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Medicaid Service Coordinator Jobs (NOW HIRING)

Oriol Health Care

Medicaid Coordinator

Holden, MA · On-site

$26 - $32/hr

Medicaid Coordinator Reports To: Director of Accounts Receivable Schedule: Full-Time, 40 hours per ... Strong customer service and interpersonal skills. * Ability to work independently while ...

Oriol Health Care

Medicaid Coordinator

Holden, MA · On-site

$20 - $24/hr

Medicaid Specialist - Temporary Reports to: Director of Accounts Receivable Education: Associate degree or 3+ years' equivalent experience Required experience: Mass Health Insurance/Insurance ...

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How much do medicaid service coordinator jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for medicaid service coordinator in the United States is $24.37, according to ZipRecruiter salary data. Most workers in this role earn between $20.67 and $26.20 per hour, depending on experience, location, and employer.

What is a Medicaid Service Coordinator?

Medicaid Service Coordinators are professionals who help individuals with disabilities or complex health needs access and manage Medicaid services. They work closely with clients to develop individualized service plans, connect them to medical, social, and community resources, and ensure their needs are met according to state and federal guidelines. Medicaid Service Coordinators advocate for clients, monitor service delivery, and help navigate the often complex Medicaid system to improve the quality of life for those they serve.

What does a Medicaid Service Coordinator do?

A Medicaid service coordinator helps each patient access necessary medical services based on their needs, preferences, and insurance coverage. In this career, you act as an advocate for patients to help protect and uphold their rights to obtain available medical care. Your responsibilities include screening patients for available support programs, providing referrals for the requested services, and periodically reviewing patient service satisfaction, health, and safety. You also assist patients with applying for medical, legal, and financial benefits, and offer guidance to each patient and their families to understand the state’s service system. Other duties include maintaining accurate and updated documentation for all activities based on state and federal regulations and agency policy.

What are the key skills and qualifications needed to thrive as a Medicaid Service Coordinator, and why are they important?

To thrive as a Medicaid Service Coordinator, you need a background in social work or human services, familiarity with Medicaid regulations, and typically a bachelor's degree in a related field. Knowledge of case management software, Medicaid billing systems, and state-specific documentation processes is essential. Strong interpersonal skills, organization, and advocacy ensure effective support for clients navigating complex healthcare systems. These capabilities are crucial to securing client access to services, maintaining compliance, and promoting positive health outcomes.

How does a Medicaid Service Coordinator typically collaborate with other healthcare professionals and service providers?

Medicaid Service Coordinators frequently work as part of a multidisciplinary team that may include social workers, nurses, therapists, and direct support professionals. They regularly communicate with these professionals to assess clients' needs, coordinate care plans, and ensure services align with Medicaid guidelines. Building strong relationships and maintaining clear, timely documentation are essential, as coordinators often act as the main point of contact between clients, families, and providers. This collaborative approach helps ensure clients receive comprehensive, person-centered support.

What is the difference between Medicaid Service Coordinator vs Case Manager?

AspectMedicaid Service CoordinatorCase Manager
CredentialsVaries by state, often requires certification or training in Medicaid programsTypically requires a degree in social work, nursing, or related field; certifications vary
Work EnvironmentCommunity-based, assisting Medicaid recipients with service plansHealthcare or social service settings, managing client care plans
Employer & IndustryState Medicaid agencies, community organizationsHospitals, clinics, social service agencies

While both roles involve supporting individuals with healthcare needs, Medicaid Service Coordinators focus specifically on Medicaid program navigation and service planning, whereas Case Managers often handle broader patient care coordination across various healthcare settings.

More about Medicaid Service Coordinator jobs

What cities are hiring for Medicaid Service Coordinator jobs?

Cities with the most Medicaid Service Coordinator job openings:

Who are the top companies hiring for Medicaid Service Coordinator jobs?

The top employers for Medicaid Service Coordinator jobs are:

What states have the most Medicaid Service Coordinator jobs?

States with the most job openings for Medicaid Service Coordinator jobs include:

Medicaid Service Coordinator jobs near you
Infographic showing various Medicaid Service Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $50,695 per year, or $24.4 per hour.

