Top 472 Claims Jobs in Buffalo, Ny

Medical Billing Coordinator
Cazenovia Recovery Systems, Inc —Buffalo, NY
- $25 - $26 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
Customer Service Supervisor (Healthcare)
Centivo —Buffalo, NY
- $70,000 - $75,000 a year
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
Manager, Patient Financial Services
Visiting Nursing Association of WNY —Buffalo, NY
- $70,000 - $97,000 a year
- Full-time
- Mid-level
- Office
- Finance
- Health insurance
- Dental insurance
Quick Apply
Legal Process Server
ABC Legal Services —Buffalo, NY
- Choose your own hours
- Driver's License
- US work authorization
- Reliable transportation
- Flexible schedule
Quick Apply
Trainee (Entry-Level) - Career Accelerator & Training Program (with scholarship)
LiftHER Career LLC —New York State
- Temporary
- Remote
- No experience needed
- Bachelor's degree
- Communication skills
- Travel reimbursement
4d
Claims Adjuster Trainee
Progressive —Williamsville, NY
- $60,500 - $63,000 a year
- Monday to Friday
- Hybrid work
- Office
- US work authorization
- Experience equivalent to degree accepted
- Health savings account
- Disability insurance
10d
Claims Analyst
Jacobs —Buffalo, NY
- $120,000 - $135,000 a year
- Full-time
- Construction site
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Claims Auditor
Centivo —Buffalo, NY
- $55,000 - $60,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Research
- Health insurance
Claims Process Documentation & Training Specialist
Centivo —Buffalo, NY
- $75,000 - $80,000 a year
- Full-time
- Remote
- Mid-level
- Office
- 3 years
- Work from home
3d
ESIS Senior Claims Representative, WC
Chubb —Cheektowaga, NY
- $71,000 - $104,000 a year
- Full-time
- 5 years
- Bachelor's degree
- Continuous improvement
10d
Post Summary Operations Specialist
FedEx Logistics —Tonawanda, NY
- $999.99 a day
- Full-time
- Microsoft Outlook
- Data analysis skills
- Research
- Paid training
7d
Multi-Line Claim Adjuster
Merchants Mutual Insurance —Buffalo, NY
- $55,000 - $75,000 a year
- Hybrid work
- Customer service
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Jacob Czaja - State Farm Agent —Amherst, NY
- $50,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
8d
Associate Underwriter
Highmark Inc. —Buffalo, NY
- $27.02 - $41.85 an hour
- Full-time
- Hybrid work
- Computer Science
- No experience needed
- Office
Claims Adjuster - Attorney Represented Injury
Progressive —Williamsville, NY
- $65,300 - $97,000 a year
- Hybrid work
- Mid-level
- Office
- 3 years
- Health savings account
- Disability insurance
Claims Adjudicator
Independent Health —Buffalo, NY
- $18 an hour
- Full-time
- Customer service
- Research
- High school diploma or GED
- Paid time off
Clinical Reviewer
Independent Health —Buffalo, NY
- $38 - $41 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Paid time off
7d
Customer Service Representative - State Farm Agent Team Member
Austin Czaja - State Farm Agent —Buffalo, NY
- $55,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Hospital Billing Operator
Deloitte —Williamsville, NY
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Biller
UBMD Orthopaedics & Sports Medicine —Cheektowaga, NY
- $19 - $25 an hour
- Full-time
- Research
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply

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claims jobs near buffalo, ny

Medical Billing Coordinator

Cazenovia Recovery Systems, Inc -
Buffalo, NY

Quick Apply

Job Details

Full-time
$25 - $26 an hour

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Life insurance
Referral program

Qualifications

Appeals
Financial data reconciliation
Accounts receivable management
Driver's License
Medical insurance appeals management
Medical billing account reconciliation
Insurance claims appeal handling

Full Job Description

General Role Description

The Medical Billing Coordinator is responsible for the management of Medicaid and Managed Care Organization (MCO) billing activities for designated agency programs. This position oversees claim submission, reimbursement tracking, denial management, payment reconciliation, and accounts receivable follow-up to ensure timely and accurate revenue collection.

The Medical Billing Coordinator serves as the agency's primary resource for payer-related billing matters, including eligibility issues, authorization requirements, rate changes, retroactive adjustments, prorated billing calculations, and reimbursement discrepancies. Working closely with Finance, Program, and external payer representatives, this position helps maximize reimbursement opportunities, strengthen billing processes, and support future expansion of billable services.

Essential Duties and Responsibilities

Accurately prepares, reviews, and submits weekly electronic medical claims to third party payers in accordance with established billing schedules and payer requirements.
Monitors claim status throughout the billing process.
Investigates and resolves denied, suspended, underpaid, or rejected claims.
Maintains billing records and supporting documentation to ensure compliance with payer, regulatory, and agency requirements.
Reviews admissions, discharges, transfers, authorizations, and census information to ensure accurate billing.
Reviews remittance advice and payment reports to ensure accurate reimbursement and identify collection opportunities.
Calculates and processes billing adjustments related to rate changes, retroactive eligibility determinations, payer updates, and prorated service periods.
Performs ongoing accounts receivable follow-up activities to maximize collections and reduce outstanding balances.
Identifies reimbursement opportunities resulting from retroactive approvals, rate adjustments, claim corrections, payer processing errors, or other billing discrepancies.
Maintains knowledge of Medicaid, Managed Care Organization (MCO), and payer billing requirements affecting agency services.
Establishes and maintains relationships with billing software representatives to solve technical issues.
Coordinates with other key external and internal staff to obtain necessary solutions to billing issues.
Implements billing and reporting processes within medical billing software.
Creates medical billing software reports to monitor managed care / insurer approvals and payment process.
Generates reports for the Finance department for data entry of managed care / insurer revenue and payments into QuickBooks.
Provides assistance and backup for other members of the Finance department as needed.

Requirements

Associate’s degree in Medical Billing and Coding, Healthcare Administration, Business, Accounting, or a related field preferred. Equivalent combination of education and experience will be considered. Three to five years of experience in medical billing, managed care billing, Medicaid billing, behavioral health billing, or related reimbursement functions.
Experience working with claim denials, appeals, accounts receivable follow-up, payment reconciliation, and reimbursement analysis.
Knowledge of Medicaid and Managed Care billing requirements is strongly preferred.
Must have a valid New York State driver’s license and reliable automobile.

Pay: $25.00 - $26.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Referral program
Vision insurance

People with a criminal record are encouraged to apply

Work Location: In person

Quick Apply

Refine Your Search

claims jobs in buffalo, ny

Medical Billing Coordinator

Customer Service Supervisor (Healthcare)

Manager, Patient Financial Services

Legal Process Server

Trainee (Entry-Level) - Career Accelerator & Training Program (with scholarship)

Claims Adjuster Trainee

Claims Analyst

Claims Auditor

Claims Process Documentation & Training Specialist

ESIS Senior Claims Representative, WC

Post Summary Operations Specialist

Multi-Line Claim Adjuster

Customer Service Representative - State Farm Agent Team Member

Associate Underwriter

Claims Adjuster - Attorney Represented Injury

Claims Adjudicator

Clinical Reviewer

Customer Service Representative - State Farm Agent Team Member

Hospital Billing Operator

Biller

I want to receive the latest job alert for claims in buffalo, ny

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