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Medicaid Claims Processing Jobs (NOW HIRING)

CYNET SYSTEMS

Medicaid Claims Analyst

Parsippany, NJ · On-site

$55 - $60/hr

Responsible for processing, validating, analyzing, and resolving Medicaid claims while ensuring compliance with Medicaid regulations, rebate systems, and data accuracy standards. Experience: * Prior ...

OmegaHires

Medicaid Data Architect

Austin, TX · On-site

$63.25 - $81.25/hr

... Medicaid Claims Processing. Responsibilities : • Collaborating with business and technical stakeholders to analyze, develop, and test system enhancements within a government agency environment ...

Memorial Health

Medicaid Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Prioritizes claims based on specified criteria and electronically files the claim, ensuring careful adherence to Medicaid guidelines, timeliness, accuracy, and processing procedures. At prescribed ...

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities * Provide revenue ...

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Prioritizes claims based on specified criteria and electronically files the claim, ensuring careful adherence to Medicaid guidelines, timeliness, accuracy, and processing procedures. At prescribed ...

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Prioritizes claims based on specified criteria and electronically files the claim, ensuring careful adherence to Medicaid guidelines, timeliness, accuracy, and processing procedures. At prescribed ...

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Medicaid Claims Processing information

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$12

$19

$26

How much do medicaid claims processing jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for medicaid claims processing in the United States is $19.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.67 per hour, depending on experience, location, and employer.

What is a Medicaid Claims Processing job?

A Medicaid Claims Processing job involves reviewing, verifying, and processing healthcare claims submitted by providers seeking reimbursement for services rendered to Medicaid beneficiaries. Workers in this role ensure claims comply with state and federal regulations, identify errors or discrepancies, and communicate with healthcare providers to resolve issues. They may also use specialized software to input and track claims, process denials or appeals, and ensure timely and accurate payments. Strong attention to detail, knowledge of Medicaid policies, and proficiency with healthcare billing codes are essential for success in this role.

What are some typical challenges faced in Medicaid Claims Processing, and how can I prepare for them?

One of the main challenges in Medicaid Claims Processing is staying up-to-date with frequently changing policies, billing codes, and compliance requirements, which can vary by state and program. Professionals in this role must pay close attention to detail to avoid errors and denials, often working with tight deadlines and large volumes of claims. To prepare, it's helpful to become familiar with Medicaid guidelines, maintain strong organizational habits, and proactively seek out updates in regulations or coding standards. Collaborating with other team members, such as care coordinators and billing specialists, is essential to ensure claims are accurate and properly documented. Ongoing learning and adaptability are key for long-term success in this dynamic environment.

What are the key skills and qualifications needed to thrive in the Medicaid Claims Processing position, and why are they important?

Success in Medicaid Claims Processing requires excellent attention to detail, a thorough understanding of healthcare billing procedures, and familiarity with Medicaid regulations and insurance guidelines. Proficiency in medical billing software, claims management systems, and sometimes industry certifications such as Certified Professional Coder (CPC) is beneficial. Strong organizational skills, problem-solving abilities, and effective written and verbal communication help individuals excel in this role. These skills and qualifications are crucial for ensuring accurate, timely claims processing and compliance with ever-evolving Medicaid requirements.

More about Medicaid Claims Processing jobs
What cities are hiring for Medicaid Claims Processing jobs? Cities with the most Medicaid Claims Processing job openings:
What are the most commonly searched types of Medicaid Claims Processing jobs? The most popular types of Medicaid Claims Processing jobs are:
What states have the most Medicaid Claims Processing jobs? States with the most job openings for Medicaid Claims Processing jobs include:
What job categories do people searching Medicaid Claims Processing jobs look for? The top searched job categories for Medicaid Claims Processing jobs are:
Medicaid Claims Processing jobs near you
Infographic showing various Medicaid Claims Processing job openings in the United States as of June 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Sr. Business Analyst (Medicaid Claims Processing)

Sr. Business Analyst (Medicaid Claims Processing)

Kastech Software Solutions Group

Austin, TX

$91K - $118K/yr

Other

Posted yesterday

Job description

We are hiring Sr. Business Analyst (Medicaid Claims Processing)/ Austin, TX, please view below job description and reply with Suitable resume

please reply with mandatory Skill

Current Location



Business Analyst (Medicaid Claims Processing) Experienc


e
Work Authorizati


on
Willing to work on w2/


C2C
Linked In



URL
Sr. Business Analyst (Medicaid Claims Proce

ssing)Location: Austin, Texas (O


nsite)
Duration: Long Term C

ontractTy

pe: C2CRequired Expe

rience:Required Expe

rience:14+ years of overall work exp

erience• 5 years of experience with Medicaid Claims Proc

essing.• 5 years of experience analyzing business objectives and problems, identifying alternative solutions, and recommending improv

ements.• 5 years of experience reviewing, analyzing, and evaluating user requirements, operational procedures, and business problems to automate processes and improve existing s

ystems.• 5 years of experience documenting detailed user requirements, business needs, program functions, and development or system enhancement specific

ations.• 5 years of experience performing cost-benefit analysis and evaluating system altern

atives.• 5 years of experience analyzing and documenting input/output requirements, data flows, reporting formats, and data processing requir

ements.• 5 years of experience using Azure DevOps and creating wireframes to support business and system requir

ements.• 5 years of experience demonstrating strong analytical thinking, problem-solving skills, and sound business

logic.• 5 years of experience with excellent verbal and written communication

skills.• 5 years of experience building strong working relationships with stakeholders, facilitating collaboration, and driving project ou

tcomes.• 5 years of experience understanding IT industry trends, emerging technologies, and their impact on business oper

ations.• 5 years of experience with architectural concepts, principles, and tools related to applications, infrastructure, information management, and organizational pro

cesses.• 5 years of experience evaluating and adopting emerging technologies and industry best pra

ctices.• 5 years of experience applying data governance, data integrity, security standards, and technology best pra

ctices.• 5 years of experience working in Agile/Scrum environments and supporting solution delivery methodo

logies.Preferred Expe

rience:• 2 years of experience with Texas DIR Project Delivery Framework (PDF) and related project documentation tem

plates.• 2 years of experience with enterprise information architecture and information management methodo

logies.• 2 years of experience with existing and future software technologies, enterprise architecture, and infrastructure comp


onents.
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About Kastech Software Solutions Group

Sourced by ZipRecruiter

Kastech was incorporated in 2007 with a mission to serve as a strategic partner to organizations from various industry verticals and offer cost-effective, reliable, and high-quality IT solutions and services leveraging our experienced resources and thought leadership. Kastech’s founding members come with years of experience in the fields of strategic IT consulting, program management, implementation, and service delivery. We invest in the development of thought leadership to enhance our reputation in the marketplace, define and extend our brand, and bolster our reputation for innovation. We always strive to draw upon research and experience from throughout our professional services organization. Headquartered in Houston, TX, Kastech currently has a physical presence in 6 countries, serving clients in 14 countries. We take pride in working with Fortune 500 companies and mid-sized to large-scale public sector agencies in setting up and managing their enterprise applications, including ERP systems.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Houston, TX, US

Year founded

2007

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