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MEDICAID SPECIALIST (1148)

Memorial Health · Springfield, IL · $18.34–$28.42 an hour · Full time

Posted Sep 28, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you found a billing error that kept repeating. What did you do about it?

What they are checking: Whether they fix the root cause instead of correcting the same claim over and over.

Tell me about a time you had to explain a billing issue to someone outside billing, like a clinical department.

What they are checking: Communicating clearly with other departments to fix problems at the source.

How do you keep your accuracy up when you are juggling several tasks at once?

What they are checking: Self-checking habits, since billing errors can trigger compliance issues as well as lost money.

What would you do

A Medicaid managed care plan keeps denying a claim you believe is correct. How do you handle it?

What they are checking: Persistence with payers and knowing when to appeal versus when to escalate.

You have 80 claims in your queue and several are close to their filing deadline. How do you plan your day?

What they are checking: Prioritizing by deadline and dollar value so money is not lost to timely filing.

About the work

Walk me through how you work a denied Medicaid claim from the moment it lands on your list.

What they are checking: A methodical approach to finding the denial reason, correcting it and resubmitting within timely filing limits.

What experience do you have with the IDPA payment system, SMS or NEBO?

What they are checking: Familiarity with the specific Illinois Medicaid tools the posting highly prefers.

How are inpatient and outpatient Medicaid claims different in how they get billed and paid?

What they are checking: Understanding of claim forms and payment methods so they catch errors specific to each.

How do you stay current with Medicaid billing guideline changes?

What they are checking: Whether they actively follow provider notices, since compliance depends on current rules.

How do you use Excel in your billing work?

What they are checking: Practical skill in tracking and analyzing claims, which the posting names as a preference.

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The full job description

As published by Memorial Health.

Focused on the Future of Care We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer. Position Type: On-site Job Description Summary: Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values. To review Memorial's Benefits click here: Benefits - Memorial HR Job Description: Education: Education equivalent to graduation from high school or GED is required. Experience: Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred. Other Knowledge/Skills/Abilities: - Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred. - Ability to multi-task while working on multiple responsibilities simultaneously. - Demonstrated ability to work successfully with internal customers and external contacts is required. - Possesses a highly-developed critical thinking and problem solving-ability to work through complex situations. - Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills. - Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred. Pay Transparency $18.34 - $28.42 Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role. Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/ If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact askHR@mhsil.com . Requests will be handled confidentially.

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