Remote Medicaid Specialist
$57.92kNaukri Mitra
- Remote job
Remote Medicaid Specialist Job Opening Join a Mission-Driven Team Making a Difference From Anywhere Are you passionate about creating access to essential healthcare services? Do you have deep knowledge of Medicaid programs and enjoy supporting individuals through complex processes? We are seeking a Remote Medicaid Specialist eager to contribute to a high-impact team from the comfort of home. In this role, you'll be critical by ensuring timely access to essential health services while building your career in an inclusive, growth-oriented environment. This is more than just a job—it's a chance to be part of a purpose-driven mission that directly supports health equity nationwide. With an annual salary of $57,922, this opportunity offers financial and professional rewards. What You'll Do: Meaningful Responsibilities That Matter Assist Individuals Through Medicaid Processes Guide clients through the full Medicaid application cycle, from initial eligibility screening to successful submission. Ensure all documentation aligns with federal and state Medicaid requirements. Serve as a dependable point of contact for applicants navigating renewals, recertifications, and coverage updates. Interpret and Apply Medicaid Regulations Stay informed about evolving healthcare policies that affect Medicaid eligibility and enrollment. Translate regulatory updates into actionable steps for clients and internal teams. Educate clients on available benefits and program criteria using accessible, compassionate language. Coordinate Across Departments and Agencies Work cross-functionally with case managers, healthcare providers, and government agencies to resolve discrepancies or delays. Maintain accurate records in compliance with HIPAA and data protection guidelines. Act as a knowledgeable liaison between clients and state Medicaid offices. Prioritize Efficiency and Empathy Oversee a diverse portfolio of client cases with unique support requirements using organizational tools and workflow software. Balance speed and accuracy to meet service benchmarks without sacrificing care. Identify barriers to access and advocate for solutions within organizational policy. Tools and Technologies to Enhance Your Work Electronic health record systems (EHRs) for tracking client history Case management platforms such as Salesforce Health Cloud or Social Solutions Remote collaboration tools, including Zoom, Slack, and Microsoft Teams Document management software for uploading, reviewing, and verifying eligibility forms Skills and Experience That Set You Up for Success Required Qualifications Minimum 2 years of direct experience handling Medicaid applications, case reviews, or healthcare eligibility documentation Strong understanding of Medicaid guidelines across multiple states Proven track record of providing customer-centric support in remote or telehealth environments Competence in managing confidential data with care and precision Excellent verbal and written communication skills Preferred Attributes Bilingual proficiency, especially in Spanish or other high-demand languages Experience working in a nonprofit, hospital, or government setting Background in social work, public health, or health administration Training or certification in Medicaid eligibility or healthcare compliance A Supportive Remote Work Environment Designed for You Our virtual team thrives on collaboration, transparency, and shared goals. From onboarding through professional development, we provide tools and mentorship to ensure each Medicaid Specialist succeeds. You'll be part of regular team check-ins, skills workshops, and wellness sessions that prioritize your productivity and well-being. We value professional growth just as much as performance. Whether you're aspiring to take on greater responsibility within the healthcare landscape operations or want to expand your knowledge of healthcare policy, you'll find ample opportunity for advancement. Why This Role is Impactful and Rewarding The Remote Medicaid Specialist supports vulnerable populations, particularly the elderly, disabled, and low-income families. Every form you process and every question you answer contributes to someone receiving critical care. If you thrive on helping others and value purpose over prestige, this job is built for you. You're not just processing data—you're unlocking doors to vital services that change lives. What You Can Expect After Joining Comprehensive onboarding and training in Medicaid systems and tools Weekly team collaboration calls and one-on-one coaching Recognition programs that reward initiative and excellence Opportunities to participate in policy development or cross-functional projects Ready to Take the Next Step in Your Career? This isn't just a remote job—it's a chance to build a meaningful career from wherever you are. Join a community that celebrates integrity, impact, and innovation. Building a Global Workforce: Applications are open to professionals from the United States, Canada, United Kingdom, European Union, Australia, India, and many other international regions. #J-18808-Ljbffr Naukri Mitra
