It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Medicaid Customer Service Representative to join our team and deliver exceptional service to ...
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39 Moda Health Customer Service Representative Jobs Hiring Near You
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Medicaid Customer Service Representative to join our team and deliver exceptional service to ...
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Provides courteous and accurate customer service to members, family members and care providers.
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About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Provides courteous and accurate customer service to members, family members and care providers.
... customer service to assigned groups or accounts, and generation of ID cards for all Moda Health and BHS lines of business including; Individual, Medicare, Medicaid, (CCO and DCO) and Employer Group ...
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... customer service to assigned groups or accounts, and generation of ID cards for all Moda Health and BHS lines of business including; Individual, Medicare, Medicaid, (CCO and DCO) and Employer Group ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... customer service preferred. * Demonstrated knowledge of CMS rules for Medicare and Medicaid ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... customer service preferred. * Demonstrated knowledge of CMS rules for Medicare and Medicaid ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... customer service preferred. * Demonstrated knowledge of CMS rules for Medicare and Medicaid ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... customer service preferred. * Demonstrated knowledge of CMS rules for Medicare and Medicaid ...
Medical Claims Support I
Milwaukie, OR · On-site
Excellent knowledge and understanding of Moda Health administrative policies affecting claims and customer service. * Demonstrates work habits that consistently exceeds Moda Health standards of ...
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Medical Claims Support I
Milwaukie, OR · On-site
Excellent knowledge and understanding of Moda Health administrative policies affecting claims and customer service. * Demonstrates work habits that consistently exceeds Moda Health standards of ...
Provider Correspond Coord I
Milwaukie, OR · On-site
Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information ... Moda Health seeks to allow equal employment opportunities for all qualified persons without regard ...
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Provider Correspond Coord I
Milwaukie, OR · On-site
Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information ... Moda Health seeks to allow equal employment opportunities for all qualified persons without regard ...
This includes Moda 360 members and various participating employer groups, such as the City of Portland. Coaches collaborate with internal and external healthcare service teams, vendor point solutions ...
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This includes Moda 360 members and various participating employer groups, such as the City of Portland. Coaches collaborate with internal and external healthcare service teams, vendor point solutions ...
Knowledge and understanding of Moda Health administrative policies affecting claims and customer service. * Demonstrates work habits that include Moda Health standards of attendance and punctuality ...
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Knowledge and understanding of Moda Health administrative policies affecting claims and customer service. * Demonstrates work habits that include Moda Health standards of attendance and punctuality ...
Position Summary This position provides concierge customer service to providers by being the ... Knowledge of other Moda Health products, plans, and networks. Primary Functions: * Assist ...
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Position Summary This position provides concierge customer service to providers by being the ... Knowledge of other Moda Health products, plans, and networks. Primary Functions: * Assist ...
Supervisor Health Navigator
Milwaukie, OR · On-site
... based customer service inquiries for certain Performance Guarantee (PG) and Moda 360 groups ... Organizes staff, sets goals, ensures resources available as needed, coaches and monitors reps to ...
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Supervisor Health Navigator
Milwaukie, OR · On-site
... based customer service inquiries for certain Performance Guarantee (PG) and Moda 360 groups ... Organizes staff, sets goals, ensures resources available as needed, coaches and monitors reps to ...
Dental CS Rep I (***)
Portland, OR · On-site
Position Summary Provide customer service to members of multiple benefit plans by analyzing the ... Ability to meet the attendance and punctuality policy of Moda Health. * Ability to remain focused ...
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Dental CS Rep I (***)
Portland, OR · On-site
Position Summary Provide customer service to members of multiple benefit plans by analyzing the ... Ability to meet the attendance and punctuality policy of Moda Health. * Ability to remain focused ...
Medical Claims Clerk I
Milwaukie, OR · On-site
... Moda Health operating system and ensure completeness and data integrity. * Manage assigned Content Manager image queues and work baskets and prioritize tasks based on urgency, service levels, and ...
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Medical Claims Clerk I
Milwaukie, OR · On-site
... Moda Health operating system and ensure completeness and data integrity. * Manage assigned Content Manager image queues and work baskets and prioritize tasks based on urgency, service levels, and ...
Ability to communicate customers and members interests and needs to internal project teammates, to ... service area. Together, we can be more. We can be better. Moda Health seeks to allow equal ...
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Ability to communicate customers and members interests and needs to internal project teammates, to ... service area. Together, we can be more. We can be better. Moda Health seeks to allow equal ...
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Administers Moda online Customer Service programs, including program application procedures ...
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It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Administers Moda online Customer Service programs, including program application procedures ...
Medical CS Rep I (***)
Portland, OR · On-site
Position Summary Provides phone customer service to members of multiple benefit plans by analyzing ... Moda Health seeks to allow equal employment opportunities for all qualified persons without regard ...
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Medical CS Rep I (***)
Portland, OR · On-site
Position Summary Provides phone customer service to members of multiple benefit plans by analyzing ... Moda Health seeks to allow equal employment opportunities for all qualified persons without regard ...
