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Customer Service Representative Healthcare information

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How much do customer service representative healthcare jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for customer service representative healthcare in the United States is $18.82, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $19.47 per hour, depending on experience, location, and employer.

What does a customer service representative in healthcare do?

A Customer Service Representative in healthcare assists patients, providers, and insurance companies by answering questions, resolving issues, and providing information about healthcare services, insurance benefits, billing, and claims. They act as a communication bridge between patients and healthcare providers, helping to ensure a positive experience. Their responsibilities often include scheduling appointments, explaining medical coverage, and handling complaints or concerns related to healthcare services.

What are the key skills and qualifications needed to thrive as a customer service representative in healthcare?

To thrive as a Customer Service Representative in Healthcare, you need knowledge of medical terminology, insurance processes, and excellent communication skills, often supported by a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, electronic health records (EHR) systems, and call center platforms is typically required. Compassion, patience, and problem-solving abilities help you effectively address patient concerns and collaborate with healthcare teams. These skills ensure accurate information delivery, high patient satisfaction, and efficient resolution of complex inquiries in a sensitive industry.

What are some common challenges faced by healthcare customer service representatives, and how can they be managed effectively?

Healthcare Customer Service Representatives often encounter challenges such as handling sensitive patient information, navigating complex insurance policies, and managing high-stress situations with empathy. To manage these effectively, strong communication skills and a thorough understanding of healthcare regulations (like HIPAA) are essential. Many organizations provide ongoing training and support networks to help representatives stay up-to-date and manage stress, fostering a collaborative environment where team members can share best practices.

What is the difference between Customer Service Representative Healthcare vs Medical Assistant?

AspectCustomer Service Representative HealthcareMedical Assistant
CredentialsHigh school diploma; some roles may require certification in customer serviceHigh school diploma; certification or diploma from accredited medical assisting program
Work EnvironmentCall centers, hospitals, clinics, healthcare officesClinics, hospitals, outpatient facilities, administrative and clinical tasks
Employer & Industry UsageHealth insurance companies, healthcare providers, hospitalsMedical offices, clinics, hospitals, outpatient centers
Common Search & ComparisonCustomer Service Representative Healthcare vs Medical Assistant

The main difference is that Customer Service Representatives Healthcare focus on patient communication, billing, and support via phone or online, while Medical Assistants perform clinical and administrative tasks directly with patients. Both roles are essential in healthcare settings but serve different functions.

How to become a healthcare customer service representative?

To become a healthcare customer service representative, candidates typically need a high school diploma or equivalent. Relevant skills include communication, problem-solving, and familiarity with healthcare terminology; some employers prefer experience with customer service or knowledge of healthcare systems. Certification is not usually required but can enhance job prospects.

What is a healthcare customer service representative?

A healthcare customer service representative is a professional who assists patients, providers, and insurance companies by answering questions, resolving issues, and managing appointments related to healthcare services. They often use specialized software and need good communication skills to handle sensitive health information and ensure patient satisfaction.
More about Customer Service Representative Healthcare jobs

What cities are hiring for Customer Service Representative Healthcare jobs?

Cities with the most Customer Service Representative Healthcare job openings:

What states have the most Customer Service Representative Healthcare jobs?

States with the most job openings for Customer Service Representative Healthcare jobs include:

What job categories do people searching Customer Service Representative Healthcare jobs look for?

The top searched job categories for Customer Service Representative Healthcare jobs are:

Customer Service Representative Healthcare jobs near you
Infographic showing various Customer Service Representative Healthcare job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $39,156 per year, or $18.8 per hour.

