg Azara) and chart review to anticipate health maintenance, preventive and ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Community Health Center

LPN

Brockport, NY · On-site

$27 - $30.50/hr

Utilize software tools (eg Azara) and chart review to anticipate health maintenance, preventive and ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Health

LPN

Batavia, NY

$27 - $30.50/hr

Utilize software tools (eg Azara) and chart review to anticipate health maintenance, preventive and ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

Oak Orchard Health

LPN

Brockport, NY

$27 - $30.50/hr

Utilize software tools (eg Azara) and chart review to anticipate health maintenance, preventive and ... Initiates and completes all parts of medication prior-authorization requests based on insurance ...

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All JobsInsurance Chart Review JobsInsurance Chart Review Jobs in Rochester, NY

Insurance Chart Review information

See Rochester, NY salary details

$27.6K

$61.5K

$103.6K

How much do insurance chart review jobs pay per year?

As of Jul 22, 2026, the average yearly pay for insurance chart review in Rochester, NY is $61,453.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,400.00 and $82,400.00 per year, depending on experience, location, and employer.

What are some common challenges faced by professionals in Insurance Chart Review roles?

Professionals in Insurance Chart Review often encounter the challenge of keeping up with constantly changing insurance policies, coding guidelines, and healthcare regulations. Maintaining accuracy while reviewing large volumes of charts and navigating incomplete or unclear documentation can also be demanding. Additionally, balancing productivity targets with the need for thoroughness requires strong organizational skills. Successfully addressing these challenges is vital to ensuring accurate claims processing and supporting positive patient outcomes.

What is an Insurance Chart Review job?

An Insurance Chart Review job involves reviewing medical records and documentation to ensure accuracy, compliance, and proper coding for insurance claims. Professionals in this role assess patient charts to verify that services billed are medically necessary and supported by records. They may work for insurance companies, healthcare providers, or third-party auditors to minimize errors and prevent fraud. Strong attention to detail and knowledge of medical terminology, billing codes, and insurance guidelines are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Insurance Chart Review position, and why are they important?

To excel in Insurance Chart Review, you need a strong understanding of medical terminology, coding practices, and healthcare documentation, often supported by certifications such as CPC, CCS, or RHIT. Familiarity with electronic health records (EHRs), coding software, and insurance company systems is typically required. Attention to detail, analytical thinking, and effective written communication are standout soft skills for this role. These competencies ensure accurate, compliant reviews that support insurance claims processing and minimize errors.

What are popular job titles related to Insurance Chart Review jobs in Rochester, NY? For Insurance Chart Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Insurance Chart Review jobs in Rochester, NY look for? The top searched job categories for Insurance Chart Review jobs in Rochester, NY are:
Insurance Chart Review jobs near you
Infographic showing various Insurance Chart Review job openings in Rochester, NY as of July 2026, with employment types broken down into 2% As Needed, 79% Full Time, 16% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $61,453 per year, or $29.5 per hour.
Licensed Master Social Worker (LMSW)- Full Time

Licensed Master Social Worker (LMSW)- Full Time

Rochester Regional Health

Rochester, NY • On-site

Full-time

Re-posted 5 days ago

Job description

SUMMARY
As a Social Worker, you play an important and trusted role in the lives of patients and their family. You are an integral part of their care and recovery.
POSITION: Licensed Master Social Work
LOCATION: Rochester Mental Health Center - RGH - G1
SCHEDULE: Full Time Day
HOURS: 40 hours per week
ATTRIBUTES
  • One (1) to three (3) years of social work experience in a health or home care setting
  • End renal stage disease experience (dialysis)
  • Compassionate, warm and patient focused
  • Exceptional documentation and planning skills
  • Excellent communication and interpersonal skills

RESPONSIBILITIES
  • Patient Care. Determine patient and family needs related to social supports, financial support or counseling, housing appropriateness, transportation and psychological supports; coordinate multidisciplinary and agency case conferences; work with care managers to advocate for patient/family to obtain approval for insurance coverage; coordinate admission for all patients in need of dialysis
  • Emergency Assistance. Intervene in crisis and attend to needs of patient/family related to illness, disability, deterioration of independence, etc.
  • Referral Management. Manage referrals related to patients at risk and determine appropriate intervention strategies and document as implemented; ensure inappropriate referrals are channeled correctly and documented
  • Treatment Plan Development. Coordinate assessments and develop care plan in accordance with accepted social work policy; implement plan of intervention preparatory to discharge or initiate continued care plan

Key Responsibilities:
• Manages referrals regarding patients with psychosocial needs and determines appropriate interventions and strategies to meet those needs. Determines patient needs through chart review, patient/family interviews and team conferences. Documents social work intervention. Ensures that all inappropriate referrals are channeled correctly and documented.
• Assesses patient needs and determines mode of intervention. Possesses appropriate age and specific knowledge about the dynamics of group assigned and assesses patient needs accordingly as documented in Care Connect or medical record. Interviews patients and/or families and records psychosocial assessments in accordance with the social work documentation policy as documented in chart.
• Coordinates assessments and develops care plans in accordance with accepted social work policy as documented in chart. If indicated, evaluates patients for the appropriate level of care as documented in chart, office file, and by referrals. Coordinates multidisciplinary and agency case conferences as needed, as verified through chart notes indicating attendance, problems discussed and treatment plan.
• Implements plan of intervention preparatory to discharge or initiating continued care plan in compliance with departmental and governmental regulations.
• If Works with care manager, acts as intermediary, with Health Care Insurance providers (ex. HMO's, private insurance, Medicare), advocating for patient/family, to obtain approval for coverage as documented in the chart. Involves patient/family in the treatment planning process as demonstrated in the chart notes, and signatures on the appropriate forms.
• Arranges for transportation of patient where needed in accordance with RRH procedure, as documented in the chart.
• Acts as liaison with the community and as a referral source.
• Performs other duties as assigned.
For Hospital:
• Executes plan of discharge/continued care which is mutually agreeable to patient/family. Notifies involved parties (e.g., doctor, family, patient, facility) concerning the discharge, within 24 hours of receipt of discharge authorization as documented in chart. Requests needed paperwork from nursing/doctor other disciplines as documented in the chart.
• Reviews track board census or documentation to identify high risk patients not referred.
• Determines patient needs through interdisciplinary rounds.
Minimum Qualifications:
• Master's degree in Social Work required.
New Graduates:
• Official transcript from accredited school or letter emailed directly from the school's registrar's office confirming program completion will be accepted upon graduation.
• Primary source education verification required within 90 days of start date.
Required Licensure/Certification:
• NYS License in Social Work.
EDUCATION:
MS: Social Work (Required)
LICENSES / CERTIFICATIONS:
LMSW - Licensed Master Social Worker - New York State Education Department (NYSED)New York State Education Department (NYSED)New York State Education Department (NYSED)
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$30.50 - $40.00
CITY:
Rochester
POSTAL CODE:
14621
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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