Membership Rep I (contract)

Elevance Health; Tampa (FL); Hybrid; USD 19,000 - 34,000; Full time

Job summary

Elevance Health, Inc. is seeking a customer service representative to support enrollment, billing activities, and account maintenance.

The role involves handling calls from plan members, providers, and employer groups, verifying enrollments, addressing inquiries, and maintaining enrollment records. Responsibilities include processing billing, reconciling payments, and ensuring timely and accurate membership data.

Qualifications

• Requires a HS diploma or GED and related experience; or any combination of education and experience which would provide an equivalent background.
• Experience in enrollment and billing environments is a plus.

Responsibilities

• Responds to incoming calls and may initiate outgoing calls to provide customer service to plan members, providers and employer groups.
• Verifies enrollment status and makes changes to records; researches enrollment rejections and addresses questions by phone or mail.
• May be responsible for billing and delinquency processes for assigned groups; ensures accuracy and timeliness of membership and billing.
• Maintains enrollment database and screens forms/data for new group enrollment or re-classing.
• Documents inquiry outcomes for accurate tracking and analysis and coordinates with internal teams.

Skills

Customer service

Education

HS diploma or GED

Job description

(MS Office - Excel, Word, Access, Project)

Customer Service

Job ID: JP00047041

Anticipated Start Date: November 30, 2026

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

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Responsible for enrollment, billing activities and/or maintaining assigned accounts.

Primary duties may include, but are not limited to:

Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers.

Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions and/or concerns received by phone or mail.

May be responsible for billing and delinquency processes for assigned groups.

Ensures accuracy and timeliness of the membership and billing function.

Responds to inquiries concerning enrollment processes. Maintains enrollment database.

May order identification cards.

Determines eligibility and applies contract language for each case assigned.

Performs error output resolution for electronic eligibility and processes error discrepancy list.

Bills, collects premiums and reconciles payments.

Maintains and reconciles premium bill, self-bill and individual billed accounts.

Notifies clients of premium discrepancies through payment adjustment notices and detailed audits.

Screens all forms and data for all paperwork received from Sales and/or Underwriting for new group and/or group re-classing benefits.

Makes request to Underwriting, Sales or Brokers for missing information and/or forms needed for new group or re-class of existing group.

May be responsible for loading rates to new groups and renewal/re-class groups within the appropriate system.

Screens group for benefits to determine if existing or new, recognizing when benefits are not standard and handling as appropriate.

Thoroughly documents inquiry outcomes for accurate tracking and analysis.

Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Performs basic job functions with help from co-workers, specialists and managers on non-basic issues.

Requirements:

Requires a HS diploma or GED and related experience; or any combination of education and experience which would provide an equivalent background.

Work Schedule: Monday-Friday 8:30AM to 5:00PM (EST)

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must be within a reasonable commute to a PulsePoint location.

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.

Pay Rate Range

Min Pay Rate $13.43

Max Pay Rate $24.77

Currency USD

Unit hourly

Additional Pay Rate Notes

The pay range is the range BCForward in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations

Benefits Information

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.