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Medicaid Software Jobs (NOW HIRING)

Memorial Health

Medicaid Specialist

Springfield, IL · On-site

$18.34 - $28.42/hr

Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred. Other Knowledge/Skills/Abilities: * Basic working knowledge of personal computers and ...

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred. Other Knowledge/Skills/Abilities: * Basic working knowledge of personal computers and ...

Memorial Health

Medicaid Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred. Other Knowledge/Skills/Abilities: * Basic working knowledge of personal computers and ...

Chesterfield

Medicaid Specialist

Central, LA · On-site

Coordinates and manages all components of Medicaid administrative billing and reimbursement for ... software (Microsoft Word, Excel, PowerPoint preferred) and the use of the Inter/Intranet.

Allure HCS

Medicaid specialist assistant

Niles, IL

$40K - $50K/yr

Experience using PointClickCare (PCC) software * Experience working within a long-term care facility environment * Understanding how Medicaid eligibility impacts facility billing cycles Key ...

lhs

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful ... Knowledge of and experience with billing and electronic medical record software, including ...

Allure HCS

IL

$40K - $50K/yr

Experience using PointClickCare (PCC) software * Experience working within a long-term care facility environment * Understanding how Medicaid eligibility impacts facility billing cycles Key ...

Allure of Knox County

IL

$40K - $50K/yr

Experience using PointClickCare (PCC) software * Experience working within a long-term care facility environment * Understanding how Medicaid eligibility impacts facility billing cycles Key ...

Communicarehealth

Medicaid Biller

Indianapolis, IN · On-site

Prior experience preferably with related software applications. KNOWLEDGE/SKILLS/ABILITIES ... This position will handle Traditional Medicaid and Pathways billing * Ensure all claims have been ...

Allure HCS

IL

$40K - $50K/yr

Experience using PointClickCare (PCC) software * Experience working within a long-term care facility environment * Understanding how Medicaid eligibility impacts facility billing cycles Key ...

Allure HCS

IL

$40K - $50K/yr

Experience using PointClickCare (PCC) software * Experience working within a long-term care facility environment * Understanding how Medicaid eligibility impacts facility billing cycles Key ...

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All JobsMedicaid Software Jobs

Medicaid Software information

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$33

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How much do medicaid software jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for medicaid software in the United States is $61.71, according to ZipRecruiter salary data. Most workers in this role earn between $49.76 and $69.71 per hour, depending on experience, location, and employer.

What is the difference between Medicaid Software vs Medicaid Claims Specialist?

AspectMedicaid SoftwareMedicaid Claims Specialist
Primary RoleSoftware tools used to manage Medicaid data, billing, and complianceProcessing and reviewing Medicaid claims for accuracy and reimbursement
Required SkillsTechnical skills, software proficiency, data managementKnowledge of Medicaid policies, claims processing, attention to detail
Work EnvironmentHealthcare IT companies, software vendors, healthcare providersHealthcare facilities, insurance companies, Medicaid agencies
CertificationsNone typically required, but IT certifications helpfulMedical billing certifications, Medicaid-specific training

Medicaid Software refers to the tools and systems used to manage Medicaid data and billing processes, while Medicaid Claims Specialists focus on processing and verifying Medicaid claims. Both roles are essential in the Medicaid industry but serve different functions—one in software management and the other in claims processing.

What are some common challenges faced by professionals working with Medicaid software systems?

Professionals working with Medicaid software often encounter challenges such as navigating frequently changing federal and state regulations, integrating new modules with legacy systems, and ensuring data security and privacy in compliance with HIPAA. Additionally, collaborating with diverse stakeholders—including healthcare providers, government agencies, and IT teams—requires strong communication and project management skills. Staying updated with evolving technology standards and maintaining system interoperability are also key aspects of the role.

