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Medicaid Jobs in Remote, OR (NOW HIRING)

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Medicaid information

See Remote, OR salary details

$15

$27

$42

How much do medicaid jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for medicaid in Remote, OR is $27.82, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.64 per hour, depending on experience, location, and employer.

What is a Medicaid job?

Medicaid jobs typically refer to positions that involve administering, managing, or supporting the Medicaid program, which provides health coverage to eligible low-income individuals and families in the United States. These jobs can include case managers, eligibility specialists, policy analysts, healthcare providers, and administrative staff who work for state agencies, healthcare organizations, or managed care companies. Professionals in these roles help applicants access benefits, ensure compliance with federal and state regulations, and support the delivery of healthcare services to Medicaid recipients.

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

To succeed as a Medicaid Specialist, you need a strong understanding of healthcare regulations, Medicaid eligibility criteria, and case management, typically supported by a degree in social work, public health, or a related field. Familiarity with Medicaid management information systems (MMIS), electronic health records (EHRs), and relevant billing or compliance software is often required. Excellent communication, problem-solving, and attention to detail are essential soft skills for effectively serving clients and navigating complex regulations. These competencies ensure accurate eligibility determinations, compliance with policies, and support for vulnerable populations accessing care.

What is the difference between Medicaid vs Medical Assistant?

AspectMedicaidMedical Assistant
CredentialsNone required; eligibility based on incomePost-secondary education, certification often required
Work EnvironmentGovernment programs, clinics, hospitalsDoctor's offices, clinics, hospitals
Employer & IndustryGovernment-funded health insurance programHealthcare providers, clinics

Medicaid is a government health insurance program for eligible individuals, while a Medical Assistant is a healthcare professional providing clinical and administrative support in medical settings. Medicaid focuses on funding and eligibility, whereas Medical Assistants deliver direct patient care and support healthcare operations.

What are some common challenges faced by Medicaid case managers, and how can applicants prepare for them?

Medicaid case managers often navigate complex regulations and high caseloads, making time management and attention to detail essential skills. They regularly interact with clients who may have urgent needs or face barriers to accessing care, which can be emotionally demanding. Collaborating with healthcare providers, social workers, and government agencies is a daily part of the role, so strong communication and problem-solving abilities are critical. Applicants can prepare by familiarizing themselves with Medicaid policies in their state, developing organizational strategies, and cultivating empathy to support diverse populations effectively.
What job categories do people searching Medicaid jobs in Remote, OR look for? The top searched job categories for Medicaid jobs in Remote, OR are:
What cities near Remote, OR are hiring for Medicaid jobs? Cities near Remote, OR with the most Medicaid job openings:
Medicaid jobs near you
Infographic showing various Medicaid job openings in Remote, OR as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 13% Part Time, and 6% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $57,865 per year, or $27.8 per hour.

Pharmacy Biller

Confederated Tribes of Coos Lower Umpqua and Siuslaw Indians

Coos Bay, OR • On-site

$24.65/hr

Full-time

Re-posted 28 days ago

Job description

Job Type
Full-time
Description
The Pharmacy Biller is responsible for the accurate and timely processing of pharmacy billing and reimbursement activities. This role reviews claims, resolves denials, and supports patients with billing and insurance inquiries. The position collaborates closely with internal teams and third-party payors to ensure compliance with applicable regulations and supports the financial performance of the pharmacy.
PRINCIPAL ACTIVITIES & RESPONSIBILITIES
• Prepares, submits, and monitors pharmacy billing claims to ensure accurate and timely reimbursement from third party payors.
• Researches, resolves, and follows up on denied or rejected claims, including initiating appeals when appropriate.
• Initiates and tracks prior authorizations to support successful medication claim processing.
• Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90, or 120+ days).
• Posts payments, adjustments, and reconciles accounts to maintain accurate billing records.
• Assists patients with billing inquiries, insurance coverage questions, and payment responsibilities.
• Maintains current knowledge of Medicare, Medicaid, Workers' Compensation, VA, and private insurance requirements, including coverage guidelines and billing regulations.
• Ensures compliances with HIPAA and all applicable federal, state, and organizational billing regulations and policies.
• Monitors formulary and coverage changes for key payors and communicates billing regulations and policies.
• Monitors formulary and coverage changes for key payors and communicates updates to the pharmacy team to reduce claim rejections and delays.
• Collaborates with Pharmacy, Business Office, Patient Financial Services, Alternate Resources and IT teams to support efficient billing processes and resolve claim issues.
• Tracks and analyzes billing trends, reimbursement patterns, and denial rates; provides reports and recommendations for process improvement to department leadership.
• Monitors and supports billing procedures and systems to improve efficiency, accuracy, and compliance. Maintains accurate and complete billing documentation and records for auditing and reporting purposes.
• Supports the implementation and reporting of pharmacy related billing programs and initiatives.
• Collaborates efficiently and effectively while consistently demonstrating professionalism and maintaining positive, respectful relationships with internal teams, external partners, and Tribal members.
• Other duties as directed by management.
LEVEL OF AUTHORITY & RESTRICTIONS
• This position requires working independently without overseeing others, with minimal authority in decision-making.
PHYSICAL & MENTAL DEMANDS
• Must be able to walk, talk, hear, use hands to handle, feel or operate objects, tools, or controls, and reach with hands and arms.
• Vision abilities required by this job include close vision and the ability to adjust focus.
• May be required to push, pull, lift, and/or carry up to 30 pounds.
• Must be able to stand, walk, reach with hands and arms, and climb or balance.
• Must be able to sit and type/work on a computer.
• Must be able to stand for long periods of time.
WORKING CONDITIONS & ENVIRONMENT
• Moderate noise level with frequent interruptions and distractions.
• Must be willing and able to travel both locally and within the CTCLUSI service delivery area and work at locations other than Three Rivers Health Center.
LOCATION
Three Rivers Health Center
150 S. Wall Street
Coos Bay, OR 97439
Requirements
• Must be 18 years of age or older.
• Minimum of two (2) years of experience in medical billing, pharmacy billing, or a related healthcare revenue cycle role.
• Working knowledge of pharmacy or medical billing terminology and coding standards (e.g. NCPDP, HCPCS, ICD-10).
• Experience and proficiency in the use of Microsoft products (Excel, Outlook, PowerPoint, Word, etc.).
• Proficient in using electron health records (HER) and pharmacy information systems for documentation and medication management.
• Strong organizational skills with the ability to prioritize tasks, manage time effectively, and work in a fast-paced environment.
• Ability to communicate clearly and effectively in English, verbally, in writing or by other acceptable means.
• This position is considered a covered role. A state criminal background check and fingerprint-based background check will be required as a condition of employment.
• This position is designated as safety-sensitive and is subject to pre-employment and other authorized drug and alcohol testing in accordance with company policy. Please note that the use of marijuana is prohibited for employees in this position, regardless of state legalization status.
• Must have employment eligibility in the U.S.
• Indian preference will be observed in the hiring process.
Salary Description
$24.65/DOE

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