Managed Care Customer Service Representative (Bilingual - Spanish)

About the Company

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.

Responsibilities

• Answer calls from customers regarding collection of past-due accounts.
• Conduct conference calls with customers and insurance companies to determine the responsible party for the balance and offer payment solutions.
• Provide detailed notes in our Point of Sale system to communicate findings to retail associates and maintain notes in the ticketing system to track calls and their purpose.
• 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 balance-due notices.
• Write off balances per store requests concerning store errors and forward new plans to the Plan Setup Team to add into the Point of Sale.
• Answer calls from third-party payers and review line-by-line details to determine customer and insurance responsibility.
• Complete high-balance investigations to find new ways to prevent billing errors by researching insurance plans and information.
• Make outbound calls to insurance companies to inquire about the status of unpaid self-pay claims.
• Resolve issues with insurance checks sent directly to customers but belonging to National Vision (NVI) by contacting customers to explain balances owed.

Requirements

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

Preferred Skills

• Point of Sale and ticketing system experience.

Benefits

• Competitive compensation.
• Comprehensive benefits package including health and dental insurance.
• 401k retirement savings with company match.
• Flex spending account.
• Paid personal time off and paid company holidays.
• Parental leave.
• Employee eyewear discount.
• Training programs and access to educational courses.
• Opportunities for professional growth and long-term career fulfillment, including promotions from within.