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Medicaid Customer Service Representative Jobs (NOW HIRING)

Customer Service Representative

San Antonio, TX · On-site

$14.50 - $19.75/hr

Customer Service Representative CentroMed is a 501(c)(3) non-profit organization that provides ... Demonstrate an excellent understanding of insurance (especially Medicaid, Medicare, and CHIP) and ...

Customer Service Representative

Irving, TX · On-site

$15.25 - $21/hr

Customer Service Representative Tempo Service Company Profile - Tempo Air has proudly served the cooling and heating needs of the Dallas-Fort Worth residential community since 1966. Tempo, Inc ...

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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 Sep 9, 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:

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 (Full Time)

Whiteville, NC • On-site

Liberty Medical Specialties
51 - 200 employees

$13.25 - $18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Job description

Liberty Medical Specialties, Inc. - a leading provider of home medical equipment, supplies and services - is looking for a full time Customer Service Representative in Whiteville, NC!


The position of Customer Service Representative (CSR) performs the initial intake of patient referrals and customers, processes insurance benefits verification and provides basic equipment demonstration.  The CSR is also responsible for preparing and managing paperwork and other documentation required for effective billing and collections.


Duties of the CSR position include, but are not limited to, the following:

  • Order taking and basic customer service functions, including collections of patient demographic, medical and therapy information, as well as insurance financial information and documentation.
  • Process retail sales transactions and maintain retail inventory when applicable.
  • Coordinate with warehouse/distribution to ensure proper delivery, set-up/pick-up of equipment and/or supplies
  • Coordinate (via telephone or in person) with customers and referral sources concerning updates and/or changes, as well as received orders for changes or discontinuance of services.
  • Participate in weekly on-call rotation ( not effective immediately: only after successful completion of training requirements).


MUST HAVES:

  • Basic knowledge/familiarity with medical terminology and diagnostic codes.
  • Recent experience with insurance verification, healthcare benefits assessment and paperwork/documentation for billing Medicare, Medicaid and private insurances
  • Good organizational skills
  • Effective communication skills
  • Dependable attendance
  • High School Diploma
  • Must pass drug test


DESIRED QUALIFICATIONS (will be given preference):

     At least some college education

     At least 6 months of recent, related experience.


FULL TIME POSITION - benefits (medical, dental, vision, life insurance, PTO, Holiday pay, 401(k) & more)

COMPENSATION - Hourly wage


APPLY ONLINE TODAY!  Simply Click "Apply" at the top of this page.


No phone calls please.


Liberty Medical Specialties is a family-owned company that opened in October of 1993 with one location.  Today, the company services patients throughout the Carolinas and beyond with branches across the state.  We are dedicated to providing quality care to our patients; from our family to yours.


We comply with the Equal Employment Opportunity Commission and are dedicated to a fair hiring process.  We do not make hiring decisions based on race, color, religion, sex ( including pregnancy), national origin, age, disability or genetic information.