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Medicare Representative Jobs (NOW HIRING)

Exact Medicare

Medicare Sales Agent

Charlotte, NC · Remote

$50K - $150K/yr

1099 Medicare Sales Agent - Position Title: Independent Medicare Sales Agent (with leads in your area for in person sales) OR 1099 Telesales Agent Inbound & Outbound calls provided Job Type: Contract ...

Senior Coverage Solutions LLC

Be Seen First

Medicare Sales Representative

Houston, TX · Remote

The Medicare Sales Representative is responsible for helping seniors navigate their healthcare options by educating and enrolling them in Medicare Advantage, Medicare Supplement, and Prescription ...

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Centene

Sales Representative (Medicare)

$48K - $82K/yr

Medicare Advantage sales experience is strongly preferred. Position Purpose: Provide sales coverage ... representatives and company operations * Performs other duties as assigned * Complies with all ...

Centene

Sales Representative (Medicare)

$48K - $82K/yr

Medicare Advantage sales is strongly preferred. * Bilingual English/Spanish skills are preferred ... representatives and company operations * Performs other duties as assigned * Complies with all ...

Centene

Sales Representative (Medicare)

Manhattan, NY · On-site +1

$48K - $82K/yr

Medicare Advantage sales experience is strongly preferred. Position Purpose: Provide sales coverage ... representatives and company operations * Performs other duties as assigned * Complies with all ...

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Medicare Representative information

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How much do medicare representative jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for medicare representative in the United States is $26.77, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What does a Medicare representative do?

A Medicare Representative assists beneficiaries in understanding and enrolling in Medicare plans, answering questions about coverage, eligibility, and benefits. They often help individuals navigate the complexities of Medicare Part A, B, C, and D, and provide guidance on plan options and costs. Additionally, they may resolve issues related to claims, billing, or appeals, and ensure that clients receive the benefits they are entitled to. Their role is crucial in helping seniors and eligible individuals make informed healthcare decisions.

What are the key skills and qualifications needed to thrive as a Medicare representative, and why are they important?

To thrive as a Medicare Representative, you need in-depth knowledge of Medicare regulations, eligibility criteria, and health insurance processes, often supported by experience in healthcare or insurance roles. Familiarity with CRM systems, claims management software, and regulatory compliance tools is typically required. Excellent communication, patience, and problem-solving abilities help build trust and effectively assist clients navigating complex coverage options. These skills ensure clients receive accurate guidance and support, leading to higher satisfaction and compliance with federal standards.

What are some common challenges faced by Medicare representatives when assisting clients with enrollment and plan selection?

Medicare Representatives often encounter challenges such as explaining complex plan options, navigating frequent policy changes, and addressing clients' unique health and financial needs. Many clients may feel overwhelmed by the differences between Medicare Parts A, B, C, and D, as well as supplemental plans, requiring representatives to communicate clearly and patiently. Additionally, staying up-to-date with regulatory updates and ensuring compliance is essential. Building trust and rapport with clients is key to helping them make informed decisions.

What is the difference between Medicare Representative vs Insurance Claims Processor?

AspectMedicare RepresentativeInsurance Claims Processor
Required CredentialsHigh school diploma; knowledge of Medicare policiesHigh school diploma; familiarity with insurance policies
Work EnvironmentHealthcare offices, government agenciesInsurance companies, healthcare facilities
Employer & IndustryMedicare/healthcare industryInsurance industry, healthcare providers
Common Search & ComparisonYesYes

Medicare Representatives primarily assist beneficiaries with Medicare plans, eligibility, and enrollment, working within healthcare or government agencies. Insurance Claims Processors handle the review and processing of insurance claims across various insurance types, including health insurance. While both roles require knowledge of insurance policies and customer service skills, Medicare Representatives focus specifically on Medicare-related services, making them distinct yet related roles within the healthcare and insurance sectors.

Do Medicare representatives get paid?

Medicare representatives are typically paid a salary or commission based on sales performance and customer service metrics. Compensation can vary depending on the employer, location, and whether the role is full-time or part-time, often including benefits and incentives. They may also need to complete training and obtain certifications related to Medicare policies.

How to become a Medicare representative?

To become a Medicare representative, individuals typically need a high school diploma or equivalent and must complete training on Medicare policies and products. Many employers require certification through the Centers for Medicare & Medicaid Services (CMS) or other relevant licensing, and strong communication skills are essential for explaining plans to clients.
More about Medicare Representative jobs

What states have the most Medicare Representative jobs?

States with the most job openings for Medicare Representative jobs include:

What job categories do people searching Medicare Representative jobs look for?

The top searched job categories for Medicare Representative jobs are:

Medicare Representative jobs near you
Infographic showing various Medicare Representative job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 64% Physical, 1% Hybrid, and 35% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

Billing Coordinator (Medicare & Medicaid)

Care Alternatives Hospice Services, LLC

Clark, NJ • On-site

$52 - $72/hr

Other

Medical, Retirement, PTO

Posted 5 days ago

Job description

Now Hiring - Billing Coordinator (Medicare & Medicaid Billing)

TheBilling Coordinator (Medicare & Medicaid Billing)is responsible for, but not limited to:

  1. Routinely monitors all high balance accounts to ensure follow up activity.
  2. Ensures all primary and secondary billing is followed up in a timely manner.
  3. Develops monthly action plans to lower receivable and increase cash flow.
  4. Ensures all applicable regulations and laws are met.
  5. Demonstrates confidence and knowledge of Medicaid and Medicare billing processes and systems.
  6. Works closely with Medicaid and Medicare representative to ensure that all payments and allowances are accurate.
  7. Submits NOE for assigned payors.
  8. Follow up on certification and re-certification pending list.
  9. Follow up with office staff on all Medicaid pending.
  10. Serves as nursing facility liaison on Medicaid related issues.
  11. Analyzes and posts Medicaid remittance advices.
  12. Informs Manager of any Medicaid related issues of importance.
  13. Has proficiency in utilizing patient accounting system.
  14. Ensures that patient income is accurately reflected in patient accounting system.
  15. Ensures that Medicaid room and board payments to nursing facilities are processed in a timely manner.
  16. Ensures that appropriate documentation is completed by hospice staff to meet billing requirements. Interact withn office staff.
  17. Answers inquiries regarding financial data, accounting and billing.
  18. Maintains and submits monthly records of In-Patient Unit and Respite admissions.
  19. Maintains and submits monthly records of all private insurance patients.
  20. Verifies all incoming accounts.
  21. Performs insurance billing and payment audits periodically.
  22. Sends letters to facilities to confirm discharges and revocations.

Ascend Hospice- is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees.

We are proud to Offer:

  • Competitive Salaries
  • Comprehensive Healthcare Benefits
  • 401(k) Retirement Plan
  • Paid Time Off
  • Mileage Reimbursement
  • Opportunities to advance and grow your career
  • And More!

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide.

Ascend Hospice is an Equal Opportunity Employer

EEO/AA/M/F/DV

Education:

High School Diploma or Equivalent

Professional Experience:

  • 4 years of related Billing experience
  • Experience with health care or hospice
  • Strong knowledge of Microsoft Office Applications, specifically Excel
  • Knowledge of state and federal billing and audit requirements

Great new Career Opportunity in Hospice!

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