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Medicare Administrative Contractor Jobs (NOW HIRING)

Maintain compliance with CMS regulations and Medicare Administrative Contractor (MAC) requirements. Medicaid Provider & Group Enrollment * Submit revalidation Medicaid applications for both ...

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Medicare Administrative Contractor information

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How much do medicare administrative contractor jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for medicare administrative contractor in the United States is $20.71, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $22.36 per hour, depending on experience, location, and employer.

What is a Medicare Administrative Contractor job?

A Medicare Administrative Contractor (MAC) is responsible for processing Medicare claims, handling reimbursements, and ensuring compliance with federal regulations. MACs work with healthcare providers to review claims, prevent fraud, and deliver customer support related to Medicare billing. Their role helps streamline Medicare operations and ensures that beneficiaries receive accurate and timely benefits.

What are the key skills and qualifications needed to thrive in the Medicare Administrative Contractor position, and why are they important?

Excelling as a Medicare Administrative Contractor requires a strong background in healthcare administration, regulatory compliance, and government contracting, usually supported by a bachelor's degree in a related field. Familiarity with Medicare payment systems, claims processing software, and federal guidelines such as CMS policies is essential. Strong analytical thinking, attention to detail, and effective communication skills are invaluable for interpreting complex regulations and interacting with healthcare providers. These abilities are crucial to ensure accurate claims administration, regulatory adherence, and positive customer interactions within the Medicare system.

What are some common challenges faced by Medicare Administrative Contractors in their daily roles?

Medicare Administrative Contractors often face the challenge of keeping up-to-date with frequently changing Medicare policies and regulations, which requires continuous learning and adaptability. They are responsible for processing a high volume of claims accurately and efficiently while ensuring strict compliance with government guidelines. Managing communications with healthcare providers to resolve complex inquiries or disputes can also be demanding. Successfully overcoming these challenges requires strong organizational skills and attention to detail, but it also provides valuable experience in healthcare administration and government operations.

More about Medicare Administrative Contractor jobs
What cities are hiring for Medicare Administrative Contractor jobs? Cities with the most Medicare Administrative Contractor job openings:
What are the most commonly searched types of Medicare Administrative Contractor jobs? The most popular types of Medicare Administrative Contractor jobs are:
What states have the most Medicare Administrative Contractor jobs? States with the most job openings for Medicare Administrative Contractor jobs include:
Infographic showing various Medicare Administrative Contractor job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $43,075 per year, or $20.7 per hour.

Government Audit Recovery Specialist

Integrated Resources, Inc

Costa Mesa, CA

$30/hr

Contractor

Re-posted yesterday


Job description

Job Title: Government Audit Recovery Specialist
Job Location: Costa Mesa, CA, 92626
Job Duration: 03 Months Contract (possible extension)
Pat Rate: $30.00/hr on w2
Position Summary:
  • The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance.
  • This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
  • This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance.
  • As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal regulatory auditing body for pre and post payment audits.
  • The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed.
  • This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance.
  • As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, MediCal regulatory auditing body for pre and post payment audits.

Skills:
Required Skills & Experience:
  • 3 years of Medicare billing experience in billing, follow up, in an acute care setting.
  • Experience working on complex projects.
  • 13 years of experience in healthcare acute setting regulatory audits and appeals.
  • Experience with and understanding of CMS billing, payment and reimbursement methodologies.
  • Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
  • Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred Skills & Experience:
  • 5 years of experience or more in an acute setting.
  • 3 years of experience in healthcare acute setting regulatory audits and appeals.
  • Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Cliented Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, MediCal and other regulatory audits.
  • 5 years of experience in Medicare billing, follow up, appeals.
  • Knowledge of utilization management process, coding, medical necessity criteria.
  • 3 years of Medicare billing experience in billing, follow up, in an acute care setting
  • Experience working on complex projects
  • 13 years of experience in healthcare acute setting regulatory audits and appeals
  • Experience with and understanding of CMS billing, payment and reimbursement methodologies
  • Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
  • Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996