Managed Care Customer Service Representative (Bilingual - Spanish)
Core
Provide detailed billing information, resolve balance due issues, and assist retail personnel with plan selection and calculations for optical insurance claims.
Role type
Customer service representative (billing & claims resolution)
Builds
Customer support and retail associate assistance for optical insurance plans
Domain
Healthcare / Optical retail / Insurance billing
Deliverable
client delivery
Required skills
Bilingual Spanish, multi-system navigation, following complex checklists, outbound calling, high-balance investigation
Preferred skills
Point of Sale system experience, ticketing system experience
Technologies
Point of Sale system, ticketing system
Responsibilities
Answer customer calls regarding account collections and balance due; Conduct conference calls with customers and insurance companies to determine responsibility; Assist retail personnel with plan selection and calculation questions; Write off balances for store errors; Review third-party payer claims line-by-line; Investigate high-balance issues to prevent bad billings; Resolve issues with insurance checks sent directly to customers.