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Medicaid Processor Jobs (NOW HIRING)

VIP Care Management

Medicaid Specialist

Lantana, FL · On-site

$40K - $50K/yr

... the process. · Follow up on all action items until case approval and prepare file for annual ... Medicaid Specialist - Lantana". Company Description Geriatric Care Management Services

VIP Care Management

Medicaid Specialist

Lantana, FL · On-site

$40K - $50K/yr

... the process. · Follow up on all action items until case approval and prepare file for annual ... Medicaid Specialist - Lantana". Company Description Geriatric Care Management Services

Allure HCS

Medicaid specialist assistant

Niles, IL

$40K - $50K/yr

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week) Verified Medicaid Case ... processing and follow-through of all pending cases * Prepare documentation for OIG cases and ...

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX · On-site

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 ...

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 ...

Allure HCS

Medicaid specialist assistant

Niles, IL · On-site

$40K - $50K/yr

Part-Time Illinois Medicaid Long-Term Care Specialist (30 Hours/Week) Verified Medicaid Case ... processing and follow-through of all pending cases * Prepare documentation for OIG cases and ...

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Medicaid Processor information

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How much do medicaid processor jobs pay per hour?

As of Jul 18, 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 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 skills do you need to be a claims processor?

Medicaid processors need strong attention to detail, excellent organizational skills, and proficiency with computer systems and data entry. Knowledge of healthcare regulations, claim processing procedures, and basic accounting or coding skills are also important for accurate and efficient work.

What jobs pay 4000 a week without a degree?

Medicaid processors typically do not earn $4,000 per week without specialized experience or certifications. High-paying jobs that can reach this level without a degree often include roles such as sales managers, real estate brokers, or skilled trades like electricians and plumbers, which may require licensing or on-the-job training. Most jobs paying this amount without a degree involve sales, entrepreneurship, or specialized technical skills.

How much does a Medicaid specialist make?

Medicaid specialists typically earn an average salary ranging from $40,000 to $55,000 per year, depending on experience, location, and employer. Entry-level positions may start lower, while experienced professionals with certifications can earn higher salaries. The role often requires knowledge of Medicaid policies and strong administrative skills.

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.

How to become a Medicaid specialist?

To become a Medicaid specialist, individuals typically need a high school diploma or equivalent, with some roles requiring postsecondary education or certifications in healthcare or social services. Relevant skills include knowledge of Medicaid policies, strong organizational abilities, and experience with case management or healthcare systems; certifications such as Certified Medicaid Specialist can enhance job prospects.

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.
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

Medicaid Specialist

Summit at Plantsville Center for Health & Rehabilitation

Plantsville, CT

Other

Retirement

Posted 25 days ago

Job description

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A Great Place to Work

The Summit Center for Health & Rehabilitation is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will experience real career growth where your expertise and dedication is valued and appreciated. We invite you to join our team!

Location:  261 Summit St, Plantsville, Connecticut, 06479

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What You'll Do:

As a Medicaid Specialist, you will support the center's business office in processing Medicaid applications, redeterminations and applied income discrepancies. Your work will contribute to the financial stability of our organization, ensuring resources are optimized to provide the best care for our residents.

Key Responsibilities:

  • Process and track Medicaid applications and redeterminations
  • Collect applied income and promptly resolve discrepancies 
  • Collaborate with Administrator and A/R team to review cases and prevent or resolve issues
  • Prepare and post daily deposits for resident trust accounts
  • Provide administrative and A/R support to business office including scanning of Medicaid documents into Point Click Care (PCC)
  • Interact with residents, families, and external partners to address billing inquiries and provide clear, empathetic explanations when needed
  • Identify opportunities for process optimization and efficiency

If you are passionate about ensuring resources are optimized to provide the best care to our residents, in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as a Medicaid Specialist

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What We Offer

As an affiliate of National Health Care, our Summit at Plantsville family will enjoy:

  • Competitive compensation and benefits package including a 10% defined contribution retirement plan
  • Comprehensive training and mentorship
  • Opportunities for professional growth and development
  • Supportive and collaborative work environment
  • The chance to make a meaningful difference in the lives of our residents
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What You'll Bring:

Qualifications of a Medicaid Specialist include:

  • High School Diploma or GED
  • 1 year processing Medicaid applications and billing in a Long-Term Care setting
  • Familiarity with healthcare billing practices, regulations, and relevant software applications (e.g. billing systems, electronic medical records)
  • Excellent interpersonal and communication skills
  • Proficient in using office equipment and computer applications (Microsoft Excel, Word, Outlook)
  • Deadline driven, detail-oriented individual able to handle multiple priorities
  • Ability to work effectively in a fast-paced, team environment
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We Hire for Heart!

National Health Care Associates (National) is proud to be a family-run organization since 1984. Like family, each of National's centers are unique but share common values: Kindness, Service, Compassion and Excellence.  Today, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named "Best Of" by US News & World Report.  When you join the team at a National center, you join a team that provides life-changing care to thousands of patients, residents, and families in a Great Place to Work Certified environment.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status.

Employment Type: OTHER

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