Medicaid claims processing experience is preferred but not required. Candidates must be comfortable working in a fast-paced environment while maintaining accuracy, productivity, and confidentiality.
Quick apply
Medicaid claims processing experience is preferred but not required. Candidates must be comfortable working in a fast-paced environment while maintaining accuracy, productivity, and confidentiality.
Quick apply
Medicaid claims processing experience is preferred but not required. Candidates must be comfortable working in a fast-paced environment while maintaining accuracy, productivity, and confidentiality.
Albuquerque, NM · On-site
$16/hr
Medicaid claims processing experience is preferred but not required. Candidates must be comfortable working in a fast-paced environment while maintaining accuracy, productivity, and confidentiality.
Albuquerque, NM · On-site
$16/hr
Medicaid claims processing experience is preferred but not required. Candidates must be comfortable working in a fast-paced environment while maintaining accuracy, productivity, and confidentiality.
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 ...
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 ...
MT · Remote
$17/hr
As a Medicaid Claims Data Entry Associate , you will be responsible for ... Accurately input claim data into claims processing systems * Review documents for completeness and ...
MT · Remote
$17/hr
As a Medicaid Claims Data Entry Associate , you will be responsible for ... Accurately input claim data into claims processing systems * Review documents for completeness and ...
Role: MMIS (Medicaid Management Information Systems) Key Responsibilities & Skills * System ... claims processing, provider enrolment, and eligibility verification.
Role: MMIS (Medicaid Management Information Systems) Key Responsibilities & Skills * System ... claims processing, provider enrolment, and eligibility verification.
Chesterfield, MO · Remote
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Chesterfield, MO · Remote
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Chesterfield, MO · On-site +1
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Chesterfield, MO · On-site +1
$91K - $118K/yr
Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us : Known for ... Other HIPAA-compliant X12 transactions supporting Medicaid operations * Collaborate with business ...
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
New
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
New
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
Quick apply
Prolim is hiring for a Systems Analyst (Medicaid Claims Process) for a leading client. Location ... Analyzes user requirements, procedures, and problems to automate processing or to improve existing ...
MT · Remote
$94K - $122K/yr
The ideal candidate has strong experience in Medicaid pharmacy operations, claims processing, eligibility, and business analysis across the project lifecycle. Key Responsibilities * Lead requirements ...
MT · Remote
$94K - $122K/yr
The ideal candidate has strong experience in Medicaid pharmacy operations, claims processing, eligibility, and business analysis across the project lifecycle. Key Responsibilities * Lead requirements ...
Indianapolis, IN · On-site
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · On-site
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Charlotte, NC · On-site
$55K - $79K/yr
Analyzing, planning, designing, and documenting business processes, and recommending improvements ... Medicaid claims experience (required) * Testing and requirements gathering (required) * Excellent ...
Charlotte, NC · On-site
$55K - $79K/yr
Analyzing, planning, designing, and documenting business processes, and recommending improvements ... Medicaid claims experience (required) * Testing and requirements gathering (required) * Excellent ...
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
Indianapolis, IN · Hybrid
$86K - $123K/yr
Strong knowledge of Medicaid claims processing, payment methodologies, and healthcare claims regulations. * Experience working with claims systems, operational reporting, dashboards, and performance ...
NC · On-site
$55K - $79K/yr
Analyzing, planning, designing, and documenting business processes, and recommending improvements ... Medicaid claims experience (required) * Testing and requirements gathering (required) * Excellent ...
NC · On-site
$55K - $79K/yr
Analyzing, planning, designing, and documenting business processes, and recommending improvements ... Medicaid claims experience (required) * Testing and requirements gathering (required) * Excellent ...
Phoenix, AZ · Remote
Knowledge of Medicaid EVV verification process for accurate claims processing. * Knowledge of PDGM reimbursement processing for Medicare claims. * Knowledge of authorization process for accurate ...
Phoenix, AZ · Remote
Knowledge of Medicaid EVV verification process for accurate claims processing. * Knowledge of PDGM reimbursement processing for Medicare claims. * Knowledge of authorization process for accurate ...
$20.50 - $27.25/hr
Process payments, post insurance remittances, and reconcile accounts accurately. Monitor unpaid claims and perform timely follow-up with Medicaid payers. Research, analyze, and resolve claim denials ...
New
$20.50 - $27.25/hr
Process payments, post insurance remittances, and reconcile accounts accurately. Monitor unpaid claims and perform timely follow-up with Medicaid payers. Research, analyze, and resolve claim denials ...
New
Processes and follows up on all Medicaid claims until proper reimbursement is received. * Works denials in a timely manner and files corrected claims and/or appeals when necessary. * Processes hard ...
Quick apply
Processes and follows up on all Medicaid claims until proper reimbursement is received. * Works denials in a timely manner and files corrected claims and/or appeals when necessary. * Processes hard ...
Grants Pass, OR · On-site
$18.25 - $23/hr
... claims processing, system COB updates, and audit support. Responsibilities include managing ... Knowledge of Medicare and Medicaid, procedures, and regulatory requirements. Basic understanding of ...
Grants Pass, OR · On-site
$18.25 - $23/hr
... claims processing, system COB updates, and audit support. Responsibilities include managing ... Knowledge of Medicare and Medicaid, procedures, and regulatory requirements. Basic understanding of ...
Saint Marys, OH · On-site
$17 - $22/hr
Processes and follows up on all Medicaid claims until proper reimbursement is received. * Works denials in a timely manner and files corrected claims and/or appeals when necessary. * Processes hard ...
Saint Marys, OH · On-site
$17 - $22/hr
Processes and follows up on all Medicaid claims until proper reimbursement is received. * Works denials in a timely manner and files corrected claims and/or appeals when necessary. * Processes hard ...
$12.02 - $13.33
2% of jobs
$13.33 - $14.64
6% of jobs
$14.64 - $15.95
9% of jobs
$16.63 is the 25th percentile. Wages below this are outliers.
$15.95 - $17.26
14% of jobs
$17.26 - $18.58
18% of jobs
The median wage is $18.62 / hr.
$18.58 - $19.89
17% of jobs
$20.61 is the 75th percentile. Wages above this are outliers.
$19.89 - $21.20
16% of jobs
$21.20 - $22.51
7% of jobs
$22.51 - $23.82
4% of jobs
$23.82 - $25.13
4% of jobs
$25.13 - $26.44
2% of jobs
$12
$19
$26
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.
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.
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.

$16/hr
Full-time
Medical, Dental, Vision, Life
Posted 17 days ago
Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com
Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:
Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
MMC strives to ensure all job posting confirm details of the position, the rate of pay, and acknowledge medical benefits are offered.
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
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Recruiting and staffing services
51 - 200 Employees
Irving, TX, US
1993