Interdepartmental work within the company including Actuary & Analytics, Customer Service, Healt ... Moda Health seeks to allow equal employment opportunities for all qualified persons without regard ...
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Interdepartmental work within the company including Actuary & Analytics, Customer Service, Healt ... Moda Health seeks to allow equal employment opportunities for all qualified persons without regard ...
Internally with Population Health and Healthcare Services colleagues and leadership. Externally with vendors and employer groups. Together, we can be more. We can be better. Moda Health seeks to ...
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Internally with Population Health and Healthcare Services colleagues and leadership. Externally with vendors and employer groups. Together, we can be more. We can be better. Moda Health seeks to ...
Medical Claims Auditor I
Milwaukie, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... High school diploma or equivalent. * 6 months - 2 years claim processing or customer service ...
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Medical Claims Auditor I
Milwaukie, OR · On-site
It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... High school diploma or equivalent. * 6 months - 2 years claim processing or customer service ...
About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... service goals, tracks processors production and quality. * Assists with planning by analyzing ...
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About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... service goals, tracks processors production and quality. * Assists with planning by analyzing ...
Moda Health Jobs Information
What is it like to work at Moda Health?
Moda Health is a values-driven organization that prioritizes collaboration, innovation, and a commitment to improving the health and well-being of its members and the communities it serves.
The company operates with a team-based structure, fostering an open and supportive work environment where employees can share ideas and work together to achieve common goals. Moda Health's mission is to provide high-quality, affordable healthcare solutions that meet the unique needs of its members.
Working at Moda Health may appeal to individuals who are passionate about healthcare and are looking for a dynamic and collaborative work environment where they can make a meaningful contribution to improving the lives of others.
The company operates with a team-based structure, fostering an open and supportive work environment where employees can share ideas and work together to achieve common goals. Moda Health's mission is to provide high-quality, affordable healthcare solutions that meet the unique needs of its members.
Working at Moda Health may appeal to individuals who are passionate about healthcare and are looking for a dynamic and collaborative work environment where they can make a meaningful contribution to improving the lives of others.
Do workers at Moda Health get paid breaks?
Yes. Most people get paid breaks.
100% of people say they get paid breaks.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and June 2026.
100% of people say they get paid breaks.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and June 2026.
Does Moda Health pay people when they’re sick?
Yes. Most people get paid when they’re sick.
79% of people say they would get paid if they were sick but scheduled to work.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and April 2026.
79% of people say they would get paid if they were sick but scheduled to work.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and April 2026.
At Moda Health, are sick days and vacation days separate paid time off?
Sick days and vacation days are used from the same paid time off.
85% of people say they have to use vacation days when they’re out sick.
Based on data from 13 people who took the Breakroom Quiz between June 2025 and June 2026.
85% of people say they have to use vacation days when they’re out sick.
Based on data from 13 people who took the Breakroom Quiz between June 2025 and June 2026.
Is the health insurance from Moda Health affordable enough for their workers?
Most people say the health insurance costs are okay.
88% of people say the health insurance costs are okay
Based on data from 16 people who took the Breakroom Quiz between March 2025 and June 2026.
88% of people say the health insurance costs are okay
Based on data from 16 people who took the Breakroom Quiz between March 2025 and June 2026.
Do people get paid time off at Moda Health?
Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 13 people who took the Breakroom Quiz between June 2025 and June 2026.
100% of people say they get paid time off.
Based on data from 13 people who took the Breakroom Quiz between June 2025 and June 2026.
Do workers at Moda Health worry about hours?
Most people don’t worry about getting enough hours.
90% of people report they don’t worry about getting enough hours.
Based on data from 10 people who took the Breakroom Quiz between December 2024 and April 2026.
90% of people report they don’t worry about getting enough hours.
Based on data from 10 people who took the Breakroom Quiz between December 2024 and April 2026.
Do Moda Health workers get to choose the shifts they work?
Most people get to choose which shifts they work.
67% report that they have enough control over which shifts they work.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and June 2025.
67% report that they have enough control over which shifts they work.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and June 2025.
How easy is it for Moda Health workers to change shifts?
Most people find it easy to change shifts.
80% of people report that it’s easy to change shifts if they need to.
Based on data from 10 people who took the Breakroom Quiz between December 2024 and August 2025.
80% of people report that it’s easy to change shifts if they need to.
Based on data from 10 people who took the Breakroom Quiz between December 2024 and August 2025.
How easy is it to get time off at Moda Health?
Most people find it easy to get time off.
83% of people report it’s easy to get time off.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and June 2026.
83% of people report it’s easy to get time off.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and June 2026.
Do Moda Health managers change schedules at the last minute?
Most managers don’t change people’s schedules at the last minute.
93% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and April 2026.
93% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and April 2026.
Do jobs at Moda Health spill into time workers aren’t paid for?
