Managed Care Customer Service Representative (Bilingual - Spanish)

National Vision•Lawrenceville, GA

1d•Hybrid

About The Position

National Vision is one of the largest optical retail companies in the U.S. with over 1,200 stores in 40 states and Puerto Rico. We help people see their best to live their best through our optical products and services. For more than 30 years, we have been improving lives by providing eye care for value-seeking consumers. We are hiring for a Managed Care Customer Service Representative to join our growing team! 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.

Requirements

0-2 years Related experience.
High School Diploma or equivalent.
Bilingual - Spanish
Saturday availability
Training is in-office (6-8 weeks).
Possibility of working remotely after a minimum of 3 months.
Must be comfortable with navigating multiple systems simultaneously.
Capable of grasping concepts quickly.
Follow semi-complex checklists and/or procedures to minimize risks and errors.

Nice To Haves

Point of Sale and ticketing system experience.

Responsibilities

Answers calls from customers regarding collection of past account accounts.
Conducts conference calls with customers and insurance companies to determine 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.