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Medicaid Customer Service Jobs (NOW HIRING)

Rehab Healthcare Center

Medicaid Coordinator

Hempstead, NY · On-site

$70K - $75K/yr

Medicaid Coordinator Location: Nassau County, New York Shift: Full-Time Salary: $70,000 - $75,000 ... Excellent communication, customer service, and interpersonal skills. * Strong attention to detail ...

Legacy Health Service

Mobile Medicaid Liaison

Parma, OH · On-site

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

Sweetwater Care

Medicaid Specialist

Boston, MA · On-site

Excellent communication and customer service skills * Ability to work in a fast-paced environment and prioritize tasks effectively * Familiarity with Medicaid regulations and procedures If you are a ...

lhs

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

Fox Subacute

Medicaid Specialist

Philadelphia, PA · On-site

$23/hr

Excellent customer service, phone etiquette, and interpersonal communication skills * Strong ... Knowledge of Medicaid processes or healthcare reimbursement preferred Fox Subacute is an Equal ...

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Medicaid Customer Service information

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How much do medicaid customer service jobs pay per hour?

As of Aug 23, 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 is a Medicaid Customer Service?

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.

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.

How to become a Medicaid Customer Service eligibility specialist?

To become a Medicaid Customer Service eligibility specialist, candidates typically need a high school diploma or equivalent, strong communication skills, and experience in customer service or social services. Some positions may require knowledge of Medicaid policies and the use of case management or customer support software. Certification or training in Medicaid programs can enhance job prospects.

How to become a Medicaid customer service representative?

To become a Medicaid customer service representative, candidates typically need a high school diploma or equivalent, strong communication skills, and experience with customer service or healthcare systems. Some positions may require familiarity with Medicaid policies and the use of customer management software, and on-the-job training is often provided.
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 August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% 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.

Customer Service Representative

Leeds Professional Resources

Tampa, FL • On-site

$14.50 - $19.75/hr

Other

Re-posted 25 days ago

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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