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Medicaid Processor Jobs (NOW HIRING)

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial ... At prescribed intervals, follows up for review to ensure smooth processing and timely delivery of ...

Memorial Health

Medicaid Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial ... At prescribed intervals, follows up for review to ensure smooth processing and timely delivery of ...

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial ... At prescribed intervals, follows up for review to ensure smooth processing and timely delivery of ...

Americare

Medicaid Coordinator

Brooklyn, NY · On-site

Familiarity with Medicaid managed care plans and conversion processes. * Experience working with eligibility reporting systems and billing platforms. * Knowledge of New York State healthcare ...

CYNET SYSTEMS

Medicaid Claims Analyst

Parsippany, NJ · On-site

$55 - $60/hr

Responsible for processing, validating, analyzing, and resolving Medicaid claims while ensuring compliance with Medicaid regulations, rebate systems, and data accuracy standards. Experience: * Prior ...

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX · On-site

$45K - $65K/yr

The Medicaid Specialist manages the full qualification process - from initial eligibility analysis to application submission and annual renewals - so families get the benefits they need, and our ...

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How much do medicaid processor jobs pay per hour?

As of Jun 5, 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 are the key skills and qualifications needed to thrive as a Medicaid Processor, and why are they important?

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.

What are some 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 are Medicaid Processors?

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 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.

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 May 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 80% Full Time, 13% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $34,822 per year, or $16.7 per hour.
Southern Regional Medicaid Coordinator

Southern Regional Medicaid Coordinator

BRIA Health Services

Skokie, IL • On-site

$70K - $75K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Job description

Description

Join us at the Nexus of care and compassion.


Southern Regional Medicaid Coordinator Benefits:

  • Low-Cost Medical, Dental, Vision, and Voluntary Benefits coverage
  • 401K Plan
  • Employee rewards program
  • Paid Vacation
  • Paid Sick Time
  • Paid Holidays
  • Tuition Reimbursement Program
  • Weekly & Monthly Employee Appreciation Events
  • Birthday & Anniversary Celebrations
  • Growth from within
  • Team-oriented work environment


Southern Regional Medicaid Coordinator Responsibilities:

  • As Regional Medicaid Coordinator, you will assist facility business office managers with problematic Medicaid applications.
  • You will provide oversight of PASRR/DON in Assessment Pro.
  • You will facilitate timeliness of Medicaid applications, redeterminations, admit packs, and appeals/denials.
  • You will train facility business office managers on Medicaid processes, RFMS, Assessment Pro, MEDI, and ABE.

Requirements

Southern Regional Medicaid Coordinator Qualifications:

  • Minimum of 3 years' experience multi-site oversight of Medicaid in Illinois.
  • Proficiency in PointClickCare, MEDI, ABE, FLMMIS, RFMS, and Excel
  • Excellent communication and organizational skills
  • The ability to learn new skills and procedures


*Ask your recruiter for more details

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