Rarely. The job doesn't usually spill into unpaid time.
21% of people report that their job takes up time that they don’t get paid for.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and April 2026.
21% of people report that their job takes up time that they don’t get paid for.
Based on data from 14 people who took the Breakroom Quiz between December 2024 and April 2026.
How easy is it to take sick days at Moda Health?
Most people find it easy to take sick days.
90% of people report that it’s easy to take time off if they are sick.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and March 2026.
90% of people report that it’s easy to take time off if they are sick.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and March 2026.
Is working at Moda Health good if you’re a parent or caregiver?
Most parents and caregivers say this is a good place to work.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 11 people who took the Breakroom Quiz between January 2025 and June 2026.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 11 people who took the Breakroom Quiz between January 2025 and June 2026.
Do people at Moda Health feel treated with respect by their managers?
Most people feel treated with respect by their managers.
95% of people say they’re treated with respect by their managers.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and April 2026.
95% of people say they’re treated with respect by their managers.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and April 2026.
Do people at Moda Health get to take their breaks without interruption?
Most people get breaks without interruption.
90% of people report that they get to take their breaks without interruption.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and June 2026.
90% of people report that they get to take their breaks without interruption.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and June 2026.
Is it stressful to work at Moda Health?
Some people feel stressed out here.
55% of people say they often feel stressed out at work.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and June 2026.
55% of people say they often feel stressed out at work.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and June 2026.
Do people at Moda Health enjoy their jobs?
Most people enjoy their job.
84% of people report they enjoy their job.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and March 2026.
84% of people report they enjoy their job.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and March 2026.
Do people at Moda Health recommend working with their team?
Only some people recommend working with their team.
39% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 23 people who took the Breakroom Quiz between December 2024 and June 2026.
39% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 23 people who took the Breakroom Quiz between December 2024 and June 2026.
Do people get enough training when they start at Moda Health?
Most people got enough training when they started.
67% of people report they got enough training when they started working here.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and June 2026.
67% of people report they got enough training when they started working here.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and June 2026.
Do people get support to advance at Moda Health?
Most people are given support to advance their career here.
In the last year, 90% of people report being given support to advance their career here.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and April 2026.
In the last year, 90% of people report being given support to advance their career here.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and April 2026.
Do people think Moda Health’s headquarters understands what’s happening where they work?
Some people think headquarters doesn’t understand what’s happening where they work.
67% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and April 2026.
67% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and April 2026.
Do workers feel well informed about how Moda Health is doing?
Only some people feel well informed about how the company is doing.
37% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and March 2026.
37% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and March 2026.
What other companies are hiring for Customer Service Representative jobs?
What are the most popular jobs at Moda Health?
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 3 days ago
Moda Health rating
8.4
Based on 23 frontline employees who took The Breakroom Quiz
98th of 277 rated insurance
Job description
Let’s do great things, together!
About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.
Job Summary:
Are you a problem-solver with excellent communication skills who thrives in a fast-paced, team-driven environment?
We’re looking for a Medicaid Customer Service Representative to join our team and deliver exceptional service to members of the Oregon Health Plan (OHP). This is a full-time WFH position with availability required from 7:30 AM–5:30 PM, Monday through Friday.
Pay Range
$18.39 - $20.58 hourly, DOE.
**Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
https://j.brt.mv/jb.do?reqGK=27774866&refresh=true
Benefits:
- Medical, Dental, Vision, Pharmacy, Life, & Disability
- 401K- Matching
- FSA
- Employee Assistance Program
- PTO and Company Paid Holidays
Required Qualifications
- At least 1 year of experience in a medical insurance or healthcare-related field.
- Minimum 1 year of call center or customer service experience.
- High School Diploma or equivalent.
- Strong computer skills, including typing, 10-key, and Microsoft Office proficiency.
- Ability to consistently meet Moda’s attendance and punctuality standards as part of job performance expectations.
- High speed internet (cable or fiber)
Preferred Qualifications
- Experience with medical health insurance or government healthcare programs.
- Knowledge of medical terminology.
- Medical billing and coding experience
- Experience with trauma informed care model
Primary Functions:
- Answer a high volume of calls with professionalism, empathy, and a commitment to solving customer concerns.
- Provide accurate, timely information about OHP medical and pharmacy benefits.
- Research and resolve complex inquiries to ensure customer satisfaction.
- Maintain confidentiality and adhere to privacy policies and HIPAA regulations.
- Document calls thoroughly and efficiently using the latest software tools.
- Collaborate with a supportive team and experienced leadership to ensure the best outcomes.
- Continuously adapt to evolving customer needs in a dynamic work environment.
Why Join Us?
- Comprehensive Training: We’ll set you up for success with the tools and knowledge you need.
- Professional Growth: Explore opportunities for career advancement within a growing organization.
- Collaborative Environment: Be part of a team that values innovation, diversity, and mutual support.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.
For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.
What Moda Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Moda Health
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Portland, OR, US
Year founded
1955