ZipRecruiter

Log In

1

Medicaid Customer Service Representative Jobs (NOW HIRING)

BCForward

Customer Service Representative

Austin, TX · On-site

$15 - $20/hr

Customer Service Representative Location: Austin, 12365 Riata Trace Pkwy, ACN OPS Duration: 10 ... Respond to high-volume inbound calls regarding Medicaid eligibility, medical claims status, and ...

Surge LLC

Customer Service Representative

Tupelo, MS · On-site

$14 - $16/hr

Customer Service Representative (CSR) Pay Rate: $14.00-$16.00/hour, depending on experience ... Manage patient intake and verify insurance coverage, including Medicare, Medicaid, and private ...

New

NationsBenefits

Customer Service Representative

$16.50 - $22.25/hr

Member Services Representative NationsBenefits is recognized as one of the fastest-growing ... Working knowledge of Medicare and Medicaid programs preferred. * Excellent verbal and written ...

next page

Showing results 1-20

All JobsGovernment JobsFederal Government JobsMedicaid Specialist JobsMedicaid Customer Service Representative Jobs

Medicaid Customer Service Representative information

See salary details

$9

$18

$26

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

As of Sep 8, 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:

What are popular job titles related to Medicaid Customer Service Representative jobs?

For Medicaid Customer Service Representative jobs, the most frequently searched job titles are:

Medicaid Customer Service Representative jobs near you
Infographic showing various Medicaid Customer Service Representative job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service Representative

Tampa, FL • On-site

Leeds Professional Resources
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Leeds Professional Resourcesexternal

$14.50 - $19.75/hr

Other

Re-posted 11 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.



Apply