Medicaid Coordinator

Oriol Health Care

Holden, MA • On-site

$26 - $32/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 17 days ago

Job description

Medicaid Coordinator
Reports To: Director of Accounts Receivable
Schedule: Full-Time, 40 hours per week, Monday through Friday, 8:00 AM to 4:30 PM (In-Office Position)
Pay Range: $26.00 to $32.00 per hour, depending on experience
*$1,500 Sign On/Retention bonus*
Position Summary
The Medicaid Coordinator is responsible for managing and monitoring the Massachusetts Medicaid (MassHealth) application process for residents from initial application through approval and ongoing eligibility maintenance. This role is also responsible for processing monthly Medicaid billing, resolving billing issues, and ensuring compliance with all MassHealth requirements.
The Medicaid Coordinator works closely with facility Business Office teams, residents, families, attorneys, and third-party representatives to facilitate successful Medicaid eligibility determination and reimbursement.
Education & Experience Requirements
  • Associate degree preferred, or a minimum of three (3) years of equivalent work experience.
  • Prior experience processing MassHealth insurance applications and Medicaid billing required.
  • Experience in a nursing home or long-term care setting strongly preferred.
Key Responsibilities
  • Process and monitor Medicaid billing and follow up on outstanding claims, denials, and reimbursement issues.
  • Manage Medicaid reviews, redeterminations, and resident conversions.
  • Meet with residents and family members to gather required documentation and provide guidance throughout the MassHealth application process.
  • Ensure all required screenings, forms, and SC-1 documentation are completed accurately and submitted timely.
  • Communicate resident financial responsibilities, including patient liability requirements.
  • Monitor application status and follow up with state agencies, attorneys, guardians, and third-party administrators as needed.
  • Oversee and track patient liability calculations and collections.
  • Maintain accurate records and documentation related to Medicaid eligibility and billing.
  • Collaborate with Business Office personnel to resolve issues that may impact eligibility, billing, or reimbursement.
  • Ensure compliance with all MassHealth regulations, policies, and deadlines.
Qualifications
  • Prior Medicaid billing experience required.
  • Working knowledge of the Massachusetts MMIS system required.
  • Demonstrated experience with the Massachusetts Medicaid (MassHealth) application process required.
  • Prior experience in a nursing home, skilled nursing facility, or long-term care environment strongly preferred.
  • Strong organizational, analytical, and problem-solving skills.
  • Exceptional attention to detail and accuracy.
  • Excellent verbal and written communication skills.
  • Ability to manage multiple cases, deadlines, and priorities effectively.
  • Proficiency with Microsoft Office applications and electronic billing systems.
  • Reliable transportation and the ability to travel between facilities as needed.
Skills & Competencies
  • Strong customer service and interpersonal skills.
  • Ability to work independently while collaborating effectively with multiple stakeholders.
  • Knowledge of healthcare reimbursement and Medicaid regulations.
  • Ability to maintain confidentiality and handle sensitive financial and resident information professionally.
  • Strong time-management and follow-through skills.

Benefits include but not limited to
  • Health, Dental, Vision, Flexible Spending, & Life Insurance
  • 401k with employer match.
  • Generous earned time accrual
  • Tuition Reimbursement

Why Work at Oriol Healthcare?
At Oriol Healthcare, we are committed to providing exceptional care and support to our residents while fostering a positive and collaborative work environment for our employees. As a family-owned organization with a long-standing reputation for excellence in skilled nursing and long-term care, we recognize that our success is driven by the dedicated professionals who make a difference every day.
When you join Oriol Healthcare, you'll enjoy:
  • A supportive and team-oriented culture
  • The opportunity to make a meaningful impact on the lives of residents and their families
  • Competitive compensation based on experience
  • Stable, full-time employment with a respected healthcare organization
  • Opportunities for professional growth and development
  • Collaboration with experienced healthcare, business office, and clinical professionals
  • A workplace that values integrity, compassion, accountability, and excellence

As a Medicaid Coordinator, you will play a vital role in helping residents access the benefits and services they need while supporting the financial health of our facilities. If you're looking for a rewarding career where your expertise is valued and your work truly matters, we invite you to join the Oriol Healthcare team.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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