Managed Care Customer Service Representative

Company Description

At National Vision we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the largest optical retail companies in the United States with over 1,200 stores. We operate four retail brands: America’s Best Contacts & Eyeglasses, Eyeglass World, and Vista Optical inside select Fred Meyer stores and on select military bases. We offer an innovative culture where training is a priority, hard work is praised, and career growth is a reality.

We are hiring for a Managed Care Customer Service Representative to join our growing team!

Job Description

This is an in office role that is responsible for providing customers, retail personnel, and insurance companies detailed information regarding invoices and explanations of balance due.
What Would You Do? The Specifics.

• Answers calls from customers regarding collection of past account accounts. Conducts conference calls with customers and insurance companies to determine the the responsible party for the balance and offers solutions of payment options.
• Provides detailed notes in our Point of System to communicate findings to retail associates and maintains notes in the ticketing system to track calls and the purpose of calls.
• Answers calls from retail personnel to assist with selecting the correct plans in the Point of Sale system and answer questions regarding plan calculations and why their customers received balance due notices.
• Writes off balance per store requests concerning store errors and forwards new plans to the Plan Setup Team to add into the Point of Sale.
• Answers calls from third-party payers and reviews line by line the details in order to determine the customer's responsibility and insurance responsibility.
• Completes a high-balance investigation to find new ways to prevent bad billings by researching insurance plans and insurance information. Makes outbound calls to insurance companies to inquire about the status of unpaid self-pay claims.
• Solves issues with insurance checks that go directly to the customers but belong to National Vision (NVI) by calling out to the customers to explain their balances owed.

Qualifications

Work Experience

• 0-2 years Related experience. (Required)

Education

• High School Diploma or equivalent. (Required)

Additional Skills

• Point of Sale and ticketing system experience. (Preferred)
• Training is in-office (6-8 weeks). - Possibility of working remotely after a minimum of 3 months. (Required)
• Must be comfortable with navigating multiple systems simultaneously. (Required)
• Capable of grasping concepts quickly. (Required)
• Follow semi-complex c