Top 39 Claims representative Jobs in Niagara Falls, 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
Accounts Receivable Specialist - CCBHCD
Horizon Health Alliance —Getzville, NY
- $20.75 - $21.75 an hour
- Full-time
- Customer service
- Mid-level
- Office
- Profit sharing
- Paid holidays
Quick Apply
Patient Registration Rep.
Community Health Center of Buffalo Inc —Niagara Falls, NY
- $16.76 - $20.24 an hour
- Full-time
- 1 year
- Entry level
Customer Service Representative
Independent Health —Buffalo, NY
- $19 an hour
- Overtime
- Hybrid work
- Research
- Office
- High school diploma or GED
- Paid time off
Billing Specialist - Full Time
Health System Services Ltd —Niagara Falls, NY
- $18 - $20 an hour
- Full-time
- ERP systems
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Medical Records Technician
Community Health Center of Buffalo Inc —Niagara Falls, NY
- $15.50 - $18.71 an hour
- Full-time
- Mid-level
- 1 year
- Health insurance
- Dental insurance
Account Representative - Personal Lines
AAA Western and Central New York —Buffalo, NY
- $22.10 - $26.50 an hour
- Weekends as needed
- Computer literacy
- Mid-level
- Office
- Paid training
- AD&D insurance
ESIS Senior Claims Representative, WC
Chubb —Cheektowaga, NY
- $78,100 - $109,400 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Continuous improvement
Adjuster - Specialty Casualty Claims
Merchants Mutual Insurance —Buffalo, NY
- $85,000 - $115,000 a year
- Hybrid work
- 5 years
- Office
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
Provider Relations Representative
Independent Health —Buffalo, NY
- $20 an hour
- Full-time
- Writing skills
- High school diploma or GED
- Communication skills
- Paid training
- Paid time off
Patient Access Representative [RP-N]
Roswell Park Cancer Institute —Buffalo, NY
- $42,641 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Clinic
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
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
12d
Specialist, Customer Compliance
Columbus McKinnon Corporation —Getzville, NY
- $19 - $24 an hour
- Microsoft Outlook
- Mid-level
- High school diploma or GED
Quick Apply
5d
Billing Specialist - Follow-Up (No-Fault & Workers Comp)
Dent Neurologic Group LLP —Amherst, NY
- $17 - $22 an hour
- Full-time
- Microsoft Excel
- Medical office experience
- Mid-level
- Free parking
- Wellness program
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Austin Czaja - State Farm Agent —Buffalo, NY
- $55,000 - $60,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Medical Billing Coordinator (Full Time/Mon-Fri 8a-4p)
Cazenovia Recovery Systems Inc —Buffalo, NY
- $25 - $26 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
Medical Professional Liability Marketer & Acc
LAWLEY AGENCY, LLC —Buffalo, NY
- $67,415.78 - $112,359.63 a year
- Analysis skills
- Epic
- Senior level
- Health insurance
- Dental insurance
Quick Apply
12d
Patient Service Representative - Dental Clinic
OLV Human Services —Lackawanna, NY
- $18.32 - $24.43 an hour
- Full-time
- Dental office
- Administrative experience
- High school diploma or GED
9d
Group Benefits Account Executive (Small Accounts)
Walsh Duffield Companies, Inc. —Buffalo, NY
- $55,000 - $80,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Bachelor's degree
Quick Apply

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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 representative jobs in niagara falls, ny

Medical Billing Coordinator

Accounts Receivable Specialist - CCBHCD

Patient Registration Rep.

Customer Service Representative

Billing Specialist - Full Time

Medical Records Technician

Account Representative - Personal Lines

ESIS Senior Claims Representative, WC

Adjuster - Specialty Casualty Claims

Provider Relations Representative

Patient Access Representative [RP-N]

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Specialist, Customer Compliance

Billing Specialist - Follow-Up (No-Fault & Workers Comp)

Multi-Line Representative - State Farm Agent Team Member

Medical Billing Coordinator (Full Time/Mon-Fri 8a-4p)

Medical Professional Liability Marketer & Acc

Patient Service Representative - Dental Clinic

Group Benefits Account Executive (Small Accounts)

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