When you are a non-clinical person in the medical field there are things you don't do. For starters, you don't make decision about a patient's care or determine what they receive or do not simply because you don't have the clinical certifications to do so. Non-clinical workers, usually work in the capacity of office support. Now, with office support there are different job scenarios whereby some workers may know all or each and every work detail in an office or department or they may only perform a specific set of functions regarding a particular area or office department. Be that as it may there are times when we can't be all things to all people and for the most part that should not be expected. This should not be perceived as a "Stay b---k and die attitude,what's it worth--really?" Health insurance companies need to understand that the software that they create to orderly implement member, subscriber and provider information should do just that. It is somewhat antiquated to await a letter of approval in the mail when there exists insurance subscriber, provider or facility portals through the health insurance website that allows one to access approval or denial information. If this in not in effect then it should be so that any letter be it approval or denial can be uploaded or created from a template within the health plan software to simplify matters. Once that information is uploaded into the member, subscribers online information chart then they should be able to access it without having to wait for a letter in the mail. Also, health insurance plans need to be able to have an automated phone system that provides member, subscriber approval or denial information once a service is approved or denied. I say this because, remedies the wait time between a physicians decision to approve or deny a service or coverage and the actual sending of the letter by mail. The automated phone system gets stalkers and unstable people off the phone and ensures that vulnerable folks don't have to contact them and have to worry about them just coming by to see what a person looks like, or awaiting for some sweet sexy thing voice to make a sound over the phone. That should not be. Like I said non-clinical people are office support so they usually do the follow-up of said information before and or after a decision has been made so there is no need for them to do the overnight shift or even a swing one because due to technology these non-clinical people should be able to complete such tasks in a timely manner without being accused of being lazy, not a team player(although some of us know know that they actually were the team) or at least that's what they were thought of as. For example: Such a health insurance company receives a request for certain services or procedures to be approved, this request could be mail, e-mail, fax or walk-in. The request is given to a non-clinical person to establish an appeal or request and then reviewed depending on the type of procedure or if it needs to have a medical review established by a nurse or physician authorization versus medical necessity or continuation of services depending on what was requested. If the request does not need to be reviewed by a nurse or physician then the requested services are approved or denied based upon if an authorization exists or not and if the CPT codes can be accepted within that authorization or if the provider or facility has obtained authorization for their services. If a medical service requires the review of a nurse or physician then the request is then given to them by the non-clinical worker. It will go to the nurse then to the physician and they will make the decision of approval or denial. Once this occurs the decision should then be sent to the non-clinical worker who will then create a request for automated response to contact the member, facility or provider with regards to the decision by phone and that response should be sent from within the health plans software so that the same phone message can be translated into a phone notification message for both the member and provider to access. Since this is all done through automation, the letter that still needs to be created and put into the health plans software system can then be created within 24-72 business hours and sent so that those who still don't have computer access can receive such decision by mail minus the urgency that gets created resulting from a decision that has been made and then the contacting of member, facility both by phone and mail. Once the health plan has the software updated and automated if a member is able to receive an automated call(in whatever language they prefer), if a service is approved they can just await to receive the letter as confirmation or log into their member portal for a copy of the phone message. This removes the urgency for those sudden last minute requests for things to be prepared and sent out when the evening's mail has already done it's last pickup, the post office is closed and underpaid workers are just ready to get the you know what up on outta there...
It is understood that urban areas are more populated and therefore public transportation is heavily used. But there comes a time when each bus line should have an express bus service so that those who are taking local stops can ride the local and those who need to get to a certain point or area of the city without all of the local stops can do so by the use of an express bus. Every bus line or route should have one. Express buses should not just be exclusive to Manhattan and 5th Avenue. Also, people come from all over to work in the city, jobs in the city should not be exclusive to people who actually live there. People should have a choice as to where they want to work and not because of where they live etc. Strange, because for several years I had the very unfortunate experience of working in White Plains and Westchester itself is spread out so it really sucked and even from White Plains, it would take me about two hours to get home. You would think it would take a lot less time but depending on where you worked in Westchester and what time you left work your commute home could easily be about two hours. This was the worst because they paid minimum wage pretty much so taking an uber or cab was out of the question and in Fraulein status of such or in regards to it, why would I drive a car to work if I am unable to afford the cost in paying for it? I only earn enough to take the bus or public transportation so that's what I use. Who in their logical mind spoils their rather abusive employer by driving to work? At this point you're asking for it. If the employer does not pay you enough to buy the car without enormous help from somebody, then you don't drive it to work. If you think I'm just gonna up an drive such said car to work knowing full well on the salary you paid me, that I can't afford it(especially at those prices), then you are worthless. In terms of transportation you get clear worth. I don't care if the job is in Westchester or not, the abusive salary and working conditions- I will be on the bus. Speaking of which, I need to have the oil changed, waiting for a real paying job to come along and that does not happen when working for fraud doctors.
