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$24.5K

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How much do medicaid representative jobs pay per year?

As of Sep 9, 2026, the average yearly pay for medicaid representative in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

What does a Medicaid Representative do?

A Medicaid Representative assists individuals in applying for Medicaid benefits by helping them understand eligibility requirements, gather necessary documentation, and complete application forms. They often work in hospitals, clinics, or government offices to guide patients or clients through the Medicaid enrollment process. Additionally, Medicaid Representatives may follow up on applications, communicate with government agencies, and advocate on behalf of applicants to resolve issues or expedite approvals.

What are the key skills and qualifications needed to thrive as a Medicaid Representative?

To thrive as a Medicaid Representative, you need a solid understanding of Medicaid eligibility rules, healthcare regulations, and experience in customer service, often supported by a high school diploma or associate degree. Familiarity with Medicaid management information systems (MMIS), case management software, and electronic documentation is typically required. Strong interpersonal skills, attention to detail, and problem-solving abilities help you effectively guide applicants and resolve complex issues. These competencies are crucial for ensuring accurate eligibility determinations and providing timely support to individuals seeking healthcare coverage.

What are some common challenges Medicaid Representatives face when helping clients navigate eligibility and applications?

Medicaid Representatives often encounter challenges such as complex and frequently changing regulations, incomplete client documentation, and communication barriers with applicants. They must stay up to date with state and federal guidelines and work closely with clients to gather accurate information for timely application processing. Additionally, they frequently collaborate with social workers, healthcare providers, and government agencies to resolve issues and ensure clients receive the benefits they need.

What is the difference between Medicaid Representative vs Medicaid Case Manager?

AspectMedicaid RepresentativeMedicaid Case Manager
CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification or licensing may be preferred
Work EnvironmentOffice settings, healthcare facilities, or community outreachOffice-based, community, or healthcare settings
Employer & IndustryState agencies, healthcare providers, insurance companiesHealthcare organizations, social service agencies, Medicaid programs
Primary ResponsibilitiesAssist clients with Medicaid applications, explain benefits, and answer questionsAssess client needs, develop care plans, coordinate services, and monitor progress

While both roles involve working within Medicaid programs, Medicaid Representatives primarily focus on client communication and application assistance, whereas Medicaid Case Managers handle ongoing care coordination and case management. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

How do I become a Medicaid representative?

To become a Medicaid representative, candidates typically need a high school diploma or equivalent, strong communication skills, and knowledge of Medicaid policies. Some positions may require relevant experience in healthcare or social services, and obtaining certifications related to Medicaid or healthcare administration can improve job prospects.

What cities are hiring for Medicaid Representative jobs?

Cities with the most Medicaid Representative job openings:

What states have the most Medicaid Representative jobs?

States with the most job openings for Medicaid Representative jobs include:

What are popular job titles related to Medicaid Representative jobs?

For Medicaid Representative jobs, the most frequently searched job titles are:

Medicaid Representative jobs near you
Infographic showing various Medicaid Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.

Medicaid Representative

Little Rock, AR

University of Arkansas for Medical Sciences
Colleges, Universities, and Professional Schools • 10K+ employees
Learn more about University of Arkansas for Medical Sciencesexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 hours ago

Posted today

University of Arkansas for Medical Sciences rating

7.4

Company rating: 7.4 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

339th of 631 rated colleges and universities

Job description

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for "Find Jobs for Students".
All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page.


Closing Date:

09/22/2026
Type of Position:Clinical Staff - Nursing
Job Type:Regular

Work Shift:
Day Shift (United States of America)

Sponsorship Available:

No
Institution Name: University of Arkansas for Medical Sciences


The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

  • Health: Medical, Dental and Vision plans available for qualifying staff and family
  • Holiday, Vacation and Sick Leave
  • Education discount for staff and dependents (undergraduate only)
  • Retirement: Up to 10% matched contribution from UAMS
  • Basic Life Insurance up to $50,000
  • Career Training and Educational Opportunities
  • Merchant Discounts
  • Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click theApply link/button.

The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual preference, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.


Department:ICE | CORE PA Medicaid Enrollment


Department's Website:


Summary of Job Duties:The Medicaid Representative will verify and process Medicaid cases, analyze patient responsibility, prepare budgets, and document case outcomes. The Medicaid Representative will obtain a broad knowledge of Medicaid categories and the ability to learn and determine eligibility for at least twenty Medicaid categories; He/she will utilize knowledge of DHS programs and UAMS internal programs, and obtain a comprehensive understanding of Medicaid policies and procedures with the ability to perform the requirements associated with the Medicaid Enrollment team and perform other duties as assigned.
Qualifications:

Minimum Qualifications:

  • High School Diploma
  • One year of experience in a healthcare revenue cycle setting preferably in a hospital/facility setting in patient billing, registration or relevant area
  • Two years of experience or training in customer service, healthcare, or related field
  • Successful completion of DHS Medicaid Enrollment Clerical System training within one (1) year of hire date.
  • Ability to follow oral and written instructions and communicate with others effectively.
  • Strong computer/basic keyboard skills, telephone skills and general knowledge of office machines including printers.
  • Excellent customer relations skills

Preferred Qualifications:

  • Bachelor's with an emphasis in health/business related field preferred or commensurate work experience. Associate Degree or two years of college.
  • Two year of Medicaid enrollment experience or experience in insurance related to healthcare.
  • CHAA certification (Certified Healthcare Access Associate)
  • Understanding Medicaid/DHS -comprehensive knowledge. Comprehensive understanding of regulatory and compliance organizations/agencies.


Additional Information:

Job Requirements:

  • Processes Medicaid cases in the most efficient and cost effective method.
  • Evaluates existing programs and systems and continues to seek personal and professional growth; analyzes patients' responsibility by understanding verification of assets, family size, liability, budget, etc.; works Medicaid cases timely, including preparing budgets as directed by DHS policy; works assigned accounts and documents the outcome and status of the Medicaid application in Epic as needed.
  • Keys Medicaid cases into the DHS eligibility system; obtains knowledge of DHS/UAMS programs, policies, and procedures; documents and retrieves eligibility information from different data bases; reviews adult and newborn accounts in Epic that have pending applications and reviews DHS verifications; contacts patents as required to continue processing applications; assists patients and/or care providers, RNs, and social workers with self-pay patients; assist in adding adult and newborn AR DHS Medicaid applications.
  • Acts as a resource for the Medicaid Enrollment team; develops and maintains knowledge of Medicaid/UAMS policies and procedures, maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Medicare, EMTALA HIPAA, and Joint Commission; successfully completes annual competency tests and competency testing and training required to validate skills; interacts with and assists the public in a professional and friendly manner.
  • Performs other duties as assigned


Salary Information:

Commensurate with education and experience


Required Documents to Apply:

Resume


Optional Documents:


Special Instructions to Applicants:


Recruitment Contact Information:

Please contact askrecruitment@uams.edufor any recruiting relatedquestions.


All application materials must be uploaded to the University of Arkansas System Career Sitehttps://uasys.wd5.myworkdayjobs.com/UASYS

Please do not send to listed recruitment contact.


Pre-employment Screening Requirements:Annual TB Screening, Criminal Background Check


This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.


Constant Physical Activity:Hearing, Sitting, Talking, Walking
Frequent Physical Activity:Crouching, Feeling, Grasping, Lifting, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Talking, Walking
Occasional Physical Activity:Climbing, Crawling, Feeling, Kneeling, Pulling, Pushing, Standing, Stooping
Benefits Eligible:Yes

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