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Medicaid Processor Jobs (NOW HIRING)

Sweetwater Care

Medicaid Specialist

Boston, MA · On-site

Claims Processing and Billing: You will be responsible for processing and billing Medicaid claims, ensuring accurate and timely submission to minimize delays and denials. * Patient Advocacy: You will ...

The Marrone Law Firm

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Medicaid Paralegal

Syracuse, NY · On-site

$50K - $65K/yr

Medicaid Paralegal Syracuse, New York | $50,000-65,000 + Bonus + Benefits The Marrone Law Firm, P.C ... Internal and external processes are constantly evolving and improving, and you are always looking ...

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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:
What job categories do people searching Medicaid Processor jobs look for? The top searched job categories for Medicaid Processor jobs are:
Medicaid Processor jobs near you
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.

Onsite Medicaid Eligibility Representative

Revenue Group

Columbus, OH • On-site

$17.50/hr

Full-time

Posted 25 days ago

Job description

Description:

Pay Rate: $17.50/hr. plus monthly bonus after 90 days of up to $300

Hours: Monday-Friday 2:00pm-10:30pm including Holidays


Who is Hospital Referral Services?

No one wakes up in the morning and says, "Today I want to go to the hospital". We are here to help when the unexpected happens. Hospital Referral Services on-sites screen and help patient’s bedside to see what assistance programs the uninsured or underinsured may be eligible to receive.


HRS's team of experts helps guide patients through the Medicaid process so the patient can focus on recovery.


Hospital Referral Services has an opening for an Onsite Medicaid Screening Representative at Ohio Health Riverside Methodist Hospital Emergency Room. We are looking for a self-motivated professional to add to our growing team. If helping people is something you enjoy, this may be the right job for you.


Our employees voted us Top Workplaces 4 years in a row!


The Onsite Medicaid Eligibility Representative will be responsible for:

  • Review the hospital work queue or census to identify uninsured patients that are admitted to the Emergency Room.
  • Screen/Interview patient’s bedside in hospital setting to determine possible eligibility for any assistance programs available including Medicaid and charities.
  • High volume of walking and standing. (70% - 80% of your shift)
  • The Onsite Medicaid Screening Representative will complete applications for Medicaid benefits and charity programs as needed.
  • Maintain a positive working relationship with co-workers, hospital staff, and patients.
  • Abide by HIPAA rules and regulations to protect patient’s privacy.
  • The Onsite Medicaid Screening Representative will meet production goals and objectives as assigned by hospital and management on a monthly basis.
  • Maintain confidentiality of account information at all times.

PM21

Requirements:

Requirements for the Onsite Medicaid Eligibility Representative:

  • Previous customer service experience preferred.
  • Must have basic computer skills.
  • Must be able to multitask and type minimum 40 WPM
  • Must have reliable transportation.
  • Good attendance and dependability are essential.
  • Successful completion of drug and background test is required.
  • Annual Flu shots and TB testing is required

The Onsite Medicaid Eligibility Representative must have availability to work some holidays.


Please apply at: revenuegroup.com/careers


EEO Statement:
We are an Equal Employment Employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state/province, or local laws.


PM21