Benefits Operations - CW Account Advisor I

AMMON Staffing is recruiting a Benefits Operations Account Advisor I for a full-time temporary assignment in healthcare customer service and health insurance operations.

This is a high-volume call center position assisting health plan members and healthcare providers with questions involving insurance benefits, medical claims, billing, payments, eligibility, and coverage.

The position is primarily remote. However, candidates must live within 45 miles of Baton Rouge, Louisiana, and must be available to report onsite several times per month or as otherwise required.

Pay and Assignment Details

• Pay rate: $18.50 per hour

• Employment type: Full-time W-2 temporary assignment

• Assignment dates: September, 2026–February 16, 2027

• Location: Baton Rouge, Louisiana

• Work arrangement: Primarily remote with required onsite reporting

• Schedule: Approximately 40 hours per week

• Work environment: High-volume healthcare customer service call center

Position Summary

The Benefits Operations Account Advisor I provides customer service support to health plan members and healthcare providers. This position handles inbound calls, researches account and claims information, explains healthcare benefits, and helps resolve insurance-related questions accurately and professionally.

Approximately 95% of the workday will be spent handling telephone calls. Successful candidates must be comfortable managing back-to-back calls, navigating multiple computer systems, documenting customer interactions, and meeting established performance standards.

Benefits Operations Account Advisor Responsibilities

• Handle inbound calls from health plan members and healthcare providers.

• Answer questions regarding healthcare benefits, medical claims, billing, payments, eligibility, and insurance coverage.

• Research customer questions and resolve issues using multiple computer systems and information resources.

• Review and explain benefit information, claims status, payments, adjustments, refunds, and account discrepancies.

• Provide accurate, professional, and courteous assistance.

• Document each customer interaction completely and accurately.

• Take ownership of customer concerns and work toward first-call resolution.

• Maintain current knowledge of healthcare benefits, policies, procedures, and regulatory requirements.

• Communicate with claims, billing, enrollment, provider services, and other internal departments when additional assistance is required.

• Meet established standards for quality, productivity, customer satisfaction, attendance, and professionalism.

• Protect confidential member and healthcare information.

• Perform other related duties as assigned.

Minimum Qualifications

• At least one year of customer service or medical office experience is required.

• A high school diploma or equivalent is preferred.

• Completion of the Baton Rouge Community College Medical Assistant, Coding and Insurance pathway may be accepted in place of the required experience.

• Must live within 45 miles of Baton Rouge, Louisiana.

• Must be available to report onsite several times per month or as required.

• Must successfully complete required customer service training and demonstrate proficiency.

Preferred Experience

Preference may be given to candidates with experience in one or more of the following areas:

• Healthcare customer service

• Health insurance customer service

• Medical claims

• Insurance benefits and eligibility

• Medical billing

• Healthcare call centers

• Provider services

• Member services

• Medical offices

• High-volume inbound call centers

Required Skills

• Strong verbal and written communication skills.

• Professional, patient, and empathetic customer service approach.

• Ability to explain healthcare benefits, claims, coverage, and insurance policies clearly.

• Strong problem-solving and critical-thinking skills.

• Ability to manage back-to-back calls in a fast-paced environment.

• Strong attention to detail and documentation accuracy.

• Ability to remain calm and professional when handling difficult or escalated calls.

• Effective active-listening and questioning skills.

• Ability to navigate multiple computer systems while speaking with customers.

• Basic proficiency with Microsoft Office and general computer applications.

• Familiarity with healthcare, medical, claims, or insurance terminology is preferred.

Remote and Onsite Work Requirements

This position is primarily remote but is associated with a Baton Rouge worksite. Candidates must maintain a professional remote work environment and must be able to report onsite when directed.

Onsite reporting may be required for:

• Training

• Meetings

• Equipment or system needs

• Technical issues

• Business continuity needs

• Emergency operations

• Inclement weather procedures

• Other operational requirements

Candidates who cannot reliably report to Baton Rouge when required should not apply.

Apply for This Healthcare Customer Service Position

Qualified candidates with customer service, medical office, healthcare call center, health insurance, benefits, billing, or claims experience are encouraged to apply online through AMMON Staffing.

AMMON Staffing is an equal opportunity employer. Employment decisions are made without regard to legally protected characteristics.