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ..., CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work- ...To support Medicaid enrollment efforts, the part-time temporary Medicaid Eligibility Specialist will conduct eligibility assessments, communicate Medicaid regulations to members... ...redetermination processes while working remotely. Key responsibilities: Conduct eligibility...Remote workTemporary workPart time
- SKYGEN in Maryland is seeking professionals with Medicaid experience to support market operations and provider relations. The role involves field work 3-4 days per week and remote work from a home office the remaining days, coordinating with internal staff and clients....Remote workWork from homeHome office3 days per week
- ...submissions. Position Overview The Proposal Production Specialist (Medicaid Focus) plays a key role in producing high-quality, compliant... ...under deadline pressure. Work Environment This is a remote contract position with a flexible schedule and may be...Remote workContract workFlexible hoursAfternoon shift
$95k - $105k
...provide technical support and analytical expertise for a Government Medicaid Disproportionate Share Hospital, or DSH, supplemental payment... ...management capabilities. Ability to work independently in a remote environment and travel on-site when required. Qualifications...Remote workFull timeTemporary workLocal area- Naukri Mitra seeks a Remote Medicaid Specialist to help individuals access essential healthcare by guiding them through Medicaid applications from start to finish. You will interpret regulations, educate clients, and maintain compliant records in a fast-paced, remote environment...Remote job
- Genesis Healthcare is seeking a detail-oriented Medicaid Eligibility Support Coordinator to manage the full Medicaid application process... ...converting residents across a group of nursing centers. This remote role involves gathering documents, submitting applications, and...Remote job
$16.5 - $20.5 per hour
Ensemble Health Partners is seeking a remote Eligibility Specialist to interview uninsured/under-insured patients to determine Medicaid eligibility and assist with application processes. You will liaise with patients, collect documents, and ensure timely submissions and...Remote jobHourly pay- ...mean potentially saving on Medicare Premiums. We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here....Remote workFull timeMonday to Friday
- TITLE: Medicaid Specialist Field Staff REPORTS TO: Operations Admissions Coordinator A. JOB SUMMARY The Medicaid Specialist Field Staff is... ...to Alden facilities and work on-site Monday through Friday. Remote work is not available for this role. Must be able to read,...Remote workWork at officeMonday to Friday
$20 - $36 per hour
...start Caring. Connecting. Growing together. Optum is seeking Medicaid Specialist to join our growing team. At Optum, we are transforming... ...located in Seattle , WA, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday- ...coordinating with MCOs and internal HHSC departments to ensure timely enrollment and service delivery. The role requires strong knowledge of Medicaid waiver programs, policy interpretation, and excellent communication. Regular schedule and telework options may apply per policy....Remote work
- ...caregivers. We’re expanding our team and looking for a Medicaid Waiver Specialist (Screener) who is passionate about helping others navigate... ..., and after 2–3 months on‐site, you’ll transition to a remote schedule. What You’ll Do ~ Conduct detailed screenings...Remote workFull timeTemporary workMonday to Friday
- ...Remote Inpatient Coding SpecialistPosition Summary – Remote Inpatient Coding SpecialistPosition Duties –Assign appropriate diagnosis... ...utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing.Achieve and...Remote workFull time
- ...Working remotely, the full-time Remote Authorization Specialist will be responsible for obtaining and maintaining prior authorization status for patient medications... ..., ICD-9, HCPC) preferred Knowledge of Medicare, Medicaid, and third-party payor contracts preferred...Remote workFull time
- ...for behavioral health and outpatient practices, the fully remote RCM Specialist will handle full-cycle medical billing, including claims submission... ...and accurate claims submission to commercial payers, Medicaid, and Medicare, while following up on outstanding claims and...Remote work
