Back to back calls from doctors offices hospitals urgent care etc. Nobody notes anything of importance. Little to nothing details on cases that should be noted in detail what is going on with a case.
Prepare to use the bathroom before you clock in. Stats are important pick up the phone keep going. strict attendance policy.
No advancement with remote workers, and if they do its more likely they have visited the offices a few times. Even if a nurse can finish 60 cases a day and have worked for years, there are preferential treatment. Cliques exist.
Call members and let them know I have them scheduled.
Answered - Consumer Engagement Specialist (Former Employee) - Melbourne, FL
On the phone or reviewing faxes all day on the computer all day. Entering all data into the computer system.
Answered - Appeals Clinical Reviewer (Former Employee) - Colorado Springs, CO
Sitting for 8 hours at computer. Taking calls from Doctors offices to review patient information for requests for imaging studies.
Answered - Utilization Review Nurse (Current Employee) - South Carolina
After approximately four weeks training, you will begin to build cases that will ultimately lead to prior authorization. You can expect from 75 - 200 calls in any given day for different health insurers.
Throughout the day, you will monitor your schedule for breaks, training and other announcements for attendance.
Answered - Non-Clinical Intake Representative (Former Employee) - Bluffton, SC
Call after call
Answered - Call Representative (Former Employee) - Colorado Springs, CO