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Medicaid Software Jobs in Florida (NOW HIRING)

Medicaid Enrollment amp; Intake Specialist Pay Range: $21.00- $22.75 per hour | Schedule: Monday ... Proficient with technology such as phone systems, computers, Microsoft software applications such ...

Medicaid Enrollment & Intake Specialist Pay Range: $21.00- $22.75 per hour| Schedule: Monday-Friday ... Proficient with technology such as phone systems, computers, Microsoft software applications such ...

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Medicaid Software information

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.

What are popular job titles related to Medicaid Software jobs in Florida?

For Medicaid Software jobs in Florida, the most frequently searched job titles are:

What cities in Florida are hiring for Medicaid Software jobs?

Cities in Florida with the most Medicaid Software job openings:

Customer Service Processor

Medicaid Done Right

Clearwater Beach, FL • On-site

Other

Medical, Life, Retirement

Re-posted 10 days ago


Job description

Medicaid Processor

Job description No Medicaid Experience? No problem! If you possess relevant experience in case management, loan processing, or claims processing, you may be a great fit for this role. We are looking for individuals with ambition for success, strong ethical values, hungry to learn and grow, and a passion for helping people. Must be able to multi-task; highly organized, have a keen sense of urgency to complete files accurately and timely. Strong typing and computer skills are needed. Past experience with processing of loan or claims as well as case management skills will provide you with the skills required to be successful in this role. Medicaid training is provided.

Manage the application process for Long Term Care Medicaid benefits, working with residents, their families, and caregivers to facilitate timely and accurate submission of the Medicaid application. Provide superior customer service to the patients we assist. The right fit for us will have a client-first mentality, be eager to learn, and have a passion for impacting the lives of others. If you are right for this role, you will take pride in your work and strive to be a part of an impactful, cohesive team. As a Customer Service Processor, you will have tons of growth opportunities as you advise others, aiming to offer innovative solutions regarding Medicaid coverage.

Working remotely with patients, their families, and caregivers to gather state-required documents, examining income and assets and following other qualifying guidelines to ensure the timely and accurate submission of the Medicaid application to the state for approval. Managing intake, document review, and filing Medicaid applications. Daily management of file caseload with absolute accuracy and discretion in handling confidential matters and materials. MDR's goal is to process applications quickly, in accordance with the current applicable state requirements, and timelines. For a Processor to be successful a good relationship with the state caseworker, clients, and other team members of MDR are key. The position is 100% Onsite located in the Clearwater, FL office and the Medicaid Processor will spend 100% of their time on the computer/telephone.

As a dynamite Medicaid Processor, you deserve success in your life as well, and at Medicaid Done Right, we define "success" as being a part of a company that gives you lots of opportunities and options. First, we have created a competitive salary package, plus additional incentives including highly sought-after monthly recognition for our top performer. We are an inclusive, customer-friendly environment where different perspectives are valued and celebrated. We believe in taking care of our team. You will also have access to benefits like an impressive hourly wage with the opportunity to earn monthly incentives, 401(K) with company matching contributions, and quality healthcare & life insurance options. Hands on training to make the job easier to understand. Work/Life Balance: MDR believes that a work home life balance is key. We provide you with paid-time-off, access to our EAP (Employee Assistance Program), pet insurance, employee discounts, and more.

You love connecting with people, helping them in a time of need, and delivering solutions. You structure each day for success and each relationship with care. Ability to interpret policy and procedures and apply to case files. Proven ability to appropriately use MS Office (Outlook, Excel, Word). Prior experience in CRM Software is a plus. Must be able to multi-task; highly organized, have a keen sense of urgency to complete files accurately and timely, ability to manage a high volume of client files. Strong customer service skills utilizing telephonic and/or electronic outreach; ability to listen and understand client needs throughout the application process. Excellent verbal and written communication skills to obtain necessary documentation needed for the application approval. Ability to analyze and interpret policies and procedures, define problems, research solutions and complete tasks. Discretion in handling confidential and sensitive materials is imperative. Strong typing and computer skills (proven proficiency in Microsoft Office).

Founded in 2012, Medicaid Done Right (MDR) is an independent Medicaid application processing company that assists long-term care facilities, nursing-home patients, and their families with applying for long term Medicaid benefits. The Customer Service Processor is an integral part of fulfilling MDR's mission. Our Mission: At Medicaid Done Right, it is our mission "To aid patients, their families, and caregivers in the process of applying for Medicaid benefits. By leveraging our experience and technology, we allow patients and families to focus on their well-being." MDR's goal is to process applications quickly, in accordance with the current applicable state requirements, and timelines. We cheerfully work hard. We are individually empathetic. We keep our commitments. Medicaid Done Right believes that diversity and inclusivity are essential to positive long-term success and achieving our strategic business goals. We are proud to be an Equal Opportunity Employer, and we encourage diverse and talented applicants to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Clearwater, FL Onsite Full Time