Customer Service Representative - Healthcare

Maximus

Millersburg, KY • On-site

$15/hr

Full-time

Medical, Retirement, PTO

Re-posted 4 days ago

Maximus rating

6.8

Company rating: 6.8 out of 10

Based on 302 frontline employees who took The Breakroom Quiz

299th of 500 rated business services

Job description

General information
Job Posting Title
Customer Service Representative – Healthcare
Date
Thursday, July 30, 2026
City
Winchester
State
KY
Country
United States
Working time
Full-time
Description & Requirements

Location: On-site in Winchester, KY  
Starting Pay: $15.00/hr. plus up to $3,280 in bonus opportunities for eligible new hires.*
Schedule: Limited-Service Full-Time positions available

Site Hours: Monday - Friday, 9 a.m. - 6 p.m.; the targeted start date, hours, and schedule are discussed with recruiter 

Make a Difference by Helping People Navigate Healthcare with Confidence

Maximus is currently seeking Customer Service Representatives (CSRs) to join our team. This position will assist consumers who need help maneuvering through complex healthcare plans. To prepare for this role, Maximus provides paid, comprehensive training that equips our CSRs with the highest levels of knowledge and professionalism. 

You’ll assist some of the most vulnerable members of our community, helping them understand and access complex healthcare benefits. Maximus offers paid, thorough training to prepare you for success.

Pay & Benefits

We provide a competitive package designed to support your success both inside and outside work:

- Competitive Compensation:  

  • $15.00/hr. base pay + 10% shift differential

  •  Potential bonus opportunities up to $3,280 are available for eligible new hires based on role, location, hire date, attendance, hours worked, and continued employment through the required retention period.*

- Comprehensive Insurance Coverage: Company-paid medical coverage 

- Tuition Reimbursement: Support for ongoing education and development

- Future Planning: 401(k) with company match 

- Paid Time Off Package: Paid time off, sick leave, and 11 paid holidays 

- Maximus Wellness Support: Employee Assistance Program (EAP), wellness resources, and employee discount programs 

- Work/Life Balance Support: Flexible schedules that meet your lifestyle

- Career Growth: A supportive environment with development and promotional opportunities 

- Meaningful Work with Impact: No cold calls, sales, or collections involved!

 

*Eligibility requirements apply. Bonus amounts and payout timing may vary.

Essential Duties and Responsibilities:

- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e.  telephone, emails, web chats, or written letters).

- Calls are basic and routine.

- Uses computerized system for tracking, information gathering, and/or troubleshooting.

- Provides feedback when needed, provide input on call trends, processes, procedures, and training.

- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.


  • Provide timely responses to telephone inquiries in a courteous and professional manner, using pre-scripted responses 
  • Follow policies and standard operating procedures such as filling out timesheets, adhering to privacy and HIPAA rules 
  • Utilize standard technology such as telephone, e-mail, and web browser to perform job duties 
  •  Assist caller(s) with filling out online applications and submitting electronically to plan provider for processing 
  • Complete basic call log related to the phone inquiries such as clicking radio buttons to confirm which scripts were read to the caller 
  • Refer calls as required to CSR Lead 
  • Maintain up-to-date knowledge of client regulations and policies 
  • Report problems that occur via the online system so they can be addressed by the appropriate parties 

Minimum Requirements

- High School diploma or equivalent with 6 months of customer service experience.

- Must be able to speak and read English clearly, professionally and fluently.

  • Ability to work within established turnaround times 
  • Must have excellent interpersonal skills and the ability to organize simultaneous tasks 
  • Ability to work as a member of a team  
  • Regular and predictable attendance is required 
  • Must participate and certify in internal CCO training to begin this role. 
  • Medicare will be expected to participate in and certify in internal Tier I Claims Part  A, Claims Part B, and Claims DME training at a later date to complete your Tier I training for this role. 
  • May be required to work overtime and scheduled holidays. 
  • Working on-site at our office location is a key requirement for this position. Being physically present at the worksite is essential for effective collaboration, communication, and supervision. Applicants must be able to perform their duties on-site and meet attendance requirements. Remote or at-home work options are not available for this role until completion of at least one year of employment with above-average performance, based on specified program criteria and at the company's discretion. 

#CCOWinchester #CCOHBCU #maxCCOWinchester #maxPriority #HotJobs0901LI #HotJobs0901FB #HotJobs0901X #HotJobs0901TH #TrendingJobs
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor.  That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at applicantaccom@maximus.com.
Minimum Salary
$
15.00
Maximum Salary
$
15.00

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