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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 ...

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 · 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 ...

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 ...

Next Step Systems

Claims Examiner

Tucson, AZ · On-site

... Medicaid Claims, In-Patient Billing, and Rejections. Under general supervision from the Director of Operations, the responsibility of Claims Examiner consists of processing claim data and ...

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All JobsMedicaid Claims Processing Jobs

Medicaid Claims Processing information

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$12

$19

$26

How much do medicaid claims processing jobs pay per hour?

As of Jun 12, 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.
Systems Analyst Medicaid Claims Processing experience

Systems Analyst Medicaid Claims Processing experience

Stellent IT LLC

Austin, TX • Hybrid

Other

Posted 9 days ago

Job description

Role : Systems Analyst Medicaid Claims Processing experience
Location: Austin, TX (Hybrid 2 Days Onsite / 3 Days Remote)
Job type : Contract


Interview: Microsoft Teams


Local Candidates Only: Must currently reside within 50 miles of Austin, TX

Position Overview

Client seeking an experienced Systems Analyst 2 with strong Medicaid Claims Processing experience to support application enhancements, business process analysis, requirements gathering, testing, documentation, and stakeholder communication efforts. The ideal candidate will bridge business and technical teams while ensuring solutions align with HHSC standards and project objectives.

Key Responsibilities

  • Gather and analyze business requirements from non-technical stakeholders and Subject Matter Experts (SMEs).
  • Create use cases, process flows, wireframes, acceptance criteria, and functional documentation.
  • Analyze existing business processes and assess impacts of proposed system changes.
  • Serve as a liaison between business users, developers, project managers, and technical teams.
  • Ensure application designs comply with HHSC and DIR standards.
  • Develop and execute test plans, test scripts, test data, and validate results.
  • Troubleshoot and resolve defects during testing and implementation.
  • Provide regular status updates, risk assessments, and issue escalation.
  • Maintain project documentation, system architecture diagrams, workflows, and knowledge transfer materials.
  • Support Agile/Scrum delivery methodologies and Azure DevOps processes.

Required Qualifications

  • 5+ years of Medicaid Claims Processing experience.
  • 5+ years analyzing business requirements and identifying alternative solutions.
  • 5+ years evaluating operational procedures and improving business systems.
  • 5+ years creating detailed functional specifications and system documentation.
  • 5+ years performing cost-benefit analysis and solution assessments.
  • 5+ years documenting data inputs, outputs, and reporting requirements.
  • 5+ years of Azure DevOps experience, including wireframe creation.
  • Strong analytical, problem-solving, and critical-thinking skills.
  • Excellent verbal and written communication skills.
  • Strong stakeholder management and interpersonal skills.
  • Knowledge of IT architecture, emerging technologies, data protection practices, and industry trends.
  • Experience working in Agile/Scrum environments.

Preferred Qualifications

  • Experience with Texas DIR Project Delivery Framework (PDF) and associated templates.
  • Familiarity with enterprise information architecture and information management methodologies.
  • Knowledge of software architecture, infrastructure, and enterprise technology environments.

Work Schedule

  • Monday Friday, 8:00 AM 5:00 PM CST.
  • Hybrid schedule: Onsite Mondays and Tuesdays; remote Wednesday Friday.
  • Candidate must already reside in Texas and be local to the Austin area.
  • Occasional after-hours, weekend, or holiday work may be required with prior approval.

Additional Information

  • Background check required.
  • Position may transition to fully remote at HHSC discretion.
  • Travel, parking, lodging, and related expenses are the responsibility of the contractor/vendor.

Email- Phone Number : +1 321 7856 062

STELLENT IT A Nationally Recognized Minority Certified Enterprise

"Happiness can be found, even in the darkest of times, if one only remembers to turn on the light."
- JK Rowling

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About Stellent IT

Sourced by ZipRecruiter

Stellent IT, based in St Augustine, Florida, USA, is a renowned company in the IT sector whose primary focus is providing top-tier IT consulting and staffing services. Stellent IT's expertise lies not just in fulfilling IT staffing needs but in offering comprehensive technological solutions that enhance and drive business performance. Despite the limited information about their founding history, the company has earned a name for itself in the IT industry due to its commitment to quality and consistent delivery. With a mission centered around helping businesses efficiently navigate the IT landscape by providing strategic technology-inspired solutions, Stellent IT prides itself as a leader in its field.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

St Augustine, FL, US

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