Pros: large company, good benefits, and pay
Cons: after several department shuffles, communication broke down
for the past almost 6 years, I had worked from home.
I worked system generated age lists, claims issues and correspondence from members and providers.
Reviewing such paperwork for appeals and medical records, routing paperwork to correct areas. Making calls to members and or providers regarding issues or questions related to correspondence being worked. – more... Mail letters to members and providers requesting information or advising of out come on issues. Worked Customer Service call center for about 4.5 years handled all issue for members and providers, trouble shooting on claims, filed appeals as the members needed, and was also unit go to person when leads were not available. – less