Medical CSR

Title: Care Management Support Coordinator II Location: Remote in PST This role supports administrative care management functions including inbound/outbound calls, outreach, and scheduling peer-to-peer (P2P) reviews. Acts as a primary contact for providers and members, offering assistance, answering questions, and documenting information according to regulatory guidelines. Works in a fast-paced, remote call center environment supporting Ambetter and Medicare plans. Key Responsibilities Handle 30+ daily provider calls for P2P scheduling. Schedule appointments through Outlook and document notes and tasks in TruCare. Provide members with care plan guidance, resources, and support. Assist with onboarding, welcome letters, and non-clinical record maintenance. Explain care procedures and resolve inquiries professionally. Meet call center performance metrics including AHT, quality audits, and service levels. Collaborate with clinical teams to improve provider experience and ensure timely service delivery. Requirements High School Diploma or GED required; some college preferred. 2–4 years of medical or healthcare call center experience. Strong multitasking, communication, and customer service skills. Knowledge of Microsoft Word, Excel, Teams, and Outlook. Flexible schedule with availability for occasional weekend work. Typing: 50+ WPM with 90% accuracy. Preferred Skills Healthcare background, scheduling experience, critical thinking, adaptability, and prior P2P experience. Company DescriptionAbout 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 places to work. BCforward is an equal opportunity employer. Apply tot his job