How to hire a medicaid specialist

How to hire a medicaid specialist, step by step

Here's a step-by-step medicaid specialist hiring guide:

• Step 1: Identify your hiring needs
• Step 2: Create an ideal candidate profile
• Step 3: Make a budget
• Step 4: Write a medicaid specialist job description
• Step 5: Post your job
• Step 6: Interview candidates
• Step 7: Send a job offer and onboard your new medicaid specialist
• Step 8: Go through the hiring process checklist

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1. Identify your hiring needs

   Before you post your medicaid specialist job, you should take the time to determine what type of worker your business needs. While certain jobs definitely require a full-time employee, it's sometimes better to find a medicaid specialist for hire on a part-time basis or as a contractor.

   Determine employee vs contractor status

   Is the person you're thinking of hiring a US citizen or green card holder?

   Yes

   No

   A medicaid specialist's background is also an important factor in determining whether they'll be a good fit for the position. For example, medicaid specialists from different industries or fields will have radically different experiences and will bring different viewpoints to the role. You also need to consider the candidate's previous level of experience to make sure they'll be comfortable with the job's level of seniority.

   The following list breaks down different types of medicaid specialists and their corresponding salaries.

   Type of Medicaid Specialist	Description	Hourly rate
   Medicaid Specialist	Information clerks perform routine clerical duties such as maintaining records, collecting data, and providing information to customers.	$13-32
   Eligibility Worker	An eligibility worker is in charge of determining an individual's eligibility for social services and benefits such as financial and housing aid. Their responsibilities include gathering and reviewing applications, conducting interviews and assessments, and coordinating with various agencies to arrange services... Show more	$14-23

2. Create an ideal candidate profile

   Common skills:

   • Patients
   • Home Health
   • Medicaid Eligibility
   • Rehabilitation
   • Social Work
   • Term Care
   • Provide Technical Assistance
   • Medicaid Applications
   • Financial Assistance
   • Health Insurance
   • Computer System
   • Federal Laws
   • Community Resources
   • Federal Guidelines

   Check all skills

   Responsibilities:

   • Generate reports for managing compliance with Medicaid documentation in support of electronic billing to MCO
   • Acquire valuable expertise of HIPAA, Medicaid and patient confidentiality.
   • Provide excellent compassionate customer service to all patients, honoring patient privacy according to HIPAA regulations.
   • Review referrals and screen all uninsure patients seen at contract HCA hospitals for potential Medicaid and/or disability eligibility.
   • Adhere to all HIPPA laws.
   • Ensure ICD-9-CM, CPT, and HCPCS codes are correct for billing.

3. Make a budget

   Including a salary range in your medicaid specialist job description is one of the best ways to attract top talent. A medicaid specialist can vary based on:

   • Location. For example, medicaid specialists' average salary in nebraska is 47% less than in new jersey.
   • Seniority. Entry-level medicaid specialists 57% less than senior-level medicaid specialists.
   • Certifications. A medicaid specialist with certifications usually earns a higher salary.
   • Company. Working for an established firm or a new start-up company can make a big difference in a medicaid specialist's salary.

   Average medicaid specialist salary

   $44,308yearly

   $21.30 hourly rate

   ---

   Entry-level medicaid specialist salary

   $29,000 yearly salary

   Updated December 19, 2025

4. Writing a medicaid specialist job description

   A medicaid specialist job description should include a summary of the role, required skills, and a list of responsibilities. It's also good to include a salary range and the first name of the hiring manager. To help get you started, here's an example of a medicaid specialist job description:

   Medicaid specialist job description example

   Job Functions, Duties, Responsibilities and Position Qualifications:
   
   Overview
   Responsible for the management of Medicaid accounts through patient written and verbal directions, aged trial balance reports, and Medicaid rejection reports for the accurate and timely filing of claims for maximum reimbursement. Ability to provide support to other Accounts Receivable departments, as needed. Adhere to all departmental policies and procedures.
   ResponsibilitiesCustomer service duties include answering telephones for patients and others regarding billing inquiries and resolving billing issues in a professional manner.Act as resource to CPL personnel and clients regarding Medicaid compliance guidelines.Accurately enter information provided by various sources to correct claims in regards to CPT and ICD-10 codes and send out in a timely manner to Medicaid.Audit accounts showing Medicaid denials to resolve balances.Ability to interpret Explanation of Medicaid benefits.Resolve invoices from outside laboratories for Medicaid patients.Submitting and retrieving eligibility requests through TDH Connect.Communicating with the Team-leader or Supervisor on areas that may be improved and appeals minimized.Ability to stay work focused and perform job duties efficiently and accurately as well as meet the production standards as set by the Accounts Receivable Director. Must have strong organizational skills.Employee must comply with CPL's compliance policies and procedures.Duties include but are not limited to the above mentioned responsibilities.
   Scope: Respects and maintains the confidentiality of information relative to the laboratory. Adheres to all accounts receivable policies, procedures and compliance guidelines. Works with minimal direction, consults with Team-leader or Supervisor as needed.
   