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

To thrive as a Medicaid Software Specialist, you need a solid background in healthcare IT, knowledge of Medicaid regulations, and experience with software development or implementation, typically supported by a degree in computer science or health informatics. Familiarity with Medicaid Management Information Systems (MMIS), claims processing tools, and compliance software is essential. Strong analytical skills, attention to detail, and effective communication help bridge the gap between technical teams and healthcare administrators. These skills ensure efficient, compliant, and user-friendly Medicaid systems that support both organizational goals and regulatory requirements.

What is Medicaid software?

Medicaid software refers to specialized technology platforms and applications designed to support the administration, management, and delivery of Medicaid health programs. These software systems help state agencies, healthcare providers, and payers manage eligibility, claims processing, member enrollment, reporting, and compliance with federal and state regulations. Medicaid software plays a crucial role in improving efficiency, reducing errors, and ensuring that Medicaid beneficiaries receive appropriate coverage and services. It can include modules for case management, billing, analytics, and provider management. Modern Medicaid software often integrates with other health information systems to facilitate seamless data exchange.
More about Medicaid Software jobs
What cities are hiring for Medicaid Software jobs? Cities with the most Medicaid Software job openings:
What states have the most Medicaid Software jobs? States with the most job openings for Medicaid Software jobs include:
What job categories do people searching Medicaid Software jobs look for? The top searched job categories for Medicaid Software jobs are:
Medicaid Software jobs near you
Infographic showing various Medicaid Software job openings in the United States as of June 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $128,367 per year, or $61.7 per hour.
Medicaid Specialist

Medicaid Specialist

Memorial Health

Springfield, IL • On-site

$18.34 - $28.42/hr

Full-time

Medical, Vision

Posted 23 days ago

Memorial Health rating

6.8

Company rating: 6.8 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

485th of 870 rated healthcare providers

Job description

Min
USD $18.34/Hr.
Max
USD $28.42/Hr.
Overview
Position Summary:
Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
To review Memorial's Benefits click here: Benefits - Memorial HR
Qualifications
Education:
Education equivalent to graduation from high school or GED is required.
Experience:
Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.
Other Knowledge/Skills/Abilities:
  • Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
  • Ability to multi-task while working on multiple responsibilities simultaneously.
  • Demonstrated ability to work successfully with internal customers and external contacts is required.
  • Possesses a highly-developed critical thinking and problem solving-ability to work through complex situations.
  • Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills.
  • Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred.

Responsibilities
Principal Duties & Responsibilities:
  1. Utilizes electronic software to determine Medicaid insurance eligibility and coverage for inpatient and/or outpatient Medicaid claims.

  1. Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.

  1. Investigates assigned billing claims with incomplete/incorrect information and resolves problems or errors to ensure complete and Medicaid-compliant information accompanies the claim.

  1. Prioritizes claims based on specified criteria and electronically files the claim, ensuring careful adherence to Medicaid guidelines, timeliness, accuracy, and processing procedures. At prescribed intervals, follows up for review to ensure smooth processing and timely delivery of monetary reimbursements.
  2. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

  • SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.

  • COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.

  • QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.

  • EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.

  1. Follows up and investigates unpaid items and other issues associated with unpaid claims. Contacts patients, guarantors, or other sources of third party payment and secures arrangements for prompt payment.

  1. Receives and researches Medicaid claim denials, and as necessary, prepares the necessary paperwork to appeal the denial.

  1. Reviews correspondence relating to Medicaid payments and claims; conducts the necessary research to provide supplementary background information regarding the inquiry.

  1. Researches and resolves complex issues associated with Medicaid accounts. As applicable, identifies, documents, and reports problematic trends to management.

  1. Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.

  1. Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing Medicaid claims.

  1. Responds to requests from internal departments regarding the proper coding, billing, and processing of Medicaid claims.

  1. Communicates and resolves issues with a variety of internal and external sources to resolves issues involving Medicaid claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.

  1. Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.

  1. Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.

  1. Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.

  1. Ensures compliance to Medicaid policy guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.

  1. As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
  2. Performs other related work as required or requested.

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