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Medicaid Claims Processing Jobs (NOW HIRING)

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The MAG Auditor audits financial and statistical cost reporting data to accurately determine provider's reimbursement rates for processing of Medicaid claims Process Description: The MAG Auditor ...

This role is responsible for Medicaid billing, medical claims processing, collections management, account reconciliation, insurance coordination, and administrative office support. The ideal ...

This role is crucial in ensuring the timely and accurate processing of Medicaid claims and follow-up activities. The ideal candidate will have a strong background in medical billing, particularly ...

In depth experience with Medicare and Medicaid claims processing * Demonstrated skills within Microsoft Office Applications & electronic claims processing systems * Strong organizational, analytical ...

Claims Examiner

CA · Remote

$55K - $73K/yr

In depth experience with Medicare and Medicaid claims processing * Demonstrated skills within Microsoft Office Applications & electronic claims processing systems * Strong organizational, analytical ...

Skills: 5 Required Experience with Medicaid Claims Processing 5 Required Experience in business objectives and problems and identifying alternative solutions 5 Required Experience in reviewing ...

ASAP Job Summary The Medicaid Facilitator manages and coordinates all aspects of the Medicaid ... Key objectives include ensuring compliance with state and federal regulations, processing claims ...

Claims Analyst I

Parsippany, NJ · On-site

$50 - $70/hr

Medicaid Claims Analyst Duration of Contingent Assignment: 90 days (possible extension) Shift ... Medicaid Claim processing function; manipulation of large datasets, negotiation/conflict resolution.

Medicaid Claims Processing * Azure DevOps * Agile & Scrum * SDLC * Wireframing * Functional Testing * Stakeholder Management * Process Documentation * Systems Integration * Data Governance

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Medicaid Claims Processing information

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How much do medicaid claims processing jobs pay per hour?

As of Jun 11, 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 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.

Accounts Representative - Medicaid Biller

JTDMH

Saint Marys, OH • On-site

$17 - $22/hr

Full-time

Posted 26 days ago


Job description

Hours of Job
  • Full-time employment onsite. 8:00 a.m. - 4:30 p.m.
  • No Holidays or Weekends Required
Duties and Key Responsibilities
  • 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 copy claims when applicable
  • Processes mail and explanation of benefits related to Medicaid accounts.
  • Processes all Medicaid claims according to carrier guidelines.
  • Makes all necessary corrections on Medicaid claims for submission.
  • Works under the supervision of the Patient Accounts Manager.
Requirements
  • Typing, basic math calculations, computer oriented, and good verbal skills.
  • Able to work without direct supervision, work well in a group setting.
  • Ability to work independently with excellent time management skills.
  • Ability to recall details and Health Insurances procedures/ processes.
Education/Certifications
  • High School graduate
Experience
  • Previous experience is preferred, but not required.

Grand Lake Health System provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. GLHS complies with applicable state and local laws governing nondiscrimination in employment in all of our locations. In addition, Grand Lake Health System is an At-Will Employment employer.