Account Advisor I (Remote – Baton Rouge Area)

Help People Navigate Their Healthcare Journey

Do you enjoy helping others, solving problems, and delivering exceptional customer service? Are you looking for an opportunity to build a career in healthcare operations while making a meaningful impact every day?

We’re seeking an Account Advisor I to join a dynamic healthcare customer service team. In this role, you’ll serve as a trusted resource for members and providers, helping them understand benefits, resolve claims questions, navigate eligibility concerns, and address billing inquiries. If you’re a strong communicator who enjoys helping people and thrives in a fast-paced environment, we’d love to hear from you.

What You’ll Do

As the first point of contact for members and providers, you’ll play a critical role in creating a positive customer experience and ensuring questions are resolved accurately and efficiently.

Responsibilities Include:

• Responding to inbound calls regarding healthcare benefits, claims, eligibility, billing, and payment inquiries.
• Researching and resolving customer issues across multiple systems while maintaining accuracy and compliance.
• Assisting members and providers with claim status requests, adjustments, refunds, and payment discrepancies.
• Explaining healthcare benefits, coverage details, and policies in a clear and easy-to-understand manner.
• Documenting customer interactions accurately and maintaining detailed records.
• Taking ownership of customer concerns and working toward first-call resolution whenever possible.
• Meeting performance goals related to quality, productivity, customer satisfaction, and attendance.
• Staying current on healthcare policies, procedures, and regulatory requirements.
• Collaborating with internal departments to resolve complex issues and ensure excellent service.

What We’re Looking For

Required Qualifications

• High School Diploma or equivalent.
• At least one year of customer service, healthcare, medical office, or related experience.
• Strong verbal and written communication skills.
• Excellent problem-solving and critical-thinking abilities.
• Ability to multitask and navigate multiple computer systems simultaneously.
• Strong attention to detail and organizational skills.
• Proficiency with Microsoft Office and general computer applications.

Preferred Qualifications

• Call center experience.
• Healthcare, insurance, or medical office experience.
• Knowledge of healthcare benefits, claims, eligibility, and billing processes.
• Familiarity with healthcare or insurance terminology.
• Medical Assistant, Coding, or Insurance training/certification.

Why You’ll Love This Opportunity

• Build valuable experience within the healthcare and insurance industry.
• Work in a collaborative, customer-focused environment.
• Develop expertise in healthcare benefits, claims, and member services.
• Gain exposure to healthcare operations and career growth opportunities.
• Make a direct impact by helping individuals understand and access their healthcare benefits.

Work Environment

• Remote position with occasional onsite meetings, training, and team events.
• Candidates must reside within commuting distance of Baton Rouge, Louisiana.
• High-volume customer service environment with significant daily phone interaction.
• Comprehensive training and ongoing support provided.

Ideal Backgrounds

• Customer Service Representative
• Healthcare Customer Service Representative
• Call Center Representative
• Patient Access Representative
• Medical Office Specialist
• Member Services Representative
• Insurance Support Specialist

If you’re passionate about helping people, enjoy solving problems, and are looking for an opportunity to grow within healthcare operations, we encourage you to apply today!