Senior staff are knowledgeable and extremely helpful. Healthfirst fostered a professional environment and drove the mission of the Health plan.
Member Service Representative (Former Employee) – New York, NY – February 6, 2019
As a member service representative for Healthfirst for over seven years, I was able to use the tools given to me to help members and providers with our health plans. I felt primarily with theHealthfirst Medicaid plan and Personal Wellness Plan. I assisted members and doctors offices with benefits, prior authorization requests, medication requests, enrollment, and recertification. I also worked closely with The New York State of Health and the Human Resources Administration. I also worked with CVS Caremark (One of the Nations largest medication managers), as well as Plans created out of the Affordable Care Act. One of my major responsibilities was to assist case managers approve DME and procedures that required a prior authorization approval in order to be covered on the members plan. I also assisted Doctors and members file an appeal or a complaint in the event certain services were denied encluding Braces (orthodontics), Physical Therapy, and Power wheel chairs or scooters. It was a rewarding job however I was never offered the opportunity for advancement. I also assisted providers and members with billing and claim issues.
Ability to take control over the call rather than transfer to another department.
Never offered advancement or promotions.