Managed Care Customer Service Representative

Remote from: USA
Annual salary: Undisclosed
Salary information is not provided for this position. Check our Salary Directory to estimate the average compensation for similar roles.
Department: Customer Success
Employment type: Full Time,
Job posted: 20 Jul 2026
Apply before: 20 Aug 2026
Experience level: Entry-Level
Junior
Views / Applies: 201 / 12

We help people see their best to live their best.

Health, Wellness & Fitness
1990

AI Summary

This role at National Vision involves handling customer calls regarding billing and insurance for optical services. The Managed Care Customer Service Representative works in-office initially, with potential remote work after three months. Responsibilities include resolving payment disputes, assisting retail staff with plan selection, and investigating high-balance claims. The position requires a high school diploma and 0-2 years of related experience, with preferred point-of-sale and ticketing system knowledge. It offers competitive benefits and opportunities for growth within the company.

Role DNA

Job Complexity

Easy Hard

Pace & Pressure

Relaxed Fast-paced

Autonomy Level

Guided Full Ownership

Communication Load

Independent Highly Collaborative

AI Insight The role requires handling multiple systems and calls simultaneously, but it follows semi-complex checklists and procedures, making it moderately challenging. No specialized degree or advanced skills are required.

Salary Analysis

AI Insight The offered salary is not specified, but based on market data for a Managed Care Customer Service Representative, the typical range is $30,000-$45,000 annually. Given the entry-level nature and requirements, a median of $35,000 is reasonable. The role provides benefits like health insurance and 401k, which add value.

Core Skills Required

Customer Service Billing Insurance Collections Point of Sale Communication Problem Solving Multitasking Data Entry Healthcare

Cover Letter Sample

Dear Hiring Manager,

I am writing to express my interest in the Managed Care Customer Service Representative position at National Vision. With a strong background in customer service and a keen ability to navigate billing and insurance inquiries, I am confident in my ability to contribute to your team. My experience includes handling high-volume calls, resolving disputes, and multitasking across multiple systems, which aligns with the job requirements.

I am particularly drawn to National Vision's mission of making eye care accessible and affordable. I am eager to bring my problem-solving skills and attention to detail to support retail staff and customers effectively. I look forward to the opportunity to discuss how my qualifications can benefit your organization.

Sincerely,
[Your Name]

Sample Interview Questions

How would you handle a frustrated customer who disputes a balance due notice?

I would listen actively to understand their concern, apologize for any inconvenience, and then review the account details. I would explain the charges clearly and offer payment options or escalate to a supervisor if needed, ensuring the customer feels heard and valued.

Describe your experience with navigating multiple computer systems simultaneously.

In my previous role, I used a CRM, billing software, and a ticketing system at the same time. I developed a routine to quickly switch between windows and keep organized notes, which helped me resolve issues efficiently without missing details.

How do you prioritize tasks when handling a high volume of calls and emails?

I assess urgency by identifying time-sensitive issues like billing deadlines or customer complaints. I use a ticketing system to track tasks and allocate time for follow-ups, ensuring that critical items are addressed first while maintaining quality service.

Can you explain how you would research an insurance claim to determine responsibility?

I would first review the patient's insurance plan details in our system, then contact the insurance company to verify coverage and claim status. I would cross-reference the explanation of benefits with our records and document findings clearly to resolve the balance due.

What steps would you take to prevent recurring billing errors?

I would analyze the root cause of common errors, such as incorrect plan selection or missing information, and propose updates to checklists or training materials. I would also communicate with the retail team to reinforce correct procedures and ensure accurate data entry.

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.

Apply now >