   QualificationsEducation: High School Diploma or GED.
   
   Experience: Preferred at least two years in a standard Medicaid or related Star plans in a multitask environment, including customer service. Strong background in coding procedures preferred. Bilingual skills, private insurance experience and/or lab billing a plus.
   
   Skills: Ability to communicate effectively at all levels within the company and with patients and physician office staff. Knowledge of microcomputer technology and terminology. Ability to type and demonstrate 10 key proficiency and current departmental standards is required. Develop effective and harmonious work habits and relationships. Ability to read and comprehend English.
   
   Additional InformationMust be able to successfully complete pre-employment background check and drug screen, EOE.
   
   Scheduled Weekly Hours:
   40
   
   Work Shift:
   1st Shift (United States of America)
   
   Company:
   Sonic Healthcare USA, Inc
   
   Sonic Healthcare USA provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
   
   This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

   Copy this example

   

5. Post your job

   To find medicaid specialists for your business, try out a few different recruiting strategies:

   • Consider internal talent. One of the most important talent pools for any company is its current employees.
   • Ask for referrals. Reach out to friends, family members, and your current work to ask if they know any medicaid specialists they would recommend.
   • Recruit at local colleges. Attend job fairs at local colleges to recruit entry-level medicaid specialists with the right educational background.
   • Social media platforms. LinkedIn, Facebook, and Twitter have more than 3.5 billion users, and they're a great place for company branding and reaching potential job candidates.

   Post your job online:

   • Post your medicaid specialist job on Zippia to find and recruit medicaid specialist candidates who meet your exact specifications.
   • Use field-specific websites.
   • Post a job on free websites.

6. Interview candidates

   Your first interview with medicaid specialist candidates should focus on their interest in the role and background experience. As the hiring process goes on, you can learn more about how they'd fit into the company culture in later rounds of interviews.

   It's also good to ask about candidates' unique skills and talents. You can move on to the technical interview if a candidate is good enough for the next step.

   The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

7. Send a job offer and onboard your new medicaid specialist

   Once you've found the medicaid specialist candidate you'd like to hire, it's time to write an offer letter. This should include an explicit job offer that includes the salary and the details of any other perks. Qualified candidates might be looking at multiple positions, so your offer must be competitive if you like the candidate. Also, be prepared for a negotiation stage, as candidates may way want to tweak the details of your initial offer. Once you've settled on these details, you can draft a contract to formalize your agreement.

   It's also important to follow up with applicants who do not get the job with an email letting them know that the position is filled.

   To prepare for the new employee's start date, you can create an onboarding schedule and complete any necessary paperwork, such as employee action forms and onboarding documents like I-9 forms, benefits enrollment, and federal and state tax forms. Human Resources should also ensure that a new employee file is created.

8. Go through the hiring process checklist

   • Determine employee type (full-time, part-time, contractor, etc.)
   • Submit a job requisition form to the HR department
   • Define job responsibilities and requirements
   • Establish budget and timeline
   • Determine hiring decision makers for the role
   • Write job description
   • Post job on job boards, company website, etc.
   • Promote the job internally
   • Process applications through applicant tracking system
   • Review resumes and cover letters
   • Shortlist candidates for screening
   • Hold phone/virtual interview screening with first round of candidates
   • Conduct in-person interviews with top candidates from first round
   • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
   • Conduct background checks on top candidates
   • Check references of top candidates
   • Consult with HR and hiring decision makers on job offer specifics
   • Extend offer to top candidate(s)
   • Receive formal job offer acceptance and signed employment contract
   • Inform other candidates that the position has been filled
   • Set and communicate onboarding schedule to new hire(s)
   • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)

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