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Medicaid Representative Jobs (NOW HIRING)

Care Network

Medicaid Pending Representative

Valley Stream, NY · On-site

$16.25 - $20.50/hr

Medicaid Pending Representative Location: Long Island, NY Salary: Dependent on Experience Employment Type: Full-Time, In-Person Description: We are looking for a motivated individual to join our team ...

Fox Subacute

Medicaid Specialist

Philadelphia, PA · On-site

$23/hr

Relocation Assistance (if applicable) Key Responsibilities * Assist residents, families, or representatives with Medicaid applications and renewals * Collect, review, and organize required ...

Institute for Community Living Inc.

$60 - $80/hr

Clients' Representative Unit, Medicaid Surplus unit, Third Party Insurance and Nursing Home Division, Long Term Care Unit and Medicaid Eligibility Unit and deliver this information to Entitlements ...

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Medicaid Representative information

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$24.5K

$44.2K

$77K

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.

Onsite Medicaid Eligibility Representative

Elyria, OH • On-site

Revenue Group
See more jobs at Revenue Groupexternal

$16.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Description

Hours: Monday - Friday 8:00am-4:30pm

Pay Rate: $16.25/hr. based on experience, plus monthly bonus ($0- 350) after 90 days.


Who is Hospital Referral Services?

Hospital Referral Services has an opening in the Elyria area, and we are looking for self-motivated professionals to add to our growing team. If helping people is something you enjoy, this may be the right job for you.


No one wakes up in the morning and says, "Today I want to go to the hospital". We are here to help when the unexpected has happened. Hospital Referral Services on-sites screen and help patients' bedside to see what assistance programs the uninsured or underinsured may be eligible to receive.


HRS's team of experts helps guide patients through the Medicaid process so the patient can focus on recovery.


Our employees voted us Top Workplaces 5 years in a row!


The Onsite Medicaid Eligibility Representative will be responsible for:

  • Reviewing the hospital work queue or census to identify uninsured patients.
  • Screening/Interviewing patient's bedside in a hospital setting to determine possible eligibility for any assistance programs available including Medicaid and charity.
  • High volume of walking and standing. (70% - 80% of your shift)
  • Completing applications for Medicaid benefits and charity programs as needed.
  • Maintaining a positive working relationship with co-workers, hospital staff and patients.
  • Abiding by HIPAA rules and regulations to protect patients' privacy.
  • Meeting production goals and objectives as assigned by hospital and management on a monthly basis.
  • Maintaining confidentiality of account information at all times.

Requirements

Work Requirements:

  • Previous customer service experience preferred.
  • Must have basic computer skills.
  • Must be able to multitask.
  • Must have reliable transportation.
  • Good attendance and dependability are essential.
  • Successful completion of drug and background test required.
  • Annual Flu shots and TB testing required.

Training for the Onsite Medicaid Eligibility Representative:

  • One week of classroom training, covering HIPAA regulations, Revenue Group procedures, role-playing, objections, systems, and procedures.

Our Benefits:

  • 100% Paid Training
  • 401(k) matching
  • Paid Time off (PTO) - Up to 10 days your first year!
  • 8 Paid Holidays - Including your birthday!
  • Referral Program
  • Employee Assistance Program (EAP)
  • Growth & Continued Training
  • Dental & Vision insurance
  • Health insurance (including Long & Short-Term Disability)
  • Life insurance (Company Paid)

EEO Statement: We are an Equal Employment Employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state/province, or local laws.

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