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Medicaid Processor Jobs (NOW HIRING)

Position Overview Fox Subacute Philadelphia is seeking a detail-oriented and solution-driven Medicaid Specialist to support our admissions and reimbursement processes. This role plays a vital part in ...

Medicaid Specialist - Temporary Reports to: Director of Accounts Receivable Education : Associate ... Mass Health Insurance/Insurance Application Processor Schedule : Full-time, 30-40 hours per week, M ...

IL ยท On-site

$40K - $50K/yr

As a Medicaid Specialist Assistant, you will provide on-site support within one of our skilled nursing facilities, Illinois, ensuring timely Medicaid processing for residents. Responsibilities:

IL

$40K - $50K/yr

As a Medicaid Specialist Assistant, you will provide on-site support within one of our skilled nursing facilities, Illinois, ensuring timely Medicaid processing for residents. Responsibilities:

IL ยท On-site

$40K - $50K/yr

As a Medicaid Specialist Assistant, you will provide on-site support within one of our skilled nursing facilities, Illinois, ensuring timely Medicaid processing for residents. Responsibilities:

IL ยท On-site

$40K - $50K/yr

As a Medicaid Specialist Assistant, you will provide on-site support within one of our skilled nursing facilities, Illinois, ensuring timely Medicaid processing for residents. Responsibilities:

Assisting with improving current internal Medicaid processes and developing new internal processes to provide better services to the community and improving access to healthcare. Create flow charts ...

Assisting with improving current internal Medicaid processes and developing new internal processes to provide better services to the community and improving access to healthcare. Create flow charts ...

IL ยท On-site

$40K - $50K/yr

As a Medicaid Specialist Assistant, you will provide on-site support within one of our skilled nursing facilities, Illinois, ensuring timely Medicaid processing for residents. Responsibilities:

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Medicaid Processor information

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How much do medicaid processor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for medicaid processor in the United States is $16.74, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $19.23 per hour, depending on experience, location, and employer.

What is the difference between Medicaid Processor vs Medicaid Claims Specialist?

AspectMedicaid ProcessorMedicaid Claims Specialist
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification may be preferred
Work EnvironmentOffice setting, processing Medicaid applications and dataOffice setting, reviewing and managing Medicaid claims
Employer & IndustryHealthcare providers, government agencies, insurance companiesHealthcare organizations, insurance companies, government agencies

Medicaid Processors primarily handle data entry and application processing, while Medicaid Claims Specialists focus on reviewing and managing claims for reimbursement. Both roles require similar credentials and work environments, but their specific responsibilities differ within the Medicaid administration process.

What are common challenges Medicaid processors face when verifying applicant eligibility, and how can they be managed?

Medicaid Processors often encounter challenges such as incomplete documentation, discrepancies in applicant information, and tight deadlines for processing applications. Managing these issues typically involves close attention to detail, effective communication with applicants and caseworkers, and staying updated on changing state and federal guidelines. Utilizing checklists and workflow tools, as well as participating in ongoing training, can help Medicaid Processors streamline their work and maintain accuracy under pressure.

What is a Medicaid processor?

Medicaid Processors are professionals who review, process, and verify applications for Medicaid, the government health insurance program for eligible low-income individuals and families. They ensure that all required documentation is complete, accurate, and meets state and federal guidelines. Medicaid Processors also update records, communicate with applicants about missing information, and work closely with caseworkers to determine eligibility. Their work helps ensure that qualified individuals receive timely access to healthcare coverage and services.

What skills and qualifications are needed to thrive as a Medicaid processor?

To thrive as a Medicaid Processor, you need strong knowledge of Medicaid regulations, attention to detail, and experience with healthcare eligibility and claims processing, often supported by a high school diploma or associate degree. Familiarity with Medicaid management information systems (MMIS), electronic data interchange (EDI), and document management software is typically required. Excellent organizational skills, problem-solving abilities, and effective communication are vital soft skills for efficiently handling applications and collaborating with clients and agencies. These skills and qualities are crucial for ensuring accurate and timely processing of Medicaid applications, maintaining compliance, and supporting vulnerable populations.
More about Medicaid Processor jobs
What states have the most Medicaid Processor jobs? States with the most job openings for Medicaid Processor jobs include:
Infographic showing various Medicaid Processor job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 13% Part Time, and 4% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.

