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Humana Medicaid Customer Service Jobs (NOW HIRING)

Humana

UM Administration Coordinator

$40K - $52K/yr

Become a part of our caring community Join Humana's Medicaid Utilization Management (UM) team and ... Prior provider service or customer service telephone experience. Additional Information * Workstyle:

Humana

UM Administration Coordinator

$40K - $52K/yr

Become a part of our caring community Join Humana's Medicaid Utilization Management (UM) team and ... Prior provider service or customer service telephone experience. Additional Information * Workstyle:

Humana

UM Administration Coordinator

$40K - $52K/yr

Become a part of our caring community Join Humana's Medicaid Utilization Management (UM) team and ... Prior provider service or customer service telephone experience. Additional Information * Workstyle:

Humana

Lead, Medicaid Technology

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Lead, Medicaid Technology

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Lead, Medicaid Technology

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving ... Humana reserves the right to require associates to upgrade their internet service if necessary.

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Humana Medicaid Customer Service information

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How much do humana medicaid customer service jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for humana medicaid customer service in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What does a Humana Medicaid Customer Service representative do?

Humana Medicaid Customer Service representatives assist members with questions about their Medicaid health plans, benefits, and coverage. They help resolve issues related to claims, eligibility, finding providers, and accessing healthcare services. Representatives also guide members through enrollment processes, update personal information, and provide information about wellness programs. Their goal is to ensure members understand their benefits and can access necessary care efficiently.

What are some common challenges faced by a Humana Medicaid Customer Service representative, and how can they be managed?

Humana Medicaid Customer Service representatives often encounter challenges such as addressing complex member inquiries, staying updated on changing Medicaid regulations, and managing high call volumes. To manage these, representatives rely on comprehensive training, robust knowledge bases, and support from team leads or supervisors. Strong communication skills and empathy are also essential for helping members navigate their healthcare benefits effectively. Team collaboration and ongoing professional development further contribute to success in this dynamic environment.

What are the key skills and qualifications needed to thrive as a Humana Medicaid Customer Service representative, and why are they important?

A Humana Medicaid Customer Service Representative should possess strong communication skills, problem-solving abilities, and a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, call center systems, and Medicaid regulations is typically required. Patience, empathy, and professionalism help build trust and ensure positive interactions with members. These skills are crucial for resolving complex inquiries efficiently, maintaining compliance, and delivering high-quality service to vulnerable populations.

What is the difference between Humana Medicaid Customer Service vs Humana Medicare Customer Service?

AspectHumana Medicaid Customer ServiceHumana Medicare Customer Service
Required CredentialsHigh school diploma or equivalent; knowledge of Medicaid programsHigh school diploma or equivalent; knowledge of Medicare plans
Work EnvironmentCall centers, healthcare offices, remote optionsCall centers, healthcare offices, remote options
Employer & Industry UsageUsed by Medicaid managed care organizations, insurance providersUsed by Medicare Advantage plans, insurance providers

Humana Medicaid Customer Service representatives assist beneficiaries with Medicaid-related inquiries, while Humana Medicare Customer Service reps handle questions about Medicare plans. Both roles require similar credentials and work environments but focus on different healthcare programs, serving distinct client needs within the healthcare insurance industry.

More about Humana Medicaid Customer Service jobs

What job categories do people searching Humana Medicaid Customer Service jobs look for?

The top searched job categories for Humana Medicaid Customer Service jobs are:

Humana Medicaid Customer Service jobs near you
Infographic showing various Humana Medicaid Customer Service job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service Representative

Tampa, FL • On-site

Leeds Professional Resources
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Leeds Professional Resourcesexternal

$14.50 - $19.75/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Position Title: Medicare/Medicaid Customer Support Representative (Remote After Training)

Location: Tampa, Florida (Training Onsite; Fully Remote After Successful Completion of Training)

Department: Customer Service / Call Center

Reports To: Customer Service Supervisor


Position Summary

We are seeking an experienced Medicare/Medicaid Customer Support Representative to join our customer service team. This position requires a minimum of three (3) years of experience supporting Medicare and/or Medicaid members in a high-volume call center environment. During the first 2–3 months, employees will complete onsite training in Tampa, FL before transitioning to a fully remote work environment based on performance, attendance, and successful completion of training.

The ideal candidate is knowledgeable about Medicare and Medicaid benefits, enrollment processes, eligibility requirements, claims, and member services while delivering exceptional customer care in a fast-paced environment.

Key Responsibilities

  • Handle a high volume of inbound customer calls regarding Medicare and Medicaid plans.
  • Provide accurate information regarding benefits, eligibility, coverage, claims, authorizations, and provider networks.
  • Assist members with enrollment, plan changes, renewals, and general inquiries.
  • Research and resolve customer concerns while maintaining a high level of professionalism and empathy.
  • Document all customer interactions accurately within CRM and healthcare systems.
  • Meet or exceed established quality assurance, productivity, attendance, and customer satisfaction metrics.
  • Escalate complex member concerns following company procedures.
  • Maintain confidentiality of Protected Health Information (PHI) in compliance with HIPAA regulations.
  • Navigate multiple computer systems while speaking with members.
  • Stay current on Medicare, Medicaid, CMS guidelines, and company policies.
  • Participate in ongoing training and quality improvement initiatives.


Required Qualifications

  • Minimum 3 years of recent Medicare and/or Medicaid customer service experience in a call center environment.
  • High school diploma or GED required.
  • Strong understanding of:
  • Medicare Parts A, B, C, and D
  • Medicaid eligibility and benefits
  • Claims processing
  • Prior authorizations
  • Member enrollment
  • Provider networks
  • Excellent verbal and written communication skills.
  • Strong problem-solving and conflict resolution abilities.
  • Ability to manage multiple systems while maintaining call quality.
  • Proficiency with Microsoft Office and customer relationship management (CRM) software.
  • Ability to work independently in a remote environment after training.

Preferred Qualifications

  • Associate's or Bachelor's degree.
  • Experience supporting Medicare Advantage or Managed Medicaid plans.
  • Experience working for a health insurance carrier, managed care organization (MCO), or third-party administrator (TPA).
  • Bilingual (English/Spanish) preferred but not required.



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