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Medicaid Claims Processor Jobs (NOW HIRING)

CYNET SYSTEMS

Claims Processor

Mason, OH · On-site

$20 - $22/hr

Maintains the Medicare/Medicaid Pend Claims process. * Participates on special project initiatives, including rework efforts as needed. * Understands and quickly operationalizes processing changes ...

WE CARE HOMES

Medicaid Biller

Lafayette, LA · 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 ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Overview Claims Processor Full Time - Johnstown, Pa Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · On-site

$15.50 - $19.75/hr

Overview Claims Processor Full Time - Johnstown, Pa Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Claims Processor Full Time - Johnstown, Pa Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to ...

Sourcedge Solutions

FACETS Claims Processor

Albany, NY · Remote

$17 - $21.25/hr

Knowledge of HMO, PPO, Medicare and Medicaid plans * Knowledge of Medical terminology * Computer ... Timely and accurate processing and adjudication of all types of claims from assigned workflow ...

Moda Health

Inpatient Claims Processor I

Milwaukie, OR · On-site

Position Summary Responsible for timely and accurate payment of Commercial and Medicaid inpatient ... High School diploma or equivalent. * 1-2 years medical claims processing experience. * 10-key ...

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · 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 ...

Mb Staffing Services LLC

Be Seen First

Medicaid Coder and Reimbursement Analyst

Washington, DC · On-site

$60K - $70K/yr

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 ...

AllCare Health

Certified Claims Processor I

Grants Pass, OR · On-site

$16.50 - $21/hr

Ensures compliance with company policy, provider contracts, and applicable Medicare/Medicaid ... Processes professional claims across multiple lines of business by reviewing claim and line-level ...

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All JobsMedicaid Claims Processor Jobs

Medicaid Claims Processor information

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How much do medicaid claims processor jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for medicaid claims processor 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 the difference between Medicaid Claims Processor vs Medical Billing Specialist?

AspectMedicaid Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentHealthcare facilities, government agencies, insurance companiesMedical offices, clinics, healthcare organizations
Job FocusProcessing Medicaid claims, verifying eligibility, ensuring complianceBilling, coding, submitting claims, managing accounts receivable

Medicaid Claims Processors primarily focus on reviewing and processing Medicaid claims to ensure accurate reimbursement, often working within government or insurance settings. Medical Billing Specialists handle a broader range of billing tasks across healthcare providers, including coding and managing patient accounts. While both roles require knowledge of healthcare billing and insurance procedures, Medicaid Claims Processors specialize in Medicaid-specific claims processing, making them distinct in their focus and work environment.

What does a Medicaid Claims Processor do?

A Medicaid Claims Processor reviews, evaluates, and processes medical claims submitted by healthcare providers to ensure they comply with Medicaid guidelines. They verify patient eligibility, check claim accuracy, and determine the appropriate reimbursement based on state and federal regulations. This role often involves data entry, communication with providers for additional information, and resolving discrepancies to ensure timely and correct payments. Their work helps ensure that healthcare providers are properly compensated while preventing fraud and abuse within the Medicaid system.

What are some common challenges faced by Medicaid Claims Processors and how can they be managed?

Medicaid Claims Processors often encounter challenges such as interpreting complex regulations, accurately coding claims, and handling high volumes of paperwork within tight deadlines. Staying updated on policy changes and utilizing claims management software can help mitigate errors and improve efficiency. Regular collaboration with healthcare providers and billing departments is also key to resolving discrepancies quickly and maintaining compliance. Adapting to these challenges not only improves job performance but also provides valuable experience for career advancement within healthcare administration.

What are the key skills and qualifications needed to thrive as a Medicaid Claims Processor, and why are they important?

To thrive as a Medicaid Claims Processor, you need strong attention to detail, knowledge of medical billing codes, and familiarity with Medicaid regulations, often supported by a high school diploma or equivalent. Proficiency in claims management software, electronic health records (EHR) systems, and possibly certification in medical billing and coding is typically required. Strong organizational skills, problem-solving abilities, and effective communication are valuable soft skills in this role. These competencies are crucial for accurately processing claims, minimizing errors, and ensuring timely reimbursement and compliance with healthcare regulations.
More about Medicaid Claims Processor jobs
What states have the most Medicaid Claims Processor jobs? States with the most job openings for Medicaid Claims Processor jobs include:
What job categories do people searching Medicaid Claims Processor jobs look for? The top searched job categories for Medicaid Claims Processor jobs are:
Medicaid Claims Processor jobs near you
Infographic showing various Medicaid Claims Processor 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 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $39,863 per year, or $19.2 per hour.
Claims Processor

Claims Processor

CYNET SYSTEMS

Mason, OH • On-site

$20 - $22/hr

Contractor

Posted 29 days ago

Job description

Job Overview:

Pay Range: $20hr - $22hr

Requirement/Must Have:

  • High School diploma or equivalent work experience.
  • 3+ years of data entry experience.
  • Strong customer service focus.
  • Strong verbal and written communication skills.
  • Able to multi-task and prioritize issues.
  • Strong attention to details.

Responsibilities:

  • Efficiently and accurately processes a variety of vision insurance claims or adjustments.
  • Determines any special plan requirements prior to billing.
  • Reviews claims before entry for completeness and compliance with business requirements.
  • Effectively and accurately reviews images and transcribed data in the portal in preparation for auto adjudication.
  • Coordinates and completes claim error corrections.
  • Maintains the Medicare/Medicaid Pend Claims process.
  • Participates on special project initiatives, including rework efforts as needed.
  • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs.
  • Maintains compliance with HIPAA guidelines and regulations.
  • Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include Account Managers, Operations, Information Systems, Client Representatives and leadership team.
  • Assists Team Lead in a backup lead capacity.
  • Assists with root cause analysis of claim issues to resolve thoroughly and completely for clients.
  • Contacts stores or providers (when necessary) to obtain additional information or follow up on claims.

Nice to Have:

  • Knowledge of Medicare/Medicaid business.
  • Knowledge of vision benefits and/or insurance industry.
  • Proficient in Microsoft Word, Excel and Access.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
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About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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