1

Medicaid Claims Processing Jobs (NOW HIRING)

Be Seen First

Medicaid Biller

Lafayette, LA ยท On-site

$16/hr

The Medicaid Biller is responsible for accurately processing and submitting claims to Medicaid, ensuring compliance with relevant regulations and codes. This role requires a detail-oriented ...

Medicaid/Medicare Consultant

MD ยท 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 ...

Medicaid Specialist

Springfield, IL ยท 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 ...

Medicaid Specialist

Springfield, IL ยท 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 ...

Medicaid Specialist

Springfield, IL ยท 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 ...

Be Seen First

Qualifications * 3+ years of Medicaid coding, billing, claims processing, or reimbursement experience * Direct Medicaid coding experience REQUIRED * Strong knowledge of ICD-10, CPT, HCPCS, and ...

... 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 ...

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

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

next page

Showing results 1-20

Medicaid Claims Processing information

See salary details

$12

$19

$26

How much do medicaid claims processing jobs pay per hour?

As of Jul 13, 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:
Infographic showing various Medicaid Claims Processing job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Business Systems Analyst 2 (Medicaid Claims Processing)

Business Systems Analyst 2 (Medicaid Claims Processing)

PROLIM Global Corporation

Austin, TX โ€ข On-site

Full-time

Posted yesterday

New


Job description

PROLIM Global Corporation (www.prolim.com) is hiring a Business Systems Analyst 2 (Medicaid Claims Processing) for a leading global technology client.
Title: Business Systems Analyst 2 (Medicaid Claims Processing)
Location: Austin, TX (Hybrid - Local Texas Candidates Only)
We are seeking an experienced Systems Analyst 2 with strong Medicaid Claims Processing expertise to support a Texas Health and Human Services Commission initiative.
Required Qualifications
5+ years of Medicaid Claims Processing experience
5+ years of Business Systems Analysis experience
Experience gathering and documenting business requirements
Experience creating:
  • User Stories
  • Use Cases
  • Process Flows
  • Acceptance Criteria
  • Functional Documentation

Experience with Azure DevOps (ADO)
Experience with wireframes and system documentation
Experience performing:
  • Functional Testing
  • System Testing
  • UAT Testing
  • Test Script Creation

Experience with Agile/Scrum methodologies
Strong communication and stakeholder management skills
Preferred Qualifications
Texas HHSC or other State Medicaid experience
Texas DIR Project Delivery Framework experience
MMIS (Medicaid Management Information System) experience
Experience with healthcare claims adjudication systems
Responsibilities
โ€ข Gather requirements from business stakeholders and subject matter experts
โ€ข Analyze current business processes and recommend system improvements
โ€ข Create business and technical documentation
โ€ข Develop use cases, process flows, wireframes, and acceptance criteria
โ€ข Support Agile development teams throughout the SDLC
โ€ข Create and execute test plans and test scripts
โ€ข Facilitate communication between technical and non-technical stakeholders
โ€ข Provide status updates and support project documentation efforts
Keywords
Medicaid | MMIS | Claims Processing | Systems Analyst | Business Analyst | Healthcare | Azure DevOps | Agile | Scrum | UAT | Requirements Gathering | Use Cases | User Stories | Testing
Apply now for immediate consideration.
Send your updated resume and contact details to: anand.kanavalli@prolim.com
About PROLIM Corporation
PROLIM is a leading provider of end-to-end IT, PLM and Engineering Services and Solutions for Global 1000 companies. They understand business as much as technology and help their customers improve their profitability and efficiency by providing high value technology consulting, staffing, and project management outsourcing services.
Their IT and PLM consulting offerings include; Advisory, PLM Software/Services, Program Management, Solution Architecture Training/Staffing, Cloud Solutions, Servers/Networking, Infrastructure, ERP Practices and QA Services. Engineering services include Data Translation, CAD/CAM/CAE, Process & Product Engineering, Prototyping, and Testing/Validation within a wide range of markets and industries.