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Medicaid Call Center Representative Jobs (NOW HIRING)

BCForward

Call Center Representative

Austin, TX · On-site

$20/hr

Call Center Representative Location: Austin TX 78727 Duration: 10+ Months Contract Pay Rate: $20/hr ... This role provides unbiased assistance to Medicaid providers and clients with questions regarding ...

Malone

Call Center Representative

Jeffersontown, KY · On-site

$19/hr

Inbound Call Center Representative Highlights: * Pay: $19.00 per hour * Employment Type: Project-Based (May-January) with potential for long-term employment * Schedule: 8 hour shift between the hours ...

Clinical Associates

CALL CENTER REPRESENTATIVE

Pikesville, MD · On-site

$15.25 - $19.25/hr

Call Center Representative At Clinical Associates , we make being healthy easier. We connect our patients to a seamless system of integrated medical care, which includes in-house specialists in areas ...

Global Channel Management

Call Center Rep

Phoenix, AZ · On-site

$16 - $19.75/hr

Call Center Rep Phoenix, Arizona, United States $ 18.00 - 19.00 (US Dollar) Call Center Rep needs 6 months of call center experience Call Center Rep requires: * Strong computer and phone skills.

Global Channel Management

Call Center Rep

Melvindale, MI · On-site

$14.75 - $18.50/hr

About the job Call Center Rep Call Center Rep needs 2+ years experience Call Center requires: * Excel (Sheet or formula) * DVI(Software for job lookup/ordering) * Incoming/outgoing calls * High ...

AYS

Call center representative

Indianapolis, IN · On-site

$15.25 - $19/hr

Call Center Representative Company Overview: AYS Inc is a leading provider of customer service solutions for businesses of all sizes. We specialize in providing exceptional call center services to ...

At Your School (AYS, Inc.)

Call center representative

$16.50 - $20.50/hr

Call Center Representative Indianapolis, Indiana, United States Remote Job Title: Call Center Representative Company Overview: AYS Inc is a leading provider of customer service solutions for ...

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Medicaid Call Center Representative information

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How much do medicaid call center representative jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for medicaid call center representative in the United States is $17.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $19.23 per hour, depending on experience, location, and employer.

What does a Medicaid Call Center Representative do?

A Medicaid Call Center Representative assists callers with questions related to Medicaid benefits, eligibility, applications, and renewals. They provide information about available health programs, help resolve issues with coverage or claims, and guide members through the enrollment process. Representatives often handle sensitive information and must follow privacy guidelines while delivering excellent customer service. Their role is essential in helping individuals access the healthcare services they need.

What are the key skills and qualifications needed to thrive as a Medicaid Call Center Representative?

To thrive as a Medicaid Call Center Representative, you need a solid understanding of Medicaid policies and procedures, strong customer service skills, and typically a high school diploma or equivalent. Familiarity with call center software, CRM systems, and secure data entry processes is important. Excellent communication, patience, and problem-solving abilities help representatives effectively address member concerns and navigate sensitive situations. These skills ensure accurate information delivery, efficient issue resolution, and a positive experience for Medicaid members.

What are the most common challenges faced by Medicaid Call Center Representatives, and how can they be managed?

Medicaid Call Center Representatives frequently handle high call volumes and interact with callers who may have complex questions or be experiencing stress regarding their healthcare coverage. Managing these challenges requires strong communication skills, patience, and the ability to remain calm under pressure. Representatives benefit from thorough training on Medicaid policies, access to up-to-date resources, and supportive team structures that encourage collaboration and knowledge sharing. Regular feedback and ongoing professional development also help to address challenges and improve service quality.

What is the difference between Medicaid Call Center Representative vs Medicaid Eligibility Specialist?

AspectMedicaid Call Center RepresentativeMedicaid Eligibility Specialist
Required CredentialsHigh school diploma; customer service experienceHigh school diploma; knowledge of Medicaid policies
Work EnvironmentCall centers, customer service settingsOffices, case management settings
Employer & Industry UsageHealth insurance providers, government agenciesState Medicaid offices, healthcare agencies
Common Search & ComparisonCustomer support roles in MedicaidEligibility determination roles in Medicaid

The Medicaid Call Center Representative primarily handles inbound calls, providing information and support to beneficiaries. In contrast, the Medicaid Eligibility Specialist focuses on assessing and determining eligibility for Medicaid services. Both roles require knowledge of Medicaid policies, but the Call Center Representative emphasizes customer service skills, while the Eligibility Specialist involves more case management and eligibility assessment tasks.

What cities are hiring for Medicaid Call Center Representative jobs?

Cities with the most Medicaid Call Center Representative job openings:

What states have the most Medicaid Call Center Representative jobs?

States with the most job openings for Medicaid Call Center Representative jobs include:

What are popular job titles related to Medicaid Call Center Representative jobs?

For Medicaid Call Center Representative jobs, the most frequently searched job titles are:

Medicaid Call Center Representative jobs near you
Infographic showing various Medicaid Call Center Representative job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 18% Part Time, and 2% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $37,257 per year, or $17.9 per hour.

Medicaid Call Center Representative - Tucker, GA (Hybrid)

Tucker, GA • Hybrid

Gainwell Technologies
Health Care and Social Assistance • 10K+ employees
Learn more about Gainwell Technologiesexternal

$29K - $41K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago

Key responsibilities

  • Provide knowledgeable responses to basic client questions and escalate complex cases as needed

  • Update account history, follow up with clients to confirm resolution of inquiries or requests, and resolve client problems

  • Collaborate with team members, management, and clients to resolve inquiries and review procedures for process improvements

Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

130th of 247 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

As a Medicaid Call Center Representative - Tucker, GA (Hybrid) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details on this position.

Your role in our mission

This is an important position in Gainwell's commitment to helping clients deliver better health and human services outcomes.

  • Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
  • Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved
  • Adhere to the client's SLAs and consistently meet production targets
  • Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
  • Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow
What we're looking for
  • Education: High school diploma or GED required.
  • Experience: At least two years of customer service experience required; call center experience is strongly preferred.
  • Communication & Problem Solving: Strong verbal communication and critical thinking skills, with the ability to de-escalate and resolve customer concerns effectively.
  • Time Management: Proven ability to manage time and prioritize tasks in a fast-paced environment.
  • Technical Skills: Basic computer proficiency, including navigating multiple systems and typing while on the phone.
What you should expect in this role

This is a hybrid position in Tucker, GA

Candidates will be required to complete a skills and competency assessment before advancing to the next stage of the selection process.

  • Hours of operation are Monday through Friday, 7:00 AM - 7:00 PM EST.
  • Onsite training length is 2 - 3 weeks at the Tucker location.   
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.
  • To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
    • To Test your internet download and upload speed:
    • Go to Google.
    • Search for Internet Speed Test or click here. 

Employee Benefits and Perks:

  • Health benefits (medical, dental, and vision) begin on Day 1 of employment.
  • 401(k) with company match and additional benefits become available within the first few months.
  • Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
  • Career growth and advancement opportunities are encouraged and supported.
  • A company-provided computer is supplied for work use.

    The deadline to submit applications for this posting is September 14, 2026

    #LI-HYBRID #LI-PP1 #LI-CM1

The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

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Hours and flexibility

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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