Medicaid Customer Service Representative

Moda Health•Milwaukie, OR

8d•$18 - $21•Remote

About The Position

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. Position starts June 1, 2026. Please fill out an application on our company page, linked below, to be considered for this position: https://j.brt.mv/jb.do?reqGK=27774866&refresh=true

Requirements

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)

Nice To Haves

Experience with medical health insurance or government healthcare programs.
Knowledge of medical terminology.
Medical billing and coding experience
Experience with trauma informed care model

Responsibilities

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.