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!