Job Description

Account Advisor I – Healthcare Benefits & Claims

Location: Baton Rouge, LA
Training: 100% Onsite – Baton Rouge Campus
Environment: High-Volume Healthcare Customer Service / Call Center

Ready to Build Your Career in Healthcare?

Do you enjoy helping people, solving problems, and getting answers when something doesn’t look right?

We’re looking for an Account Advisor I to join a healthcare customer service team in Baton Rouge. This is a great opportunity for someone with customer service, medical office, healthcare, insurance, or call center experience who wants to build valuable experience within the healthcare insurance industry.

You’ll be on the front lines supporting members and healthcare providers with questions involving benefits, medical claims, eligibility, billing, payments, and coverage.

This is much more than simply answering phones. You’ll research issues, navigate multiple healthcare systems, explain benefits and claims information, and take ownership of customer questions through resolution.

If you’re a strong communicator who enjoys helping people and can thrive in a fast-paced environment, we want to talk to you.

What You’ll Be Doing

As an Account Advisor I, you’ll spend the majority of your day assisting members and healthcare providers by phone.

You will:

• Handle high-volume inbound calls from members and healthcare providers
• Answer questions related to healthcare benefits, claims, eligibility, billing, and coverage
• Research claims and benefit information across multiple systems
• Investigate and help resolve claim adjustments, refunds, payment discrepancies, and billing issues
• Clearly explain benefits, claims decisions, policies, and procedures
• Take ownership of customer concerns and work toward First Call Resolution (FCR)
• Accurately document customer interactions and resolutions
• Coordinate with internal teams including Claims, Enrollment & Billing, Provider Relations, Benefit Operations, Medical Management, Pharmacy, Accounting, and Network Administration
• Maintain current knowledge of healthcare policies, procedures, and regulatory requirements
• Meet established expectations for quality, productivity, attendance, and customer satisfaction

What We’re Looking For

Required Qualifications

• High School Diploma or equivalent
• At least 1 year of customer service or medical office experience
• Strong verbal and written communication skills
• Excellent active listening and customer service skills
• Strong problem-solving and critical-thinking abilities
• Ability to navigate multiple computer systems while speaking with customers
• Strong attention to detail and documentation skills
• Ability to remain calm, professional, and customer-focused when handling difficult situations
• Comfortable working in a structured, performance-driven call center environment
• Ability to successfully complete required 100% onsite training at the Baton Rouge campus

Completion of the BRCC Medical Assistant, Coding & Insurance pathway may be considered in lieu of the one-year experience requirement.

Experience That Will Make You Stand Out

We’d especially like to speak with candidates who have experience in:

• Healthcare or health insurance customer service
• Medical offices or physician practices
• High-volume call centers
• Medical claims or claims inquiries
• Benefits and eligibility verification
• Medical billing
• Member or provider services
• Medicare, Medicaid, or commercial health insurance
• Claim adjustments, refunds, or payment discrepancies
• Healthcare or insurance terminology
• Patient access or revenue cycle operations

What Success Looks Like

During your first few months, you’ll receive training and support to develop a strong understanding of healthcare benefits, claims, eligibility, billing, customer service processes, and the systems used to support members and providers.

As you become comfortable in the role, you’ll begin independently managing a high volume of customer inquiries, researching benefits and claims questions, documenting interactions, and resolving issues accurately and efficiently.

By 90 days, the goal is for you to confidently manage your workload while consistently meeting expectations for quality, productivity, customer satisfaction, attendance, and First Call Resolution.

Why This Opportunity?

If you’re looking to get into—or continue growing within—the healthcare insurance industry, this role gives you valuable hands-on exposure to several key areas of healthcare operations.

You’ll build experience with:

Medical Claims | Healthcare Benefits | Eligibility | Billing | Member Services | Provider Services | Claims Research | Customer Service | Healthcare Operations

Those skills can create future career opportunities across claims, benefits operations, provider services, member services, enrollment, billing, and other areas of healthcare.

A Few Things to Know

This is a true high-volume call center position, with approximately 95% of the workday spent on the phone.

Candidates should be comfortable working in a structured environment with clearly defined expectations around quality, productivity, attendance, and customer satisfaction.

Training will be 100% onsite at the Baton Rouge campus.

If you’re dependable, customer-focused, comfortable on the phone, and ready to build valuable experience in healthcare insurance, we’d love to hear from you. Apply today!