Customer Service Representative

Customer Service Representative

BCforward is currently seeking a highly Customer Service Representative (Medical/Medicaid) role Remote

Position Title: Customer Service Representative (Medical/Medicaid)

Location: Remote

Anticipated Start Date: 12/01/2025

Please note this is the target date and it is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 3+months strong possibility for extension

Pay: $23.29/hr.

Job Type: [FULL TIME (>%3D40 HRS WEEKLY), [CONTRACT], [Remote]

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Job Description:
We are seeking a detail-oriented and customer-focused Customer Service Representative with experience supporting medical, healthcare, or Medicaid members. The ideal candidate will handle inbound and outbound inquiries, provide accurate information, resolve issues efficiently, and ensure a positive experience for all members and providers.

Key Responsibilities

• Handle a high volume of inbound calls from members, providers, and clients related to medical benefits, eligibility, claims, authorizations, and Medicaid processes.
• Provide clear, accurate, and timely information while maintaining professionalism and empathy.
• Research and resolve customer concerns by accessing multiple systems, reviewing documentation, and escalating issues when needed.
• Assist members with navigating benefits, understanding coverage details, and completing required forms or procedures.
• Document all interactions, updates, and outcomes in the customer service system with accuracy and compliance.
• Follow HIPAA and organizational privacy standards while handling sensitive medical or personal information.
• Collaborate with internal teams such as claims, clinical support, and case management to resolve complex inquiries.
• Meet or exceed performance metrics, including call quality, accuracy, productivity, and customer satisfaction.
• Participate in training, coaching, and team meetings to stay updated on Medicaid guidelines and internal processes.

Required Skills & Qualifications

• 1-3 years of customer service experience, preferably in medical, healthcare, insurance, or Medicaid environments.
• Strong understanding of medical terminology, benefits, claims, or Medicaid guidelines (preferred).
• Excellent communication skills-both verbal and written-with the ability to explain complex information clearly.
• Ability to multitask across systems while maintaining high accuracy.
• Strong problem-solving skills with a customer-first mindset.
• Proficiency in MS Office and customer service or CRM systems.
• Ability to work in a fast-paced, metric-driven environment.

Preferred Qualifications

• Experience working in a call center supporting medical or Medicaid members.
• Prior exposure to healthcare insurance plans, authorizations, or claim processing.

Keywords:
Medical/ Medicaid & Call center or customer support

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 247363 when responding to this ad.

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