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Medicaid Customer Service Representative Jobs (NOW HIRING)

MMC Group

Bilingual Customer Service Rep. | CSR

Austin, TX

$15.50 - $19.50/hr

Provide accurate, unbiased assistance to Medicaid providers and clients regarding eligibility ... Center Representative, Customer Service Representative Bilingual, Medicaid Customer Support ...

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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 ...

Altus ACE

Customer Service Representative

Houston, TX

$15/hr

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 ...

Altus ACE

Customer Service Representative

Houston, TX · On-site

$15/hr

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 ...

LKLP

Customer Service Representative

Hazard, KY

$16.75 - $22.75/hr

... services. Reports primarily to Region 13 Transportation Area Manager. ESSENTIAL DUTIES AND ... Scheduling trips, adhering to Medicaid guidelines. Accesses digital material in reference to ...

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Medicaid Customer Service Representative information

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

As of Jul 13, 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 is the highest paid customer service job?

The highest paid customer service roles are often in management or specialized technical support, such as Customer Service Managers or Technical Support Directors, with salaries reaching six figures. These positions typically require extensive experience, leadership skills, and industry-specific knowledge, and may involve overseeing large teams or complex systems.

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 jobs pay 4000 a week without a degree?

Medicaid Customer Service Representatives typically do not earn $4,000 weekly; their pay is usually hourly or salary-based and varies by location and experience. High-paying jobs that can reach this level without a degree often include roles such as sales managers, real estate brokers, or skilled trades like electricians or plumbers, which may require certifications or licenses but not necessarily a college degree. These positions often involve experience, specialized skills, or commission-based income to achieve such earnings.

How can I make 2000 a week working from home?

A Medicaid Customer Service Representative can potentially earn $2,000 a week by working full-time, handling a high volume of calls, and gaining experience or specialized knowledge in Medicaid policies. Increasing productivity, working overtime, or taking on additional shifts can also boost earnings, especially if the role offers overtime pay or bonuses. Developing strong communication skills and familiarity with customer service tools can improve efficiency and income potential.

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 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.

How to become a healthcare 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 employers may require familiarity with Medicaid policies and the use of customer management software. Certification is not usually mandatory but can enhance job prospects.

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

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.
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:
What job categories do people searching Medicaid Customer Service Representative jobs look for? The top searched job categories for Medicaid Customer Service Representative jobs are:
Medicaid Customer Service Representative jobs near you
Infographic showing various Medicaid Customer Service Representative 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

Re-posted 10 days ago

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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