Pros: compassionate co-workers, pto accrual
Cons: compensation, work stability
A typical day at work would consist of completing daily reports issued to our health plan by CMS and the state's Med Quest office. It would also consist of reconciling members' records and processing enrollment requests that complies within our company's policies and procedures in addition to CMS' regulations and the state's regulations. I would also conduct outreach necessary to members, MAPD helpdesk, the State's Med Quest office & other insurance as necessary. I'm constantly interacting with other internal departments in verifying member eligibility, demographics and other concerns or issues and also interact with external companies such as Express Scripts to resolve PDE and FIR issues. Working for this company for the past 4-5 years I've learned a wealth of information in the health insurance field that has helped me challenge myself, obtain a lot of resourceful skills, strengthen the skills I've already possessed prior to being employed here and have helped me maximize my experience/background in this field. My co-workers have varied a lot throughout the years and currently they are compassionate about helping the organization succeed. I've had 5 managers and 3 supervisors throughout my work experience and learned a great deal of different managing skills. Currently, management is okay and is still in the process of trying to establish stability in the workplace, boost employee morale and improve employee compensation. The hardest part of the job I would say would be having to complete projects or tasks at hand whenever the resources become limited. The most enjoyable part of the job has always been helping our members, working creatively with others in coming up with a resolution of an issue and the sense of unity and ohana when working with my co-workers. I feel at times that everyone is striving to help our organization succeed.