Account Advisor - Remote-LA​/Hybrid Training

Overview

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. Are you searching for your next career opportunity? Do you have a passion for providing excellent customer service?

We are actively recruiting for a Call Center Class beginning in March 2026! Apply today and join us in supporting our mission to improve the health and lives of Louisianans.

What does an Account Advisor do? Serve as first point of contact for the organization. The Account Advisor handles incoming calls from members and providers answering questions and offers guidance via the telephone with individuals in a prompt, courteous, and professional manner.

• 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 5 MB upload and 10 MB download

• A comprehensive new hire training program designed to help set you up for success
• Competitive pay
• Excellent benefits package including medical, dental, vision, life insurance, an amazing Wellness Program, 401k contributions in addition to paid time off, and paid holidays
• Professional development opportunities and access to grow your career

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.

• This role does not manage people
• This role reports to: SUPERVISOR, CUSTOMER SERVICE
• Necessary Contacts:
  Enrollment & Billing, Claims, Provider Relations, Benefit Operations, Network Administration, Sales/Marketing, Accounting, Medical Management, Pharmacy, and Legal departments as well as members, providers, groups, brokers, other plans, insurance companies, Social Security Administration and Centers for Medicare and Medicaid Services (CMS).

• High School Diploma or equivalent preferred

• Prior experience as listed below required:
• 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
• Previous experience in a call center is preferred

• Must demonstrate PC skills including Microsoft Office (Word, Excel, Outlook, etc.) and related software programs and applications
• Demonstrated verbal and written communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism
• Familiarity with medical and health insurance terminology preferred
• Conflict resolution skills and remains calm under pressure
• Critical thinking and problem solving skills
• Attention to detail
• Active listening and appropriate questioning to understand issues presented by customers
• Reading comprehension skills are required due to high direct customer contact and need to understand customer contract benefits and training materials
• Effective organizational and interpersonal skills; ability to multi-task and work independently
• 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 about 95% of the time
• Employees may be expected to work during inclement weather or other emergency situations when needed
• Must successfully complete Customer Service training with demonstrated proficiency

• None Required

• 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 accuracy
• Responds to inquiries regarding adjustments, refunds, edits and/or payment registers to ensure completeness, accuracy and customer satisfaction
• 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 when providing service to members or providers over the telephone
• Meets Customer Service performance goals/expectations in efficiency, accuracy, quality, production, customer satisfaction, and attendance
• The ability to verbally communicate on the telephone approximately 95% of the time
• Account Advisors working on the Medicare LOB must follow CMS…