Customer Service Processor

Medicaid Done Right

Clearwater Beach, FL โ€ข On-site

Other

Medical, Life, Retirement

Re-posted 4 days ago


Job description

Medicaid Processor

Job description No Medicaid Experience? No problem! If you possess relevant experience in case management, loan processing, or claims processing, you may be a great fit for this role. We are looking for individuals with ambition for success, strong ethical values, hungry to learn and grow, and a passion for helping people. Must be able to multi-task; highly organized, have a keen sense of urgency to complete files accurately and timely. Strong typing and computer skills are needed. Past experience with processing of loan or claims as well as case management skills will provide you with the skills required to be successful in this role. Medicaid training is provided.

Manage the application process for Long Term Care Medicaid benefits, working with residents, their families, and caregivers to facilitate timely and accurate submission of the Medicaid application. Provide superior customer service to the patients we assist. The right fit for us will have a client-first mentality, be eager to learn, and have a passion for impacting the lives of others. If you are right for this role, you will take pride in your work and strive to be a part of an impactful, cohesive team. As a Customer Service Processor, you will have tons of growth opportunities as you advise others, aiming to offer innovative solutions regarding Medicaid coverage.

Working remotely with patients, their families, and caregivers to gather state-required documents, examining income and assets and following other qualifying guidelines to ensure the timely and accurate submission of the Medicaid application to the state for approval. Managing intake, document review, and filing Medicaid applications. Daily management of file caseload with absolute accuracy and discretion in handling confidential matters and materials. MDR's goal is to process applications quickly, in accordance with the current applicable state requirements, and timelines. For a Processor to be successful a good relationship with the state caseworker, clients, and other team members of MDR are key. The position is 100% Onsite located in the Clearwater, FL office and the Medicaid Processor will spend 100% of their time on the computer/telephone.

As a dynamite Medicaid Processor, you deserve success in your life as well, and at Medicaid Done Right, we define "success" as being a part of a company that gives you lots of opportunities and options. First, we have created a competitive salary package, plus additional incentives including highly sought-after monthly recognition for our top performer. We are an inclusive, customer-friendly environment where different perspectives are valued and celebrated. We believe in taking care of our team. You will also have access to benefits like an impressive hourly wage with the opportunity to earn monthly incentives, 401(K) with company matching contributions, and quality healthcare & life insurance options. Hands on training to make the job easier to understand. Work/Life Balance: MDR believes that a work home life balance is key. We provide you with paid-time-off, access to our EAP (Employee Assistance Program), pet insurance, employee discounts, and more.

You love connecting with people, helping them in a time of need, and delivering solutions. You structure each day for success and each relationship with care. Ability to interpret policy and procedures and apply to case files. Proven ability to appropriately use MS Office (Outlook, Excel, Word). Prior experience in CRM Software is a plus. Must be able to multi-task; highly organized, have a keen sense of urgency to complete files accurately and timely, ability to manage a high volume of client files. Strong customer service skills utilizing telephonic and/or electronic outreach; ability to listen and understand client needs throughout the application process. Excellent verbal and written communication skills to obtain necessary documentation needed for the application approval. Ability to analyze and interpret policies and procedures, define problems, research solutions and complete tasks. Discretion in handling confidential and sensitive materials is imperative. Strong typing and computer skills (proven proficiency in Microsoft Office).

Founded in 2012, Medicaid Done Right (MDR) is an independent Medicaid application processing company that assists long-term care facilities, nursing-home patients, and their families with applying for long term Medicaid benefits. The Customer Service Processor is an integral part of fulfilling MDR's mission. Our Mission: At Medicaid Done Right, it is our mission "To aid patients, their families, and caregivers in the process of applying for Medicaid benefits. By leveraging our experience and technology, we allow patients and families to focus on their well-being." MDR's goal is to process applications quickly, in accordance with the current applicable state requirements, and timelines. We cheerfully work hard. We are individually empathetic. We keep our commitments. Medicaid Done Right believes that diversity and inclusivity are essential to positive long-term success and achieving our strategic business goals. We are proud to be an Equal Opportunity Employer, and we encourage diverse and talented applicants to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Clearwater, FL Onsite Full Time