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Medicaid Insurance Jobs (NOW HIRING)

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.

Memorial Health

Medicaid Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.

New Choice Intervention, Inc

Be Seen First

Medical Biller Specialist

Harvey, IL · Remote

$18 - $22/hr

Ensures compliance with Medicaid guidelines and MMC organizational policies *Utilizes electronic software to determine Medicaid insurance eligibility and coverage for inpatient and/or outpatient ...

New Choice Intervention, Inc

Be Seen First

Medical Biller Specialist

Harvey, IL · Remote

$18 - $22/hr

Ensures compliance with Medicaid guidelines and MMC organizational policies *Utilizes electronic software to determine Medicaid insurance eligibility and coverage for inpatient and/or outpatient ...

Fox Subacute

Medicaid Specialist

Philadelphia, PA · On-site

$23/hr

Life Insurance * Relocation Assistance (if applicable) Key Responsibilities * Assist residents, families, or representatives with Medicaid applications and renewals * Collect, review, and organize ...

Arcadia Care

Medicaid Specialist

Lincolnwood, IL

Job Summary: We're seeking a detaildriven Medicaid Specialist to support our skilled nursing ... Paid Life Insurance - at no cost to you · Daily Pay - get your money when you want · Paid ...

Arcadia Care

Medicaid Specialist

Lincolnwood, IL · On-site

$75K/yr

) Job Summary: We're seeking a detaildriven Medicaid Specialist to support our skilled nursing ... Insurance - at no cost to you • Daily Pay - get your money when you want • Paid Vacations ...

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Medicaid Insurance information

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$15

$27

$42

How much do medicaid insurance jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for medicaid insurance in the United States is $27.85, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

What is Medicaid insurance?

Medicaid insurance is a government-funded health coverage program in the United States designed to help low-income individuals and families access medical care. It provides a range of health benefits, including doctor visits, hospital stays, prescriptions, and preventive services, often at little or no cost to eligible participants. Medicaid is jointly funded by federal and state governments, and eligibility criteria can vary by state. The program plays a crucial role in ensuring vulnerable populations receive necessary healthcare services.

What are some common challenges faced by professionals working in Medicaid insurance, and how can they be addressed?

Professionals in Medicaid insurance often navigate complex regulatory requirements and frequent policy changes, which can be challenging to keep up with. Additionally, the role may involve managing high caseloads and addressing the diverse needs of members from various backgrounds. Staying updated through regular training, collaborating closely with team members, and leveraging technology for case management can help address these challenges. Open communication and a strong support network within the organization also contribute to effective problem-solving and professional growth.

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

To thrive as a Medicaid Insurance Specialist, you need deep knowledge of healthcare regulations, Medicaid eligibility requirements, and claims processing, typically supported by a background in healthcare administration or insurance. Familiarity with Medicaid management information systems (MMIS), electronic health records (EHR), and billing software is essential. Attention to detail, strong communication, and problem-solving skills help specialists navigate complex cases and assist clients effectively. These skills ensure accurate processing of claims, compliance with regulations, and timely support for beneficiaries.

What is the difference between Medicaid Insurance vs Medicaid Case Manager?

AspectMedicaid InsuranceMedicaid Case Manager
CredentialsVaries; often none required or state-specific certificationsTypically requires a social work, nursing, or healthcare-related degree and certification
Work EnvironmentInsurance companies, government agencies, healthcare providersCommunity settings, healthcare facilities, government offices
Employer & IndustryHealth insurance providers, government programsState Medicaid agencies, healthcare organizations
Job FocusCoverage, policy management, billingClient advocacy, eligibility, care coordination

Medicaid Insurance involves managing coverage policies and billing, while Medicaid Case Managers focus on assisting clients with eligibility, care plans, and resource coordination. Both roles are essential in the Medicaid system but serve different functions within the healthcare industry.

More about Medicaid Insurance jobs
What cities are hiring for Medicaid Insurance jobs? Cities with the most Medicaid Insurance job openings:
What states have the most Medicaid Insurance jobs? States with the most job openings for Medicaid Insurance jobs include:
What job categories do people searching Medicaid Insurance jobs look for? The top searched job categories for Medicaid Insurance jobs are:
Medicaid Insurance jobs near you
Infographic showing various Medicaid Insurance job openings in the United States as of June 2026, with employment types broken down into 5% As Needed, 5% Full Time, and 90% Part Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $57,922 per year, or $27.8 per hour.
Medicaid Specialist

Medicaid Specialist

Memorial Health

Springfield, IL • Remote

$18.34 - $28.42/hr

Full-time

Medical, Vision

Posted 23 days ago

Memorial Health rating

6.9

Company rating: 6.9 out of 10

Based on 169 frontline employees who took The Breakroom Quiz

452nd of 870 rated healthcare providers

Job description

MinUSD $18.34/Hr.MaxUSD $28.42/Hr.Overview

Position Summary:

Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies.  Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

To review Memorial's Benefits click here: Benefits - Memorial HR

Qualifications

Education:

Education equivalent to graduation from high school or GED is required.

Experience:

Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.

Other Knowledge/Skills/Abilities:

  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to multi-task while working on multiple responsibilities simultaneously.
  • Demonstrated ability to work successfully with internal customers and external contacts is required.
  • Possesses a highly-developed critical thinking and problem solving-ability to work through complex situations.
  • Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills.
  • Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred.
Responsibilities

Principal Duties & Responsibilities:

  • Utilizes electronic software to determine Medicaid insurance eligibility and coverage for inpatient and/or outpatient Medicaid claims.
  • Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.
  • Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and Medicaid-compliant information accompanies the claim.
  • Prioritizes claims based on specified criteria and electronically files the claim, ensuring careful adherence to Medicaid guidelines, timeliness, accuracy, and processing procedures. At prescribed intervals, follows up for review to ensure smooth processing and timely delivery of monetary reimbursements.
  • Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
    • SAFETY: Prevent Harm - I put safety first in everything I do.  I take action to ensure the safety of others.
    • COURTESY: Serve Others - I treat others with dignity and respect.  I project a professional image and positive attitude.
    • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
    • EFFICIENCY: Reduce Waste - I use time and resources wisely.  I prevent defects and delays.
  • Follows up and investigates unpaid items and other issues associated with unpaid claims. Contacts patients, guarantors, or other sources of third party payment and secures arrangements for prompt payment.
  • Receives and researches Medicaid claim denials, and as necessary, prepares the necessary paperwork to appeal the denial.
  • Reviews correspondence relating to Medicaid payments and claims; conducts the necessary research to provide supplementary background information regarding the inquiry.
  • Researches and resolves complex issues associated with Medicaid accounts. As applicable, identifies, documents, and reports problematic trends to management.
  • Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.
  • Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing Medicaid claims.
  • Responds to requests from internal departments regarding the proper coding, billing, and processing of Medicaid claims.
  • Communicates and resolves issues with a variety of internal and external sources to resolves issues involving Medicaid claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
  • Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.
  • Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.
  • Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.
  • Ensures compliance to Medicaid policy guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
  • As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  • Performs other related work as required or requested.
    • Employment Type: FULL_TIME

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