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Medicaid Claims Processing Jobs (NOW HIRING)

Next Step Systems

Medical Claims Coder

Tucson, AZ · On-site

... 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 ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...

1 Legacy, Inc

Manager I Claims

Miami, FL

Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth ...

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Molina Healthcare

Examiner, Claims

Long Beach, CA · Remote

$14 - $26.42/hr

Required Qualifications Must have at least 2 years of experience processing Medicaid claims At least 1 year of experience in a clerical role in a claims, and/or customer service setting - preferably ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...

BerryDunn

Medicaid Payment Integrity SME

In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...

BerryDunn

Medicaid Payment Integrity SME

Kapolei, HI · On-site +1

In-depth understanding of medical coding (ICD-10, CPT), claims processing, and Medicaid requirements. * Experience reviewing or auditing Medicaid medical, dental, behavioral health, pharmacy ...

ADPMN INC

System Analyst

Austin, TX · On-site

Experience with Medicaid Claims Processing. * Experience in business objectives, problem-solving, and identifying solutions. * Proficiency in reviewing, analyzing, and evaluating user requirements ...

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Medicaid Claims Processing information

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How much do medicaid claims processing jobs pay per hour?

As of Aug 23, 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 the key skills and qualifications needed to thrive in Medicaid claims processing?

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.

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.

How to get a job as a Medicaid Claims Processing specialist?

To become a Medicaid Claims Processing specialist, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or certifications in healthcare administration or related fields. Relevant skills include knowledge of healthcare billing, claims processing software, and federal Medicaid policies; experience in healthcare or insurance is often preferred. Applying through healthcare organizations, government agencies, or insurance companies and demonstrating attention to detail and familiarity with claims systems can improve job prospects.

Is a Medicaid claims processing job in demand?

Medicaid claims processing jobs are in steady demand due to ongoing healthcare coverage needs and the complexity of processing claims. These roles often require knowledge of healthcare regulations and claims management software, making them essential in healthcare administration and insurance companies.
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What states have the most Medicaid Claims Processing jobs?

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Medicaid Claims Processing jobs near you
Infographic showing various Medicaid Claims Processing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. 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.

Medical Claims Coder

Next Step Systems

Tucson, AZ • On-site

Full-time

Medical, Retirement, PTO

Re-posted 18 days ago

Job description

Medical Claims Coder, Tucson, AZ
The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations. Candidates also need experience with Medicare/Medicaid Billing, Medicare/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 adjudicating medical and inpatient claims received from all provider types and lines of business. Review and resolve rejected and/or denied claims. Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor copays, deductibles, insurance verification, and authorizations. Analyze incoming and outgoing revenue sources and measure different financial cycles on behalf of customers. Maximize reimbursement and develop effective policies for billing and claim processing. This position is 100% Onsite and NOT open for Remote.
Medical Claims Coder Responsibilities:
- Submit claims and encounters in a timely manner.
- Review and resolve rejected, pended, and/or denied claims within expected timeframes.
- Coordinate claim adjustments with the customer.
- Identify revenue cycle issues and implement solutions to improve systems and processes.
- Respond to calls on claims issues and provide information and resolution in a timely manner.
- Provide education and technical support to Claims Examiners and customers regarding claims related issues through on-line training and in person training.
- Produce scheduled reports for in-house and customers.
- Prepare written inter-departmental and external correspondence.
- Develop and publish formal written guidance for customers to process claims.
- Analyze encounter-processing data using statistical methodologies.
- Update and maintain electronic billing manual and distribute updates as directed.
- Compare business operations and coordinate technical analysis support for upcoming collection of accounts.
Medical Claims Coder Qualifications:
- The Medical Claims Coder needs experience with ICD-10, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), In-Patient Billing, Rejections, Accounts Receivable (A/R), Account Reconciliation, and Prior Authorizations.
- Candidates also need experience with Medicare/Medicaid Billing, Medicare/Medicaid Claims, In-Patient Billing, and Rejections.
- High School diploma or GED plus 5 years of full-time data entry experience in claims processing, accounting, analysis and adjudication of Medical and/or Behavioral environment.
- Experience with ICD-10, CPT, Healthcare Common Procedure Coding System (HCPCS), and Inpatient coding and billing and knowledge of HIPAA regulations.
- Knowledge of Microsoft Excel and 10-key by touch is also required.
- Knowledge of and experience working with Electronic Health Records system(s).
- Ability to translate customer needs to technical and/or business process solutions.
- Ability to effectively work with internal teams across numerous functions and levels.
- Ability to quickly learn complex business processes and understand the underlying transactional systems.
- Strong customer service skills and abilities.
- Exceptional communication skills, including strong customer-facing presentation and facilitation skills.
- Ability to work on multiple projects.
- Strong attention to detail and follow-through skills.
- Experience working in a team-oriented, collaborative environment.
- Strong analytical and problem-solving abilities.
Benefits include medical insurance, retirement plan, PTO, etc. Salary: 80K+ DOE. Keywords: Tucson AZ Jobs, Medical Claims Coder, Medical Examiner, ICD-10, CPT, Healthcare Common Procedure Coding System, HCPCS, In-Patient Coding, In-Patient Billing, HIPAA Regulations, MS Excel 10-Key, Electronic Health Records, EHR, Claims Processing, Accounting, Healthcare, Arizona Recruiters, Information Technology Jobs, IT Jobs, Arizona Recruiting
Looking to hire for similar positions in Tucson, AZ or in other cities? Our IT recruiting agencies and staffing companies can help.
We help companies that are looking to hire Medical Claims Coders for jobs in Tucson, Arizona and in other cities too. Please contact our IT recruiting agencies and IT staffing companies today! Phone 630-428-0600 ext. 11 or email us at jobs@nextstepsystems.com. Click here to submit your resume for this job and others.
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