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Medicaid Customer Service Jobs (NOW HIRING)

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Medicaid Provider Revalidation

Medicaid Provider Revalidation This position is Medicaid Provider Revalidation. Research, verify ... Strong customer service experience, preferably in a provider services call center or credentialing ...

BCforward

Customer Service Representative

Austin, TX · On-site

$15.75 - $21.50/hr

Founded in 1998, BCforward has grown with our customers' needs into a full service personnel ... Provide unbiased assistance to Medicaid Clients and/or Medicaid Providers with questions regarding ...

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 ...

Artech L.L.C.

Customer Service Representative

Austin, TX · On-site

$15.75 - $21.50/hr

Health We are seeking a Customer Service professional to provide unbiased assistance to Medicaid providers and clients regarding eligibility, medical claims status, and other program-related ...

New

Medix

Medicaid Eligibility Specialist

Nyack, NY · On-site

$22 - $24/hr

Excellent communication, customer service, and interpersonal skills. * Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment. * Professional ...

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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.
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What are the most commonly searched types of Medicaid Customer Service jobs?

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What states have the most Medicaid Customer Service jobs?

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What job categories do people searching Medicaid Customer Service jobs look for?

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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.

Medicaid Specialist

Fox Subacute - Philadelphia

Philadelphia, PA

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Job description

About Fox Subacute Philadelphia

Fox Subacute Philadelphia is a 53-bed skilled nursing and subacute care facility specializing in the care of clinically complex respiratory and ventilator-dependent residents. We provide high-quality, patient-centered care in a supportive, home-like environment and are committed to excellence across both clinical and administrative operations.

Position Overview

Fox Subacute Philadelphia is seeking a detail-oriented and solution-driven Medicaid Specialist to support our admissions and reimbursement processes. This role plays a vital part in assisting residents and families with Medicaid applications, renewals, and eligibility verification, while also supporting private pay collections and admissions documentation.

The ideal candidate is extremely organized, proactive, and an excellent communicator, with the ability to manage multiple priorities in a fast-paced healthcare setting.

Compensation & Benefits

  • $23.00 per hour
  • Health, Dental, and Vision Insurance
  • Health Savings Account (HSA)
  • Retirement Plan with 401(k) Matching
  • Paid Time Off (PTO)
  • Life Insurance
  • Relocation Assistance (if applicable)

Key Responsibilities

  • Assist residents, families, or representatives with Medicaid applications and renewals
  • Collect, review, and organize required documentation (income, identification, residency, medical records, etc.)
  • Verify Medicaid eligibility and coverage status
  • Communicate with state Medicaid agencies regarding application status, updates, or corrections
  • Track deadlines and follow up on pending applications or missing documentation
  • Educate residents and families on Medicaid benefits, coverage limits, and renewal requirements
  • Maintain accurate, confidential records in compliance with HIPAA and privacy regulations
  • Support healthcare staff, social workers, and case managers with Medicaid-related tasks
  • Assist and obtain private pay collections weekly
  • Support admissions by filing and assisting with documentation
  • Stay informed on changes in Medicaid policies and eligibility rules

Required Skills & Experience

  • Strong organizational skills with excellent attention to detail
  • Ability to multitask and prioritize in a fast-paced healthcare environment
  • Excellent customer service, phone etiquette, and interpersonal communication skills
  • Strong written and verbal communication abilities
  • Strong skills in Microsoft office (Outlook, Excel, Word, etc.)
  • Ability to take initiative, problem-solve, and work independently
  • Experience in long-term care, skilled nursing, or healthcare administration is a plus
  • Knowledge of Medicaid processes or healthcare reimbursement preferred

Fox Subacute is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected status.

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