National Vision Inc. ยท 1 day ago
Managed Care Billing Logistics Representative
Lawrenceville, GA
Full-time
Onsite
Entry, Mid Level
2+ years expNational Vision Inc. is one of the largest optical retail companies in the United States, dedicated to making quality eye care and eyewear more affordable and accessible. The Managed Care Billing Logistics Representative is responsible for ensuring the seamless processing of billing transactions with managed care organizations, utilizing expertise in managed vision care and EDI/API technologies to support efficient billing operations.
EyewearRetail
Responsibilities
Coordinate and manage the end-to-end billing infrastructure for managed vision care plans, focusing on point-of-sale calculation, claim submission, payment posting, and reconciliation accuracy
Set up and maintain managed vision care plan calculations of customer responsibility and insurance payments in the point of sale system
Utilize EDI platforms to transmit and receive healthcare claims, remittance advices, and eligibility verifications; troubleshoot and resolve EDI transaction errors
Integrate and maintain API connections with payers and internal systems to automate data exchange and enhance process efficiency
Collaborate with IT, revenue cycle, and payer relations teams to ensure compliance with managed care contract requirements and industry regulations
Analyze billing data, identify trends or discrepancies to identify root causes of problems, and recommend process improvements to maximize reimbursement and reduce rejections, denials, and write-offs
Provide technical support and training to staff on EDI and API workflows
Maintain accurate documentation of billing processes, system configurations, and payer communications
Qualification
Required
2-4 years of experience in managed care billing, vision insurance, or healthcare logistics
Two years of college or equivalent experience in healthcare administration, business, information technology, or related field
General understanding of optical retail and managed vision care benefits
Experience in using EDI formats (e.g., 837, 835, 270/271) and understanding of HIPAA transaction standards
Experience with API protocols and integration with healthcare information systems
Excellent analytical, problem-solving, and organizational skills and attention to detail
Proven skill in analytical and critical thinking to understand complex data sources, evaluate both qualitative and quantitative information, and identify patterns and trends
Strong communication and interpersonal abilities
Collaborative approach to process changes to ensure integrity of all departmental processes
Consumer-centric mindset to deliver excellent customer experiences
Ability to work independently and collaboratively in a fast-paced environment
Advanced Excel or data analysis skills
Benefits
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
Much, much more
Company
National Vision Inc.
National Vision is one of the largest optical retail companies in the United States with over 1,200 stores in 38 states and Puerto Rico.
10001+ employees
H1B Sponsorship
National Vision Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (14)
2023 (11)
2022 (14)
2021 (10)
2020 (8)
Funding
Current Stage
Public CompanyTotal Funding
unknown2017-10-26IPO
2014-02-07Acquired
Leadership Team
Kevin Hassey
Senior Vice President
Mark Banner
President - America's Best Contacts and Eyeglasses
Recent News
2025-11-18
2025-11-10
2025-11-07
Company data provided by crunchbase