National Vision

Managed Care Customer Service Representative

Remote, United States remote Entry Salary not listed
remote Technology & IT Curated
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About the role

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 checklists and/or procedures to minimize risks and errors. (Required)
Additional Information
Taking Care of our People!
We understand the importance of financial health and security, and because of that, we provide competitive compensation to all Associates. We also offer a comprehensive benefits package including 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 and much, much more. At National Vision, we strive to deliver opportunities for professional growth and long-term career fulfillment. We provide training programs, access to educational courses and pride ourselves on the ever-increasing amount of promotions from within.

We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, veteran status, and other legally protected characteristics.

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Role
Technology & IT Customer Service Managed Care Customer Service remote

Likely questions

  1. Tell us about work you have done that is close to the Managed Care Customer Service Representative role.
  2. How would you approach your first 30 days at National Vision?
  3. Which of Customer Service, Managed and Care have you used recently, and what did it help you achieve?
  4. Describe a time you solved a problem without waiting to be told exactly what to do.
  5. How do you stay organised and communicate clearly when working remotely?

Prepare before the call

  • A recent example that proves your experience with Customer Service, Managed and Care.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Managed Care Customer Service Representative role because I can bring practical experience in Customer Service, Managed and Care, learn the team quickly, and contribute to the outcomes National Vision needs from this hire.

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