ZipRecruiter

Log In

1

Medicaid Claims Processing Jobs (NOW HIRING)

gedc

Claims Processing Representative

Southfield, MI

The role will complete all phases of Claims Processing training and will be required to meet set ... Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus

New

BerryDunn

Claims Data Analyst

Kapolei, HI

Analyze Medicaid claims, provider, member, utilization, financial, program integrity, and FWA ... Collaborate with payment integrity, Program Integrity, audit, TPL, Integrated IT, Process & Policy ...

BerryDunn

Claims Data Analyst

Kapolei, HI · On-site

Analyze Medicaid claims, provider, member, utilization, financial, program integrity, and FWA ... Collaborate with payment integrity, Program Integrity, audit, TPL, Integrated IT, Process & Policy ...

Molina Healthcare

Senior Examiner, Claims

Long Beach, CA · Remote

$18.50 - $23.50/hr

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

BerryDunn

Claims Data Analyst

Kapolei, HI · On-site

Analyze Medicaid claims, provider, member, utilization, financial, program integrity, and FWA ... Collaborate with payment integrity, Program Integrity, audit, TPL, Integrated IT, Process & Policy ...

MDAEdge

Senior Data Engineer

Washington, DC · On-site

$119K - $162K/yr

The role involves maintaining and optimizing complex data solutions, focusing on Medicaid claims processing and leveraging Azure technologies for data management and reporting. Responsibilities : • ...

GlobalHealth, Inc

Claims Processor (52219)

Oklahoma City, OK · On-site +1

$15.75 - $20/hr

Two year of medical claims processing experience strongly preferred. KNOWLEDGE, SKILLS AND ABILITIES: * Must have full understanding of insurance processes (Managed Care, Medicare, Medicaid and ...

previous page

Showing results 41-60

All JobsHealthcare JobsHospital JobsMedical Biller JobsMedicaid Claims Processing Jobs

Medicaid Claims Processing information

See salary details

$12

$19

$26

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.
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 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.

Claims Processing Representative

gedc

Southfield, MI

Full-time

Posted 3 days ago

New

Job description

What you’ll do…

This position will be responsible for handling the day to day functions related to the successful processing of dental insurance claims. This position is responsible for processing payments to accounts according to company policies. The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy.

This position is located at our corporate office in Southfield, MI and requires an onsite presence on Mondays with remote days Tuesday-Friday.  Additional onsite presence may be required based on business needs.  

What you’ll bring to the team…

  • Post fundamental payer payments as assigned
  • Follow denial protocols and procedures to correct or adjust claims
  • Communicate clearly and concisely via telephone or email
  • Assist with departmental admin duties
  • Post patient payments to accounts
  • Other tasks as requested by direct Manager

What we require you have…

  • High school diploma or GED
  • Experience in medical billing systems a plus
  • Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus
  • Must possess high degree of professionalism and adaptability
  • 10-Key & Alpha Numeric Data Entry with speed and accuracy               
  • Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations
  • Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems
  • Team Player
  • High level of detail orientation and organizational skills
  • Basic math and analytical abilities
  • Ability to work independently and professionally in a high volume environment
  • Ability to maintain confidentiality
  • Must have predictable and consistent attendance

About GEDC…

Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we're entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we're not just transforming dentistry; we're investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence.

#IND7

Apply