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Medicaid Customer Service Jobs (NOW HIRING)

MMC Group

Bilingual Customer Service Rep. | CSR

Austin, TX · On-site

$15.50 - $19.50/hr

Provide accurate, unbiased assistance to Medicaid providers and clients regarding eligibility ... Proven customer service and problem resolution abilities * Ability to multitask across multiple ...

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Customer Service Representative

Tampa, FL · On-site

$18/hr

Customer Support Representative - Medicaid & Medicare Insurance ( Remote Working Setup after Training ) Location: Tampa Bay, FL Our client is a leading provider of health insurance services ...

lhs

Customer service and collections * PointClickCare (PCC) documentation and workflows * Contribute to audits, compliance reviews, and internal reporting related to Medicaid and reimbursement. Education ...

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Medicaid Customer Service information

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How much do medicaid customer service jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for 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 are the key skills and qualifications needed to thrive in the Medicaid Customer Service position, and why are they important?

To excel as a Medicaid Customer Service representative, you need strong communication skills, attention to detail, and a good understanding of Medicaid policies and procedures, often paired with a high school diploma or relevant experience. Familiarity with customer relationship management (CRM) software, call center phone systems, and eligibility screening tools is typically required. Patience, empathy, and problem-solving abilities are standout soft skills for managing diverse customer situations. These competencies are crucial for providing accurate information, resolving concerns efficiently, and supporting vulnerable populations in navigating their healthcare benefits.

What is a Medicaid Customer Service job?

A Medicaid Customer Service job involves assisting Medicaid recipients, providers, and the general public with inquiries about benefits, eligibility, claims, and program guidelines. Representatives typically handle phone calls, emails, or chat inquiries to resolve issues, provide accurate information, and guide individuals through Medicaid processes. The role requires strong communication skills, knowledge of Medicaid policies, and the ability to handle sensitive information with confidentiality and empathy.

What are the typical daily responsibilities of a Medicaid Customer Service representative?

As a Medicaid Customer Service representative, your daily tasks will include answering inbound calls from Medicaid members, assisting with benefits inquiries, explaining program eligibility, and helping resolve claim issues. You may also update member records, document interactions using CRM software, and escalate complex concerns to higher-level support or case managers as needed. Collaboration with team members, healthcare providers, and state agencies is common, so clear and professional communication is essential. This role offers the opportunity to make a real difference in members' lives by guiding them through their healthcare options and ensuring they receive the coverage and support they need.

More about Medicaid Customer Service jobs
What cities are hiring for Medicaid Customer Service jobs? Cities with the most Medicaid Customer Service job openings:
What are the most commonly searched types of Medicaid Customer Service jobs? The most popular types of Medicaid Customer Service jobs are:
What states have the most Medicaid Customer Service jobs? States with the most job openings for Medicaid Customer Service jobs include:
What job categories do people searching Medicaid Customer Service jobs look for? The top searched job categories for Medicaid Customer Service jobs are:
Medicaid Customer Service jobs near you
Infographic showing various Medicaid Customer Service job openings in the United States as of July 2026, with employment types broken down into 78% Full Time, 20% Part Time, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.
Medicaid Customer Service Representative (***)

Medicaid Customer Service Representative (***)

Moda Health

Milwaukie, OR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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

Moda Health rating

8.5

Company rating: 8.5 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

89th of 281 rated insurance

Job description

Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.


Job Summary:
Are you a problem-solver with excellent communication skills who thrives in a fast-paced, team-driven environment?
We’re looking for a Medicaid Customer Service Representative to join our team and deliver exceptional service to members of the Oregon Health Plan (OHP). This is a full-time WFH position with availability required from 7:30 AM–5:30 PM, Monday through Friday.

Pay Range
$18.39 - $20.58 hourly, DOE.
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position:

https://j.brt.mv/jb.do?reqGK=27774866&refresh=true

Benefits:

  1. Medical, Dental, Vision, Pharmacy, Life, & Disability
  2. 401K- Matching
  3. FSA
  4. Employee Assistance Program
  5. PTO and Company Paid Holidays

Required Qualifications

  • At least 1 year of experience in a medical insurance or healthcare-related field.
  • Minimum 1 year of call center or customer service experience.
  • High School Diploma or equivalent.
  • Strong computer skills, including typing, 10-key, and Microsoft Office proficiency.
  • Ability to consistently meet Moda’s attendance and punctuality standards as part of job performance expectations.
  • High speed internet (cable or fiber)

Preferred Qualifications

  • Experience with medical health insurance or government healthcare programs.
  • Knowledge of medical terminology.
  • Medical billing and coding experience
  • Experience with trauma informed care model

Primary Functions:

  • Answer a high volume of calls with professionalism, empathy, and a commitment to solving customer concerns.
  • Provide accurate, timely information about OHP medical and pharmacy benefits.
  • Research and resolve complex inquiries to ensure customer satisfaction.
  • Maintain confidentiality and adhere to privacy policies and HIPAA regulations.
  • Document calls thoroughly and efficiently using the latest software tools.
  • Collaborate with a supportive team and experienced leadership to ensure the best outcomes.
  • Continuously adapt to evolving customer needs in a dynamic work environment.

Why Join Us?

  • Comprehensive Training: We’ll set you up for success with the tools and knowledge you need.
  • Professional Growth: Explore opportunities for career advancement within a growing organization.
  • Collaborative Environment: Be part of a team that values innovation, diversity, and mutual support.

Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.

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