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Medicare Customer Service Representative Jobs (NOW HIRING)

WPS Inc

Medicare Customer Service Rep

$19.60/hr

Our Medicare Customer Service Rep plays a critical role in providing responses to telephone inquiries from medical providers or representatives related to a wide range of Medicare topics involving ...

Hire Talent

Customer Service Representative

$16.50 - $22.25/hr

Customer Service Representative The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions ...

TEKsystems

Customer Service Representative

Vail, CO · Remote

$20 - $21/hr

Customer Service Representative (Healthcare Billing) 100% Remote | Contract (6+ months) Full-Time | ... Respond to insurance carriers (commercial, Medicare, workers' comp, auto) * Maintain accurate ...

Unified Care Services

CUSTOMER SERVICE REP

Miami, FL · On-site

$18 - $20/hr

The CSR is responsible for answering calls, processing orders, verifying insurance, and providing ... Stay informed of changes in insurance guidelines, Medicare/Medicaid policies, and company ...

Shah Eye Center

Customer Service Representative

Mission, TX · On-site

$12.25 - $16.75/hr

Call Center Customer Service Representative/Operator screens income calls regarding general ... with Medicare, Medicaid, OSHA, HIPAA, OIG, and any other legal and/or contractual obligations.

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Medicare Customer Service Representative information

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

As of Jul 5, 2026, the average hourly pay for medicare 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.

How much do agents get paid for Medicare supplement plans?

Medicare Customer Service Representatives typically earn an hourly wage or a salary, which can range from $15 to $25 per hour depending on experience, location, and employer. Some agents may also receive commissions or bonuses based on sales performance, especially if they are licensed to sell Medicare supplement plans directly. Compensation structures vary by company and role specifics, with customer service roles often focusing on support rather than sales commissions.

What is a Medicare Customer Service Representative job?

A Medicare Customer Service Representative assists beneficiaries by answering questions about Medicare plans, coverage, claims, and billing. They help resolve issues, provide enrollment guidance, and ensure customers understand their benefits. Representatives typically communicate via phone, email, or chat, delivering accurate and courteous support. Strong customer service skills, knowledge of Medicare policies, and attention to detail are essential for this role.

What are the key skills and qualifications needed to thrive in the Medicare Customer Service Representative position, and why are they important?

To thrive as a Medicare Customer Service Representative, you need strong communication skills, knowledge of Medicare policies, and prior customer service experience, often supported by a high school diploma or equivalent. Familiarity with call center software, CRM systems, and the ability to quickly reference Medicare databases is important. Patience, active listening, and a solutions-oriented mindset help you effectively resolve complex inquiries and provide excellent support. These skills are critical for ensuring customer satisfaction, accurate information delivery, and compliance in a regulated healthcare environment.

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 knowledge, and may involve overseeing large teams or complex systems.

What are the most common challenges faced by Medicare Customer Service Representatives, and how are they addressed?

Medicare Customer Service Representatives often encounter challenges such as explaining complex policy details, handling high call volumes, and assisting customers with sensitive healthcare issues. To address these, representatives receive comprehensive training on Medicare regulations and access to detailed reference materials to ensure accurate information sharing. Regular team meetings and support from supervisors help navigate difficult cases, while structured workflows and robust software streamline case management. Being adaptable and remaining calm under pressure are key to effectively overcoming these challenges and providing great service.

Is being a Medicare agent worth it?

A Medicare Customer Service Representative helps clients understand and enroll in Medicare plans, often requiring strong communication skills and knowledge of healthcare options. The role can offer steady employment, commission opportunities, and the chance to assist seniors, but income and job satisfaction depend on experience, location, and employer support.

How to become a Medicare representative?

