Mock Call #22: (Healthcare Account) Authorization Denial Mock Call

Mock Call #22: (Healthcare Account) Authorization Denial Mock Call
#callcenter #bpo #customerservice #healthcare #mockcall
🎥Facebook Page: / jelinebracamonteavellano
📹TikTok: vt.tiktok.com/...
📌Related videos: (Healthcare Mock Call)
✅ • Mock Call #18: Healthc...

[@grogu-the-mandalorian]

Just started a new job at a medical billing company and I'm actually about to commence training on working Appeals/Payor Phone Calls tomorrow. This was so helpful! Knowing what to say over the phone can be a little intimidating sometimes. Thank you so much for providing such an awesome example to reference off of going forward. 😁

[@JelineBracamonte]

You're welcome dear and congratulations. I know you'll do great! ❤️

[@nheng9802]

Thank you so much Jeline for the upload and for showing us the actual scenario of how a Mock call should be handled, very precise and understandable, and no more flowery words before proceeding to the actual Sample.

[@JelineBracamonte]

I truly appreciate this. Thank you, dear. 💕

[@mdl4274]

Thank you! More healthcare scenarios please... I am currently on my 5th day of training and your videos are very helpful

[@JelineBracamonte]

You're welcome, dear. ❤ I'll try to create more of this. Wish you success! You can do it. 😊

[@maealfonso3882]

hi, what to expect about the training I'll be handling Medical Acc. i need some tips and information

[@gandaka5773]

@@JelineBracamonte mock call for provider please

[@sfritzieleen22]

Hi, this really actually how we handled a call in a authorization denial, can you please make a sample mock call for eligibility and benefits? And other claim denial? Please thank you. By the way im a wellcare provider agent.

[@sebastianaristegui1397]

I worked at a Healthcare Campaing as a tier 1 agent, at first I thought that it would be easy since our job basically was collecting all the customers information, identifying the problem/inquiry and transferring the customers to the correct department. But the bad part in this was that most of the customers before reaching us, they were already waiting in a long queue, most of them were in bad mood already, and telling them that they would be transferred to another department always made them even more angry. I remember that I had a lot of customers that refused to be transferred even after explaining that I didn't have the information or will to proceed with their problems/inquiries. 😪😪😪 Being a Call Center agent is a good paying job, just find the right camping, that's the key

[@johnedwardportento9727]

Hi jeline I would like to thank you for this video coz it really helped me passing my call simulation assessment today 😁😁😁. Thank you very much

[@christinejoyapattad9128]

optum?

[@JelineBracamonte]

You're welcome, John. ❤ Godspeed!

[@zeugnarraaziledyah3289]

Thanks for scenarios Ms Jeline. I will use this for mock call.😊

[@warriorqueen863]

Kelangang ulit ulitin kong pakinggan dahil minsan kung saan saan napupunta iniisip ko😆 Nyemes parang ang hirap nitong insurance...pero kung kinaya ng iba, kakayanin din natin ito mga call center newbies here... Kakahiyang bumagsak gwapo pa naman trainer namin tapos babagsak ako 😅

[@arvinsenglishph4925]

They say that this account is quite challenging

[@JelineBracamonte]

I couldn't agree more, Arvin. This is the most challenging account I had handled.

[@isaacpalacios8921]

Great job! More healthcare call scenarios please

[@JelineBracamonte]

Thank you! 🙏 I promise to create more. ❤

[@francetrsh01]

Hoping that I can handle a call smoothly like this.

[@carlvincentromero7697]

I also work for Health care account. Under wellcare insurance haha. Very same process. however in our case, if the call we recieved is from the provider of the member and the member is not with the provider, as much as we wanted to assist the caller, we do transfer the provider into provider department

[@saivenjoevic5971]

Yes, if the provider is a caller they may immediately transferred to the Provider's Department. I'm out on the campaign from wellcare due to Ramp down but the company promoted me on new campaign so i'm on now, to Centene Campaign which as far as I know Centene is a head of wellcare now. And this LOB it's great and little more easy than wellcare varsity team because usually on wellcare they have a CSAT counts that's needs to maintain to your KPI every month, inorder you to stay on job. However, most of members are irate. But I really miss wellcare tho.

