Managed Care Enrollment Representative

Job Description

Job Description

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 Enrollment Representative to join our growing team!

Job Description

The Managed Care Store Enrollment Coordinator is responsible for overseeing and maintaining store enrollments with National Vision, Inc.'s (NVI) contracted Managed Care (MC) payors.

What Would You Do? The Specifics.

• Responsible for a broad range of provider relations and service interactions between National Vision and the managed care payors.
• Applies for and maintains documentation for each location’s National Provider Identifier.
• Communicates new store information to the MC payors for enrollment in MC.
• Serves as the point of contact with Managed Care payors throughout the new store opening process.
• Sets up MC portal log-ins for NVI stores.
• Communicates payor IDs and payor portal login information to the new stores.
• Troubleshoots issues with payor setup or portal log-ins and assists stores in resolving problems.
• Keeps payor directories up to date.
• Assists in maintaining the database of managed care payors for stores and ODs.
• Assists stores and other departments with questions regarding NVI’s participation with MC.
• Analyzes managed care sales reports to identify problems and works with cross-functional departments to implement solutions.
• Serves as a liaison between National Vision’s managed care customer service and billing departments to assist in the resolution of systemic claim issues and denials.
• Diligently seeks assistance from the payors as needed and works swiftly to monitor and close the loop on issues as quickly as possible.

Qualifications

Work Experience

• 2-4 years of Managed Care, customer service and/or administrative experience. (Required)

Education

• Two years of college or equivalent experience. (Preferred)

Additional Skills

• Strong database management and data entry skills. (Required)
• Proficient in Microsoft Word and Excel. (Required)
• Strong verbal/written communication abilities; effective interpersonal skills; strong attention to detail. (Required)
• Highly organized with strong follow-up skills and the ability to multi-task. (Required)
• Strong interpersonal and communication skills with the ability to work with a wide range of associates, teams, supervisors, directors, customers, and vendors. (Required)
• Organized and detail-oriented even in a fast-paced environment. (Required)
• Takes initiative and ownership for assigned tasks. (Required)
• Produces quality work and contributes a positive attitude towards building successful relationships with others. (Required)
• Has the ability to juggle multiple projects with multiple deadlines, often with minimal direction and supervision. (Required)
• Resourceful and seeks out answers (Required)
• Identifies opportunities for process improvements to workflows and is an active participant in making those changes to accomplish goals efficiently. (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.