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Medicare Customer Service Representative Jobs (NOW HIRING)

LHH US

Customer Service Representative

Atlanta, GA

$20 - $25/hr

Bilingual Customer Service Representative (Insurance) Position Summary We are seeking a customer ... Familiarity with Medicare, CMS guidelines, or insurance policies and procedures * Prior experience ...

CentroMed

Customer Service Representative

San Antonio, TX

$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 ...

Domino's

Customer Service Representative (CSR)

Plymouth, NH · On-site

$16.50 - $22.50/hr

Customer Service Representative (CSR) Customer Service Representative: 15 N Main Street, Northfield VT The Customer Service Representative will WOW the customer by making sure they have a positive ...

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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 Jun 13, 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.

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 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.

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 40% Full Time, and 60% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service Representative

Neighborhood Improvement Project Inc

Aiken, SC • On-site

$12.25 - $16.50/hr

Full-time

Posted 6 days ago

Job description

Position Summary

The Customer Service Representative (CSR) supports efficient clinic operations by providing high-quality front-desk services, including patient registration, appointment scheduling, and insurance verification. This role ensures a welcoming environment while maintaining accuracy and professionalism in all patient interactions. As a key point of contact, the CSR represents the organization and is expected to uphold high standards of service and confidentiality.

Responsibilities and Duties

  • Greet patients and visitors in a courteous, professional manner.
  • Register patients accurately in the electronic health record (EHR), including obtaining consents and verifying insurance.
  • Communicate co-pays and financial responsibilities; collect payments and issue receipts.
  • Schedule, cancel, and confirm appointments according to clinic protocol.
  • Process medical record requests in compliance with privacy regulations.
  • Maintain and update sliding fee scale (SFS) applications and calculate discounts as needed.
  • Perform insurance eligibility checks and secure required authorizations.
  • Monitor and manage incoming phone calls; take and relay accurate messages.
  • Coordinate with clinical staff for schedule adjustments or urgent appointment needs.
  • Maintain accurate records and logs, including no-shows, cancellations, and appointment reminders.
  • Scan and upload documents to the EHR system in a timely and accurate manner.
  • Balance cash drawer and complete end-of-day closeout procedures.
  • Follow all organizational policies, procedures, and safety guidelines.
  • Provide Good Faith Estimate (GFE) for uninsured or self-pay patients in accordance with the No surprise Act guidelines.
  • Perform other duties as assigned.

Qualifications

Knowledge, Skills, and Abilities:

  • Strong customer service and communication skills.
  • Proficiency with computers and office equipment.
  • Ability to multitask and work in a fast-paced environment.
  • Knowledge of commercial, Medicare, and Medicaid insurance requirements.
  • Strong organizational skills and attention to detail.
  • Ability to always maintain confidentiality and professionalism.

Education

  • High School diploma or GED required

Experience

  • Minimum of 1 year in a customer service or healthcare setting is preferred.
  • Experience with EHR systems is desirable.
  • Knowledge of medical terminology and insurance processes is preferred.

Physical Demands

  • Prolonged periods of sitting and computer use.
  • Occasional bending, stooping, and lifting to 30 pounds.
  • Frequent interaction with patients, including those who may be ill.
  • Normal hearing and vision required for communication and data entry.

Work Environment

  • High-stress, fast-paced environment.
  • Office based clinical environment within healthcare setting
  • Work is primarily indoors with extended periods of computer use.


Disclaimer:

The above is intended to describe the job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not to be construed as an exhaustive statement of supplemental duties, responsibilities, or non-essential requirements.

Medical Associates Plus is an Equal Opportunity Employer and does not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, veteran status, basis of disability or any other federal, state or local protected class.