I remember way back, when people wore dresses and business suits to work. But for some strange reason when I went to do it they wanted me to look more casual. Why is that? I mean when I wear clothes I can probably wear on the weekend nobody complains. But once I dress in that formal business type of way then you get this "You can be more relaxed." So I do just that I come in more relaxed, so don't nobody complain when I do. But, did I overlook another opportunity of fashion, in that I could have been a petite wearer of clothes, since I looked rather appealing enough for people to want to see me in the relaxed version of clothes. Now, it's true I don't like being management. I'm more of a worker in a cubicle in my own world surrounded by computers and looking for an IT position somewhere in life so that I can truly be grown and support myself. I'm just not a people person. My hobbies are my passion but hey I can just co-exist with the rest of the world, no problem there. But who knows, one day maybe I can actually work from home and not have to worry about what to wear and perhaps a job in IT will do that. I just find it really strange that you know when you want to come in looking good and what not and people just "Like you really relaxed." Is it my brains that they want? I'm not perfect and no one is but, if that's the situation then tell me what my brain is worth and pay me accordingly. Or is that another discussion in that you will tell me "You want a relaxed pay environment."? I don't think I'm difficult to deal with really I'm not but when I dress up, well then I've done bad and then when I don't dress up, then where "is my sense of self?". You want it both ways and to have your cake and eat it while you drive the rest of the people crazy. Really biased that some can come in dressy but others they want that relaxed wear. I'm looking for IT work perhaps I can look relaxed and not worry about being on the runway with my clothes. And of course being a lackey in somebodies medical office you don't need to put on airs that you are really doing anything with yourself, but totally sacrificing. I've been there, those dress clothes can stay in the store.
I wish we could all have jobs that we really like or love to do. There is nothing like going into a place of employment and not wanting to be there and hating everything from the work to the people in the office. I really dislike when people put their ignorance off on others. Not everybody is meant to be a such said physician. You have to have an aptitude for that among other things. Many physicians think they can solve the problem by hiring a lackey of a certain aptitude to do much of the intelligent work for them thus, leaving the dummy physician to do nothing but talk about everything except the patients condition and then the patient who is probably just as dumb as the physician calls and asks this lackey all kinds of questions that should be answered by the physician or discussed with him or her. Let's be real, if you didn't care about all of your health concerns during your visit then why call and bother me about it afterwards? Yes, you are a dumb patient that does not care about your health and equally dumb as a result of the physician you have. I had to get away from what I hated. I don't necessarily agree with the idea of putting ignorance, incompetence, special needs, supremacy all in one bowl for someone to serve people with or rather patients, that's just too much damn work. If the physician does not want to do his or her job as one then they should not be there and you know this by the amount of work the office has to do. Sacrificial physicians, or the office I worked in for many unhappy years are usually frauds because they do not have the intelligence or competence to do the work so they rely on the lackey for such said office. Now, what bothers me about all of this is the fact that people really think that they will be healed of all ailment by having such fraudulent medical offices. By this I mean using some one in sacrifice, God don't like ugly. More about this in the next blog...
I am a self proclaimed vitamin junkie. It has been my way of live for several years. It originally started as a way to feed myself cheaply. I hated cold cereal. I mean I liked it as a child or a kid but as I got older it seemed to have lost it's appeal. Which is strange, because due to health issues there are all of these brands or kinds of cold cereal that are a lot healthier to eat and you find that adults and much older people are now returning to cold cereal. I suppose I could just eat the grains and nuts or what have you in a cereal bar, but then what would I eat for lunch? Also there needs to be more "on the run" diversity with cold cereals, yes they make the snack bars, but hows about those heart healthy cereals mixed with nuts or even one with oatmeal sold in breakfast bars with several in a box or package? The only thing is that the breakfast bars would have to actually amount to an entire bowl of cereal and not just a snack, otherwise what is the sense of eating something when you are still hungry afterwards? Nutrition is one thing but if you continuously go hungry, then you are more likely to eat foods that satisfy your hunger or appetite. The vitamins generally remove much of the hunger and last a lot longer than just meal to meal. For instance I could take my large quantity of vitamins early in the morning and not eat until later in the evening and not become sluggish or feel as if I am starving. As a result, this approach has saved me money that I didn't have to spend on food initially. Over the years vitamins due to their popularity have increased in price along with everything else but they still are a lot cheaper when looking to take them instead of eating a meal; because the cost of everything has gone up and salaries just do not keep up with the cost of living. When on a budget one may consider vitamins and the health value that they have. Once you start taking vitamins you spend less money and stay healthier...
