Louisiana Blue · 9 hours ago
Account Advisor I - Remote-LA/Hybrid Training
Shreveport, LA
Full-time
Hybrid
Entry Level
1+ years expLouisiana Blue is dedicated to improving the health and lives of Louisianans, and they are seeking an Account Advisor to serve as the first point of contact for members and providers. The role involves handling inquiries regarding benefits and claims, ensuring customer satisfaction through effective communication and problem-solving skills.
Health CareInsuranceNon Profit
Responsibilities
Serve as first point of contact for the organization
Handles incoming calls from members and providers answering questions and offers guidance via the telephone with individuals in a prompt, courteous, and professional manner
Resolves benefit and claims inquiries received via the telephone, in person, or other acceptable receipt method from our members or providers in the call center
Promotes and maintains a positive company image through direct contact with customers
Complies with all laws and regulations associated with duties and responsibilities
Reviews and researches billing and healthcare claim inquiries from members and providers, to ensure proper benefits and/or payments are applied correctly; researches multiple computer systems/applications to verify data/information accuracy
Responds to inquiries regarding adjustments, refunds, edits and/or payment registers to ensure completeness, accuracy and customer satisfaction to members or providers
Maintains knowledge of required lines of business, changes to applicable company policies/procedures, recent laws and regulations, and related computer systems to ensure information is current and accurate when providing service to members or providers on the telephone in the call center
Meet Customer Service performance goals/expectations in the areas of efficiency, accuracy, quality, production, customer satisfaction, and attendance
The ability to verbally communicate on the telephone approximately 95% of the time
Account Advisor Is who work on the Medicare LOB must be able to follow CMS (Center for Medicare and Medicaid) standards including but not limited to: following a defined process for handling Medicare Grievances, identify differences between an inquiry, grievance, & appeal, and meet specific schedule requirements (may have to work nights, weekends and/or holidays)
Perform other job-related duties as assigned, within your scope of responsibilities
Qualification
Required
Customer Service experience or equivalent
Must be available to report to the Baton Rouge Corporate Campus for the onsite components of new hire training
Commitment to training program
Hardwired internet connection with speeds greater than 5MB upload and 10MB download
High School Diploma or equivalent preferred
1 year of customer service or medical office experience required
Completion of the Medical Assistant, Coding & Insurance Pathway from BRCC, can be used in lieu of the one year of experience
A certificate in medical office assistant or medical coding can be used in lieu of the one year of experience
Must demonstrate PC skills including Microsoft Office (e.g., Word, Excel, Outlook , etc.) and related software as other corporate software programs and applications
Demonstrated verbal and written communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism
Conflict resolution skills and remains calm under pressure/stressful situations
Must be able to demonstrate critical thinking and problem solving skills
Demonstrate attention to detail
The ability to actively listen and ask appropriate questions, to effectively understand issues that are presented from customers
Reading comprehension skills are required due to the high amount of direct customer contacts and the need to understand customer contract benefits and training materials
Effective organizational and interpersonal skills are required. Must have the ability to multi-task and handle work independently as well as organize and prioritize multiple customer issues
Ability to take ownership of issues from the beginning, seeking First Call Resolution (FCR)
Must be able to verbally communicate on the telephone in a call center environment approximately 95% of the time in the Customer Care Center
Employees may be expected to work during inclement weather or other emergency situations when needed
Must have ability to successfully complete Customer Service training, with demonstrated proficiency in training materials
Preferred
Residency in or relocation to Louisiana is preferred for all positions
Previous experience in a call center is preferred
Familiarity with medical and health insurance terminology preferred
Benefits
Excellent benefits package including medical, dental, vision, life insurance, an amazing Wellness Program, 401k contributions in addition to paid time off, and paid holidays
Company
Louisiana Blue
Louisiana Blue is a company on a mission: to improve the health and lives of Louisianians.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Crystal Blanchard
Account Executive
Recent News
New Orleans CityBusiness
2025-09-19
Company data provided by crunchbase