[@carlvincentromero7697]

@@saivenjoevic5971 same, I miss wellcare too haha. I miss those irate "tanders". I am working now in different company and account. I handle travel account but more on hotel bookings and reservation so less irate callers .

[@drakemaglinte6398]

hi can I ask if wellcare is a wfh setup and do they really ask for your mother’s maiden name? I had my behavioral interview early today and got shocked that the interviewer asked me about my mother’s maiden name. I didn’t gave it and told the interviewer that I am not comfortable in giving such info and if it is necessary. He said JO will be tomorrow, I am still hoping that it was a legit interview. 😅

[@andrease794]

​@@saivenjoevic5971are in authorization intake po?

[@hola6449]

Ive always watched your video again and again....this will help me alot to how to answer and give a feedbacks for my 2md day training this coming monday and we will do a mock call as per our trainor... thanks alot for this very informative...😇😊🥰

[@JelineBracamonte]

You're welcome, dear. ❤️ I hope everything went well on your mock call. Godspeed! 🥰

[@brutuscovers1561]

I've been working for BCBS for almost a year now, and i can say that this is not the most common scenarios that we encounter everyday. Most if them are irate callers specially when it comes to claim denials and recoupment 😅😅

[@weslyAgbayani]

Hi ! My i ask what are the common issue or problem?😅 Cuz my account is Bcbs too. And im traine and i dont have any Idea for any Common Issue of the Customer mh i have some Tips?

[@kayquiroz4452]

Whats the emr used in bcbs?

[@Bhuvana.S-h6q]

I'm an indian and looking for healthcare caller jobs. Can any one assist me how to apply?.

[@mackybumanlag8037]

Momshieee thank you for this 🥺❤️ please create more 💜💜💜

[@JelineBracamonte]

Sure dear ❤ tuloy tuloy na 'to. Thank you din sa support! 😘

[@velvetrealitytv]

thank you for this vlog .Its very informative

[@JelineBracamonte]

You're welcome ❤️

[@akiraayato5715]

I'm from UHC jusko gantong ganto yung ginagawa sa claims kakainis ang hirap intindihin pag ayaw patalo ng provider :

[@johnjosephpo3085]

healthcare scenario member asking about their benefits

[@hola6449]

Wow.. thanks for this sample mockcall script...this helps me alot how to do when i start my training..😇

[@JelineBracamonte]

You're welcome, dear. Godspeed! ❤️

[@jsvlog3175]

concentrix ?

[@pamjanevlogsPH]

Hi Jeline, can you do a food delivery account mock call again, but this time, with drivers? Thanks.

[@theadventure3046]

😂 putek mukang mahihirapan ako sa first day ko ahh medyo mahiyain pa naman ako mag english

[@paulsantos2270]

The vlogger is naturally excellent in listening, typing and talking.. My god i dont know if i could pass the training period this october.. I have a listening problem No problem in talking on my part My problem in this sort of account is lots of inputing the numbers But i will face them all.. whether i fail or not.. i will fight like a cock

[@ShesnotdatCute]

Mii more videos like this for healthcare account ❤️

[@sri7580]

Please make more video regarding denial management in health industry 😢

[@shiannebalontia8714]

Hello, can you please make a mock call for navigation?

[@Ayang123]

So good 😭 iHope Ivan do that

[@JelineBracamonte]

Thanks dear. You can do it! Just a matter of practice, dear. ❤😘

[@hardware4086]

Sana ganyan na lang lagi yung denial about Auth, however pahirap na ng pahirap yung denial.

[@mariapanal478]

i thought u will proactively told the provider to file an appeal🥰

[@JDWilliamsPD]

Bravo!

[@JelineBracamonte]

Thank you!

