Customer Service Representative

BCforward is currently seeking a highly Customer Service Representative

Position Title: Customer Service Representative

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/hr to $23.29/hr on

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 empathetic Remote Customer Service Representative to join our team. In this role, you will assist members, providers, and partners with inquiries related to healthcare benefits, Medicaid plans, eligibility, claims, and general account support. The ideal candidate has prior experience in the healthcare or Medicaid industry and is comfortable working in a fast-paced, fully remote environment.

Key Responsibilities

Respond to inbound calls, emails, and chat inquiries regarding Medicaid benefits, eligibility, claims status, provider information, and coverage details.

Provide accurate information and resolve issues with professionalism and empathy.

Document all interactions in internal systems with attention to accuracy and compliance requirements.

Escalate complex issues to the appropriate department or supervisor as needed.

Maintain up-to-date knowledge of Medicaid guidelines, health plan policies, and internal procedures.

Meet performance metrics including call quality, adherence, customer satisfaction, and resolution time.

Protect confidential member information in accordance with HIPAA and company policies.

Qualifications

1-2 years of customer service experience in healthcare, Medicaid, insurance, or a medical office setting (required).

Familiarity with Medicaid terminology, benefit structures, and claims processes.

Excellent communication, problem-solving, and active listening skills.

Ability to navigate multiple computer systems simultaneously.

Comfortable working independently in a remote environment.

High school diploma or equivalent required; additional vocational or college coursework in healthcare or business is a plus.

Keywords:

Technical Recruiter & Sales 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 247368 when responding to this ad.