Provider service rep, answered calls, gave benefit info. Set up cases, Took pharmacy calls, Checked on claims , sent them back ,if not denied correct
Provider Services Representative (Current Employee) – Schenectady, NY – October 27, 2013
Must be on phones at 8:30 am . Calls start coming in , Providers are calling ,to ck on claims, pharmacy, set up inpt cases. for admissions\ck benefits, ck eligibility, we work off of many different programs. Try to take calls as efficiently as possible. Some calls may be as long as a hour or so. When you check on claims, appeals and denials. Also sending remits ,and denial letters to Providers. We must follow all Hippa laws. We have two 10 min breaks, a day 30 min for lunch. If you take a last call @ 4:30 , you need to stay on call until complete, could take a very long time .
The hardest part of the job, is that everything keeps changing every day. Each person handles call coaching differently, so you get a lot of mixed messages.
The most enjoyable part, is when you are on with a provider,You get all the information, and solve a problem , that is going on for a long time.
Most co workers are very nice, some never speak to you, You be respectable to every one .
Management is ok, We have a very nice supervisor and manager now.They are very good, but follow every bit of procedure, there is no give and take. Also ,the rules are the rules. Except for the favorites.
I follow the rules , I give 110% every day. Try my best, Sometimes , very hard place to stay positive.
we get a free lunch once a month for stats being good, very nice
so many people leaving the company, either on there own or being let go, because of mistakes, or being out to much. lots of people left on there own, due to the fact, they keep addding more and more to the job, with 22 reps not there anymore.
Integrated Care Coordinator (Current Employee) – Tarrytown, NY – June 26, 2016
Management is very territorial. Not only from my departmental experience but from first hand interactions with multiple departments. Management seems insecure with their standings and withholds information from other employees and prevents collaboration. This attitude trickles down to the employees as well. Satellite offices are isolated and treated as 'underlings' to main office. Imbalance of power between management and employees during conflict resolution. Company is often blind to cancerous workers due to overall unorganized, over worked employees. You may work for an insurance company, but the coverage is awful.
Quality Improvement Assistant for HEDIS Scanner (Former Employee) – Rochester, NY – July 21, 2015
On a typical day I would get my work from clinical review nurses and scan them into the database for the HEDIS 2015 program and for auditors to analyze these reviews from the providers of continual visits of the patients health. Filing of these reviews after all scanned into the database.
My co-workers were excellent teachers, fun, professionals and great to bond with them in all the work that we did together as a team.
There isn't anything that was hard about this position and the enjoyable part was to be on a great team and provide a different way to make all our jobs effective in a faster mode.
Recognition of all our hard work with free lunches.
Quality Analyst (Former Employee) – Tarrytown, NY – August 26, 2015
this is where i learned team work, i was new , everyone helped me out. i learned alot from this job, mangment and co worker treated everyone as family. the hardest part was to be ontime with deliverables in a tight timeline, but overall i miss that place
Mktg.Rep Facilitated enroller (Former Employee) – East Fishkill, NY – April 14, 2015
Started at MVP in Marketing Department as Government Programs Facilitated Enroller, for Child Health Plus And Family Health Plus. Collected necessary information to verify prospective member eligibility.Educated members how to use health plan, attended health fairs. Visited Department of Special Services for prospective members. Got along well with Co workers Enjoyed Employee day retreat The hardest part of the job was getting prospective members to gather the necessary papers to help them to qualify for the health plan. overall i enjoyed the job.
Former employee (Former Employee) – Schenectady – October 22, 2014
MVP was the place to be employed perhaps 15 years ago however dedication to this company means absolutely nothing. They will chew you up and spit you out. MVP is sinking. How many additional layoffs will occur before the end? Do yourselves a favor, update your resume and begin networking before you are laid off. Unemployment is not enough to support anyone.
Analyst (Current Employee) – Schenectady, NY – July 7, 2014
Company looking to 'lean' operating expenses results in constant, unannounced layoffs. There is an extreme lack of transparency from Senior Leadership in terms of long term goals and 'ideal' company size.