- ...enrollments for clinicians across various markets, the full-time remote Payer Enrollment Specialist will oversee the end-to-end process of enrolling new... ...Proven experience enrolling clinicians in state Medicaid programs Exceptional project management and prioritization...Remote workFull time
- ...Hospital Billing Services. Work Location-Remote Fully Virtual Note: Remote... ...Administrator (RHIA) Certified Coding Specialist (CCS) Certified Coding Specialist 'Physician... ...of reimbursement (Medicare and Medicaid) principles. Must have extensive knowledge...Remote workLive in
- ...The Screening Specialist is the first point of contact for older adults, individuals with... ...eligibility for COAAA programs, including Medicaid waiver and other supportive services.... ...Traditional office environment. Occasional remote work may be approved as needed....Remote workCasual workWork at office
$41.27k - $80.48k
...services or human services background to join our team. This is a remote position, where you will partner with people in your community... ...and get the most out of the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities...Remote workFull timeWork at officeLocal areaWork from home- ...Job Description & Requirements Remote Inpatient Coding Specialist StartDate: 11/30/2026 Pay Rate: $32.00 - $40.00 POSITION SUMMARY –Remote... ...10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. Achieve...Remote workFull timeTemporary workShift work
- ...Joseph Health is seeking an Accounts Receivable Representative – Remote to support timely billing and collections for healthcare... ...2+ years in healthcare reimbursement and knowledge of Medicare/Medicaid regulations. High school diploma required; EPIC experience is a...Remote work
- Providence is seeking an Accounts Receivable Representative for a remote role within Revenue Cycle, focusing on timely billing and... ...in healthcare reimbursement and collections, with experience in insurance contracts and Medicare/Medicaid regulations. #J-18808-LjbffrRemote work
- ...full-time Senior Healthcare Revenue Cycle Specialist will manage billing, collections, and... ...submission and payment resolution, and will work remotely. Key responsibilities Manage billing,... ...providers Knowledge of Medicare, Medicaid, managed care, and healthcare reimbursement...Remote workFull time
- ...manner.Assist client with the application process for SSI, SSD, DSS Medicaid, food stamps, section 8 housing and any other wrap around... ...periods of timeLift, push or pull 25 to 50 pounds.Client residence, remote and/or office setting at location assigned i.e., Steuben County...Remote workWork at officeImmediate startShift work
$30.5k - $45.76k
...career development. Summary The DAPO Specialist supports Gainwell's healthcare program operations in a remote call center enviroment by reviewing, validating... ...and documentation tasks that align with state Medicaid requirements and internal performance...Remote workFull timeContract workWork at officeFlexible hoursShift work$47.84k - $54.08k
...looking for a passionate Authorization & Eligibility Insurance Specialist to join our elite team of professionals and make a difference... ...What is Required? High school diploma or equivalent, with Medicaid/Insurance Experience Positive attitude Dedication to quality...Remote workHourly payFull time- ...Remote work for TX, AR, WI and FL ONLY Primary Purpose The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting... ...to the Centers for Medicare & Medicaid Services (CMS) requirements for both professional...Remote workContract workLocal area
$38k - $40k
...Healthcare Coverage Specialist Indiana communities | 80% Remote | $38,000 - $40,000 Do you enjoy helping people find resources they need? Are you detail... .... Experience with health insurance, particularly Medicaid and the ACA Marketplace. Strong attention to...Remote workFull timeLocal area$27.02 per hour
...anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and... ...risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment... ...Certified Risk Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information...Remote workFor contractorsWork at officeLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicaid Specialist. Be the first to apply!
- live chat specialist New York, NY
- patient safety specialist New York, NY
- credit card specialist New York, NY
- senior specialist New York, NY
- zoning specialist New York, NY
- charge entry specialist New York, NY
- health program specialist New York, NY
- youth specialist New York, NY
- microsoft specialist New York, NY
- transportation specialist New York, NY



