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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.
Job Responsibility
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
Requirements
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
Nice to have
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