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Medicaid Customer Service Representative Jobs (NOW HIRING)

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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 ...

Customer Service Representative

North Haven, CT · On-site

$16 - $21.75/hr

Customer Service Representative The Customer Service Representative is responsible for supporting ... Must have ability to research and resolve issues related to Medicaid program and service ...

Bilingual Customer Service Representative

Austin, TX · On-site

$15.25 - $19.25/hr

Bilingual Customer Service Representative We are looking for a Bilingual Customer Service ... In this role, you will assist Medicaid providers and clients by addressing inquiries, resolving ...

Customer Service Representative

Atlanta, GA · On-site

$15.50 - $21/hr

Customer Service Representative Continuum Fiscal Services Location: Atlanta, Georgia Position Type ... Experience working with Medicaid waiver programs or fiscal intermediary services . * Experience ...

Customer Service Representative (Medicaid & Medicare) Reports To: Member Engagement Manager Location: Houston, TX Salary: Up to $15 per hour Depending on Experience Status: Hourly, Non-exempt Number ...

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Customer Service Representative Position Reports to : Customer Service Supervisor/Manager Position ... Medicare/Medicaid and insurance billing, bookkeeping or medical office experience preferred ...

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Medicaid Customer Service Representative information

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$9

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$26

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

As of Aug 19, 2026, the average hourly pay for medicaid customer service representative 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 Medicaid Customer Service Representative do?

A Medicaid Customer Service Representative assists Medicaid recipients by answering questions about their health coverage, eligibility, and benefits. They help clients resolve issues related to claims, enrollment, and service providers. Representatives also provide information on program policies, guide clients through application processes, and ensure that members understand their rights and responsibilities. Their primary goal is to offer accurate, compassionate, and timely support to Medicaid beneficiaries.

What are the key skills and qualifications needed to thrive as a Medicaid Customer Service Representative?

To thrive as a Medicaid Customer Service Representative, you need knowledge of Medicaid policies, eligibility requirements, and customer service best practices, often backed by a high school diploma or equivalent. Familiarity with call center systems, case management software, and electronic documentation tools is typically required. Strong communication, active listening, patience, and problem-solving abilities help you effectively assist diverse clients and handle sensitive situations. These skills are essential for ensuring accurate support, maintaining compliance, and providing a positive experience for Medicaid beneficiaries.

What are some common challenges faced by Medicaid Customer Service Representatives and how can they be managed?

Medicaid Customer Service Representatives often encounter challenges such as handling high call volumes, addressing complex eligibility questions, and assisting clients who may be frustrated or confused about their coverage. Successfully managing these situations requires strong communication skills, patience, and a thorough understanding of Medicaid policies and procedures. Many organizations provide ongoing training and resources to help representatives stay updated and effectively support members, while teamwork and supervisor support are also key components in navigating these daily challenges.

What is the difference between Medicaid Customer Service Representative vs Medicaid Claims Specialist?

AspectMedicaid Customer Service RepresentativeMedicaid Claims Specialist
Required CredentialsHigh school diploma; some roles may prefer post-secondary educationHigh school diploma; certifications in claims processing are a plus
Work EnvironmentCall centers, customer support officesClaims processing departments, administrative offices
Employer & Industry UsageState Medicaid agencies, health insurance providersState Medicaid agencies, healthcare organizations
Common Search & Comparison IntentCustomer support, assistance, inquiriesClaims processing, billing, reimbursement

While both roles work within Medicaid programs, Medicaid Customer Service Representatives primarily handle member inquiries and provide support, whereas Medicaid Claims Specialists focus on processing claims and ensuring accurate reimbursement. Understanding these differences helps job seekers identify the right career path within Medicaid services.

More about Medicaid Customer Service Representative jobs

What cities are hiring for Medicaid Customer Service Representative jobs?

Cities with the most Medicaid Customer Service Representative job openings:

What states have the most Medicaid Customer Service Representative jobs?

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

Infographic showing various Medicaid Customer Service Representative 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.

$16.50 - $22.50/hr

Full-time

Re-posted 22 hours ago


Job description

Customer Service Responsibilities include: Creating detailed business plans to facilitate the attainment of goals and quotas Managing the entire sales cycle from finding a client to securing a deal Unearthing new sales opportunities through networking and turn them into long term partnerships Job brief We are looking for a competent Account Executive to find business opportunities and manage customer relationships. You'll be directly responsible for the preservation and expansion of our customer base. The ideal candidate will have talent in sales and experience in customer service.

We expect you to be a reliable professional able to achieve balance between customer orientation and a results-driven approach. The goal is to find opportunities and turn them in long-term profitable relationships based on trust and mutual satisfaction. Responsibilities Create detailed business plans to facilitate the attainment of goals and quotas Manage the entire sales cycle from finding a client to securing a deal Unearth new sales opportunities through networking and turn them into long term partnerships Present products to prospective clients Provide professional after-sales support to enhance the customers' dedication Remain in frequent contact with the clients in your responsibility to understand their needs Respond to complaints and resolve issues aiming to customer contentment and the preservation of the company's reputation Negotiate agreements and keep records of sales and data equirements Proven experience as an Account Executive, or in other sales/customer service role Knowledge of market research, sales and negotiating principles Outstanding knowledge of MS Office; knowledge of CRM software (eg.

Salesforce) is a plus Excellent communication/presentation skills and ability to build relationships Organizational and time-management skills A business acumen Enthusiastic and passionate BSc or BA in business administration, sales or marketing