Work/Life balance is adequate, but compensation and advancement opportunities are very poor.
flexible work schedule
frequent layoffs, low salary, lack of vertical advancement opportunities
current employee (Current Employee) – Rochester, NY – February 10, 2014
As with most companies today, this one continues to hire, but at the same time they are laying off valuable employees. Emplyees with over 10+ years with the company with a vast amount of knowledge are being let go due to down sizing they say. This is definitely effecting the morale since they claim it's for down sizing, but hire new people for the similar positions right after letting the seasoned worker go. Hmmm... sounds like another company trying to save the almighty dollar by letting go of seasoned employees and hiring for less.
Very poor management on all levels and way to many managers in most departments. They have managers for the managers. Ridiculous.
A productive yet challenging work environment that developed the
Account Manager (Former Employee) – Schenectady, NY – July 4, 2013
A typical day involved me meeting with law makers regarding health care reform. I would meet with managers and senior partners to discuss our goals for the day, week and month. The co-workers were hard working and enthusiastic. The most enjoyable part of my job was the working with such a wonderful group of individuals. They were a tight knit group that believed in one another and working together to get the job done. The hardest part was dealing with some of the upper managers who would impose upon us unrealistic demands that could not be reached and trying to compromise with them.
RN Case Manager (Current Employee) – Schenectady, New York – April 14, 2013
Most days busy require ability to multi-task. The company has provided considerable amount of,on site and off site training. Supervisors are great if you have an appointment and need to readjust schedule to accommodate work home life! Great unit/team morale. Supervisors & Associate Division Director out in unit multiple times daily if you have questions. Many resources if you need them. Overall culture of wellness and inclusion of all staff. Have current IT software/Hardware needed to perform job. Many opportunities for advancement.
informatin technology (Current Employee) – rochester – May 22, 2013
Wonderful people throughout the company. Unfortunately good employees are brutally micro-managed unnecessarily. Some managers are absolute bullies. There are a handful of amazing managers that actually work and step up to the role of true leadership in times of crisis.
IT Applications Manager (Former Employee) – Schenectady, NY – April 20, 2014
Great team atmosphere and willing to train employees to complete their job responsibilities. Management is supportive in day to day activities. The hardest part of the job is the demand and constant change of priorities. The most enjoyable part of the job is the co-workers and the care for the company that everyone has.
Approval Call Service Rep (Temp) (Former Employee) – Rochester, NY – February 4, 2013
• Interprets MVP contracts, riders, policies, and procedures • Received calls and written request from providers and other departments regarding authorization issues • Researched questions and concerns from vendors requiring written & phone authorizations • Makes outgoing calls to provide members/providers with determinations (i.e. authorization numbers) or request additional information (i.e. operative reports) • Received and data enters authorization information on a daily basis. Produced and sent system generated correspondence indicating authorization determination to members and/or providers • Performs copying, filing, faxing and other clerical duties as needed by the department • Strictly maintains the confidentiality of member and provider information
The people that I worked with were very welcoming and always willing to help. This was a great company to work for. I really enjoyed it.
PM (Former Employee) – Schenectady, NY – July 17, 2013
MVP has undergone significant change over the last few years. The outside influenced changes to the health benefits industry are significant enough, but the self inflicted issues are even greater. MVP took 5 years to integrate two companies, while a merger of equals sounds nice, in practice it meant that there were competing power centers in the organization at all levels of management, with goals, strategy and management direction changing on practically a daily basis. This was directly caused by the then-CEO spending more time fighting ACA in Washington DC and trying to play political power games, rather than focusing on effectively managing the company.
Over the past six months or so there has been significant leadership changes, it remains to be seen if this is will have a long term positive impact. In the short term, layoffs have drastically affected moral and there has been a large exodus of knowledgeable resources across the company.
nice people. if you like change, there is a lot of it.