[@akemimi77]

Any tips for non voice healthcare accounts?

[@rajendrakumar-le6yg]

Where is claim # ?

[@Melvz946]

Natakot ako ituloy yung healthcare account na offer sa akin. Ang hirap pala😢😭

[@vanessa.xelamie_]

same

[@claireros1693]

Anu company?wfh ba usually sa healthcare?

[@chelchel6165]

Madali Lang po depends sa acct din

[@sfritzieleen22]

healthcare account is quite challenging pero as days goes by, madali nalang siya. Sa training kalang talaga maging bobo hahahahaa kasi di tayo familiar sa mga words and medical terms, pero kalaunan easy nalang yan. By the way I am from healthcare account, im one of the medicare provider agent. Goodluck! Kaya yan!❤

[@andrease794]

Mahirap talaga sya kase ang daming covers ng healthcare pero more on transfer naman pag authorization intake

[@melvinfondevilla2327]

How I wish it is that easy.

[@robpandacan5677]

Today is my 1st year anniversary as Healthcare Claims and Appeals Advisor located in USA. And I can say, it's so easy other than different LOB or Accounts that I handled before and they trained me for Just a day! ☺️ Just trust yourself. Everything will go smooth. ❤️ In addition to this, the way she handled the claims call, so direct to the point, not so agenda driven, transactional, but still don't forget to build rapport if necessary while checking for the Provider's claim or appeal status to avoid dead air but then again, it's case to case basis scenario not all the time it's applicable. Coz the way she handles it, as same as mine. 😁

[@theadventure3046]

Parang nanlalamig ang paa ko ah wala pa naman akong experience sa call center

[@arlyncoja2921]

Mam Jeline , baka po may sample mock call ka dn ng Assurant 🥰 pleaseee

[@keithjaysonromero4974]

Hi Im new here, may I know if this is the standard call flow for UNITEDHEALTH CARE?

[@juliusbucog4946]

queuing ba sa healthcare membership?

[@daisycabiltes4699]

Sample for pre auth mock call

[@sheramiebalasico8695]

Hello po maam, what if po there's a missing signed PCP autho letter, anu po gagawin? Salamat po sa pag notice😊

[@grajoalex7377]

Contact pcp

[@mikaellahmicaharellano4428]

Meron po ba dto my alm about clover health account?not familiar newbie here

[@CryptoRiderz]

Mas challenging sa Wellcare..dami tools jusko😱

[@JelineBracamonte]

Trueeee! 🤭

[@CryptoRiderz]

First day namin ngaun sa prod Sana kayanin😂😁

[@JelineBracamonte]

@@CryptoRiderz Kaya mo yan, dear! Sa umpisa lang medyo mangangapa, katagalan masasanay ka rin. ❤️

[@lutchie-fd7dg]

Same here,im from wellcare, always QA fail im on nesting or grad school, im shy always on coaching... Hi ms noreen pls help me, i love being a part of this industry....i dont know if i can make it

[@cliffsidegreenery468]

Wala yang wellcare sa Floridablue. 20+ ang tools at daming gagawin if csr ka.

[@valeriepark9176]

Hi ate sample mock call naman po for transportation account (Uber freight) thank youuu

[@mackybumanlag8037]

Meron ka po ba sample for Telco account ?

[@JelineBracamonte]

Nako dear, ang dami hehe. 😁 Tap mo yung "Playlists" tab para mas madali mo mahanap. Click mo yung "Mock Calls" na album: Mock Call #1, 2, 3, 13, 15, 16, 17, 19 and 21 Telco lahat dear. ♥

[@mackybumanlag8037]

@@JelineBracamonte opoooo thank youuu poooo omggg Dami ko natutunan salamat po dito sobraaaaaa ❤️❤️

[@coreysmith8057]

Theses i do not make sense fear was the arrival now happen to leave is the departure time tonight

[@coreysmith8057]

Theses theses

[@rodygongtv]

Disat