To become a Medicare Customer Service Representative, candidates typically need a high school diploma or equivalent, strong communication skills, and familiarity with Medicare programs. Some employers may require prior customer service experience or knowledge of healthcare policies, and training is often provided on the job. Certification is not mandatory but can enhance job prospects.
More about Medicare Customer Service Representative jobs
What cities are hiring for Medicare Customer Service Representative jobs? Cities with the most Medicare Customer Service Representative job openings:
What are the most commonly searched types of Medicare Customer Service Representative jobs? The most popular types of Medicare Customer Service Representative jobs are:
What states have the most Medicare Customer Service Representative jobs? States with the most job openings for Medicare Customer Service Representative jobs include:
What job categories do people searching Medicare Customer Service Representative jobs look for? The top searched job categories for Medicare Customer Service Representative jobs are:
Medicare Customer Service Representative jobs near you
Infographic showing various Medicare Customer Service Representative job openings in the United States as of June 2026, with employment types broken down into 44% Full Time, 50% Part Time, 1% Temporary, 4% Contract, and 1% Nights. Highlights an 72% Physical, 1% Hybrid, and 27% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.
Medicare Customer Service Rep

Medicare Customer Service Rep

WPS Inc

Remote

$19.60/hr

Other

Medical, Dental, Retirement, PTO

Posted 4 days ago

Job description

Our Medicare Customer Service Rep plays a critical role in providing responses to telephone inquiries from medical providers or representatives related to a wide range of Medicare topics involving Part A (hospital insurance) and/or Part B (medical insurance). They are accountable to educate customers on coverage, claim submission, and use of self-service offerings. Success is accomplished by navigating multiple systems to research and resolve inquiries with a clear, accurate, and easy to understand response. Preference will be given to those that have Medicare and call center experience.
Additional Information

  • Start Date: 8/25/26
  • Starting hourly rate: $19.60/hour and may vary based on county SCA rates.
  • Training Location/Schedule: Mandatory Training - First 5 weeks Monday-Friday from 7:30 AM – 4:05 PM Central Standard Time (CST)
  • Scheduled Shift: After training - Shifts can start as early as 6:55 or as late as 8:30 AM CST and are 8 hours. This is based off business need.
  • Work from Home: This is a 100% remote opportunity within any of our approved remote worker states.
We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin
How do I know this opportunity is right for me? If you:
  • Can provide responses to provider (and other third-party contacts) calls relating to Part A and/or Part B General Inquiries, Part A Appeals Status, Part B Reopening’s, and/or Part A and Part B Provider Enrollment Inquiries.
  • Would enjoy assisting and educating providers on Medicare regulations on inquiries by utilizing CMS guidelines, publications, and reference materials to ensure correct claim submission.
  • Can enroll providers with recurrent concerns or errors into contact programs for intensive education.
  • Would like to maintain knowledge of A and/or B processing systems and applications required for job functions, including Multi-Carrier System Desktop (MCSDT), Fiscal Intermediary Shared System (FISS), Common Working File (CWF), CMS Secure Net Access Portal (SNAP), Provider Enrollment Chain and Ownership System (PECOS), OnBase, Medicare Appeals System (MAS,) and Customer Relations Management System (CRM).
  • Like to work with internal and external customers to obtain information required to respond to and ensure consistency in the resolution of inquiry-related issues.
  • Can assist the department in meeting CMS performance and award fee metrics and all quality and quantity standards.
  • Would enjoy supporting other departments within the division as needed, to ensure CMS performance requirements are maintained.
  • Want to ensure adherence to regulatory guidelines (i.e., HIPAA, CMS) when providing information and can service to members and providers.
Minimum Qualifications
  • High School Diploma or GED or equivalent.
  • 1 or more years of customer service experience working with health insurance and / or Medicare.
  • Ability to function in a fast paced, high volume call center environment
  • Proficiency in Microsoft Office Suite and customer service software.
  • Strong verbal and written communication skills with the ability to effectively explain complex information.
  • Solid ability to multitask, prioritize, and manage time effectively in a fast-paced environment.
  • Ability to maintain a high level of accuracy and attention to detail.
Preferred Qualifications
  • 1 or more years of Medicare customer service experience and/or claims processing.
  • Solid knowledge of Medicare Part A and/or Part B program guidelines.
  • Solid knowledge of insurance, medical coding and medical terminology.
Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer
  • High speed cable or fiber internet
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
  • Please review Remote Worker FAQs for additional information
Benefits
  • Remote work options available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Employee Resource Groups
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS’ culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce—both current and future—to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
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This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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