Managed Care Customer Service Representative
Core
Provides detailed billing information, resolves balance due issues, and assists retail personnel and insurance companies with plan selection and calculations for optical products.
Role type
Customer service representative (billing & claims resolution)
Builds
Customer support interactions, billing resolution workflows, and plan selection assistance for retail associates
Domain
Optical retail / Healthcare billing
Deliverable
client delivery
Required skills
Phone communication, multi-system navigation, following complex checklists, quick concept grasping, outbound calling
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 balance due explanations; Write off balances for store errors and forward new plans; Review line-by-line details for third-party payers; Investigate high-balance issues and research insurance plans; Make outbound calls to customers regarding insurance checks.
Seniority
Entry-level (0-2 years experience)