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Medicaid Processor Jobs (NOW HIRING)

Americare

Medicaid Coordinator

New York, 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 ...

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX · On-site

$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 ...

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 ...

lhs

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

Americare

Medicaid Coordinator

Manhattan, 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 ...

Florida Jobs

MEDICAID WAIVER LIAISON

Fort Lauderdale, FL · On-site

$1.4K - $2.1K/wk

Medicaid Waiver Liaison - 67016620 This position is not a Telework position and is required to ... Processes the Allocation Implementation Meeting (AIM) documentation for medical necessity while ...

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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.

Medicaid Specialist

St Camillus Residential Health

Syracuse, NY • On-site

$22 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description


Become Rooted in Caring for Life with St. Camillus!

At St. Camillus, we're centered on celebrating our Employees! Our team is what makes St. Camillus an amazing place to work.

We are currently a Full Time Medicaid Specialist to join our Patient Financial Services Team!


Responsibilities:


This position will work with the staff in the Patient Financial Services (PFS) and Finance departments, as well as with residents/family members, including, but not limited to, reviewing insurance coverage with families to determine financial liability and/or need for Medicaid; determining estimated Net Available Monthly Income (NAMI); completing, monitoring and ensuring timely submission of Medicaid applications and recertification’s; maintaining knowledge of third party billing regulations; and assisting with the day-to-day billing functions as needed.

  • Must be knowledgeable of the most current Medicaid regulations and the Medicaid application process.
  • Responsible for reviewing insurance coverage with families as needed throughout their stay, detailing any potential financial liability and determining whether/when Medicaid will be needed.
  • Responsible for estimating residents’ NAMI and ensuring NAMI income comes to the facility.
  • Responsible for the completion of residents’ Medicaid applications and annual recertification’s within specific timeframes.
  • Must track the Medicaid application submission deadlines and status and have continual communication with the local DSS office, St. Camillus staff, and our residents/their family members to ensure timely approval and increased cash flow.
  • Must ensure all required documentation is obtained from the family or work with their financial institution, etc. to obtain the information on their behalf.
  • Responsible for completing and submitting all requested Medicaid forms and documents such as LDSS 3559s, Nursing Home Account Sheets, PRIs, etc.
  • Maintain accurate records of member’s eligibility status, recertification dates and MLTC provider.
  • Must be knowledgeable on general skilled nursing facility payers and billing procedures.
  • Utilizes various financial reports to follow Private accounts that may need Medicaid.
  • Once Medicaid applications are approved, enter the information into the billing system for processing.
  • Reports all Medicaid application issues to the PFS Manager, Director of Finance and VP of Finance on a routine basis.
  • Provide written referral and backup documentation on Medicaid cases requiring attorney involvement.
  • Responsible for assisting with billing tasks as needed.
  • Responsible for assisting with any financial audits initiated by outside agencies, including but not limited to the Office of the Medicaid Inspector General (OMIG) and Social Security.
  • Support department Manager, Director of Finance, and VP of Finance with all required tasks.
  • Responsible for employee injury prevention, follows safety rules and addresses safety issues with supervisor.
  • All other duties as assigned by supervisor.

Qualifications:

  • Associate’s Degree
  • Experience in Medicaid Eligibility and/or Skilled Nursing Facility Medicaid billing.
  • Strong Microsoft office experience (Word and Excel)
  • Strong verbal, written, computer and leadership skills are required.
  • Must be a team player and be able to build strong relationships with our residents and their families.
  • Must be able to work independently managing multiple projects at once.

Employee Benefits:

  • Generous Paid Time Off!
  • Affordable Health/Dental/Vision Plans
  • Company Funded Life Insurance and Health Reimbursement Account
  • Retirement Plan
  • On the Centro Bus Line
  • Free parking
  • On-site cafeteria

Why Work At St. Camillus?

Our Mission: St. Camillus is a non-denominational, not-for-profit organization dedicated to caring for life through a broad range of health care services.

Our Vision: To be the provider of choice for compassionate and innovative care.

For more information about St. Camillus and Integrity Home Care Services visit our website at http://www.st-camillus.org

EOE/Affirmative Action Employer