Upper management seems constantly flip-flopping between if something requires pre-auth or not. One person will give one answer, and then give someone else a completely different answer. You will find yourself working ALL markets, and almost every service type. Each market has different rules, it’s nearly impossible to keep up with, but management doesn’t care. You have to know everything and you better not make a mistake. You get no recognition for a job well done. The letters you have to send out for different markets need different fax cover sheets in different circumstances, so you better remember which one gets which even though you have cases with multiple markets assigned to you. And if a member needs a Spanish letter, we are told to “use Google translate”, as most of us don’t know Spanish. If you don’t meet production, for even just 1 month, you get put on an action plan, regardless of if you JUST WENT THROUGH TRAINING on a new process. You may have worked hard for your RN or LPN, but you will also find yourself doing the Customer Service Agents work too, and correcting their mistakes with no repercussions for them. Think twice before applying here.
