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Medicaid Processor Jobs (NOW HIRING)

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

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful ... This role ensures eligibility accuracy, timely processing, regulatory compliance, and strong ...

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

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 ...

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

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 ...

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 ...

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

Medicaid Analyst

$57K - $75K/yr

The Medicaid Analyst owns the end-to-end reimbursement process for our online schools' Medicaid funding streams. Partnering across Special Programs, Accounting, and Government Affairs to establish ...

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Medicaid Processor information

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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:
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.
Medicaid Coordinator

Medicaid Coordinator

Americare

New York, NY • On-site

Other

Medical, Dental, Vision, Retirement

Posted 12 days ago


Americare Senior Living rating

4.9

Company rating: 4.9 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

204th of 228 rated social care providers


Job description

Job Description:

The Medicaid Coordinator plays a critical role in supporting organizational operations and patient access to care by managing Medicaid eligibility, enrollment, and reimbursement processes. This position serves as a subject matter expert in New York State Medicaid programs, ensuring accurate eligibility determinations, coordination with internal teams and external partners, and compliance with Medicaid regulations. The Medicaid Coordinator works closely with the HMO Director and billing teams to support Medicaid Fee-for-Service (FFS) and EPS billing processes, optimize reimbursement, and facilitate continuity of coverage for patients.

Requirements:

  • High School Diploma; Baccalaureate degree

  • Prior experience in healthcare administration, Medicaid coordination, or billing.

  • Familiarity with Medicaid managed care plans and conversion processes.

  • Experience working with eligibility reporting systems and billing platforms.

  • Knowledge of New York State healthcare regulatory requirements.

  • Experience with Medicaid billing structures, reimbursement models, EPS, and Fee-for-Service (FFS) Medicaid.

  • Strong organizational skills with the ability to manage multiple cases and deadlines.

  • Excellent written and verbal communication skills.

  • Ability to collaborate effectively with internal teams and external partners.

Benefits:

  • Comprehensive benefits including, medical, dental, and vision

  • 401K plan with company match

  • Robust time off including sick, vacation, personal days, cultural heritage day and your birthday off

  • Opportunity for advancement

  • Employee discount program on events, movie tickets, mobile phone plan discounts and more.

Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law.


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