Managed Care Customer Service Representative (Bilingual - Spanish)
About The Position
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. The Managed Care Customer Service Representative will answer calls from customers regarding collection of past account accounts, conduct conference calls with customers and insurance companies to determine the responsible party for the balance and offer solutions of payment options. They will also provide detailed notes in our Point of System to communicate findings to retail associates and maintain notes in the ticketing system to track calls and the purpose of calls. Additionally, they will answer 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. The role also involves writing off balances per store requests concerning store errors and forwarding new plans to the Plan Setup Team to add into the Point of Sale. The representative will answer calls from third-party payers and review 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.
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.
Benefits
- health and dental insurance
- 401k retirement savings with company match
- flex spending account
- paid personal time off
- paid company holidays
- parental leave
- employee eyewear discount
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