I often ask myself, would I be successful if I were allowed to make my own decisions? That is one Duh, of a question. Of course I would. But we live in a world where people like making decisions for others who are really able to make decisions for themselves. We have to ask ourselves? When do we get be be grown or adult enough to do what we want to do? What really bothers me is the insecurity of others who have yet to find that aspect of themselves that yields salvation. In a way you have to decide what works best for you. But to know that is the decision you have to make is not the easiest thing to figure out. Truthfully, many people just take it for granted that, that road of suffering that had been walked cleared the way. It did, but when one gets "hampered" by the doings of others, in that the other individuals do not make a way of restitution for themselves, then that road is not as clear because it's hard to see once under the bus. The ignorance, stupidity and greed of others is usually what hinders a regular life. Things don't have to be that difficult, but when you have those that want to rely on others for their own salvation and time and time again they do nothing but hamper your life; there will come a time when all will rise and somehow or another the decisions will be yours to make and success will follow...
I suppose we can't do without them. As they are the go between between the employee and the employer. I try to look at this in a good way because in the instance of working temp you can actually work a job and move on without being bothered once the assignment ends. It sounds cold but if you actually think about it the "employer" does not provide benefits of any sort so you just show up for work and get paid for the days that you do. Then once the assignment ends it just does. There are no 401k's to negotiate, health insurance or being paid severance or for vacation and other days off not taken. So an employer can save a lot of money here; although temp agencies make money from the employer who you currently work for. The thing here that I am asking myself is, is it the money or the principal aspect of employment that makes companies seek temp agencies? A company may want individuals who show up to work and no questions asked with regard to paid time off and other company expenses. If you do not work you don't get paid and this appeals to many employers. Which is probably why they seek out temps because for those people who are actual company employees, they get paid when they take days off. Also, company bonuses and 401k contributions for the most part leave temps out of the loop. To be honest and if I had a choice as everyone should, if I were offered a temp job working in a office, you know with a real desk and cubicle and all surrounded by computers and monitors and stuff to do as opposed to a permanent or hired by an employer job doing ekg's, holter monitors, event recorders,urine, labs, by the way I did more stuff as well; what job do you think I would consider? You're correct, it would be the temp job because once you get out of the medical office you just want to escape somewhere else as fast as possible. It's just a preference, there are somethings I have no passion for and that job was one of them. I don't take lunch partly because I'm not a people person and along with that it would be like patients coming in to a physicians office. I simply lost my appetite. Anyways, that area of work is not my calling and as much as I despise Westchester, I don't think I'd like to work there again. I don't want to be "typecast" into a certain job or skill because I was good at it but I'd really like to try other interests and passions once this ends, like working in a law firm setting, how bout a career in it? Why would that be too much to ask, I mean I'm intelligent enough and kind of cute to look at when I was doing all of the other nonsense? Even if it means I would temp for many a years to come, I would just attribute it to being "typecast" and yes, I just think about the money, after all why do we work?
I guess we should be happy that they come along. I mean it's supposed to be your day to do whatever you want. For some birthday's are just a reminder that you are that much older and instead of going out to party until the wee hours in the morning, perhaps you should stay in and relax and get more of that much needed sleep so you don't wear yourself out. I was never into celebrating my birthday since it would come along around the first day of school. Think about it, I would get up just to go to a place where teachers didn't think much of you and I wasn't offended by this because often times the feeling was mutual. These people had no calling they just needed a paycheck and as I got older as a result of more birthday's I would also realize that I didn't exactly have a calling but I was in need of a paycheck. This was about the only thing we had in common. As a result I never really celebrated my birthday because I was usually getting ready for school and I had to have it all together just to be there. In my younger years, I went to school in Mount Vernon, New York as a result of moving from the Bronx. Anyone that knows the Mount Vernon school system knows the word post-school depression. It's real since what they teach you is designed to make your life a reality-they speak or relate to one biblically. Yes, this was public school doing this. So you often wonder who their influences were because these people had a thing about determining a persons life, just really depressing. But I wasn't going for that nonsense. I was going to give them their economy one way or another. I got up and went to class, but Mount Vernon had a hype of their own or at least the teachers did that if you though about it now you would have just brought toilet paper to do your homework assignments with. Having gone through this birthday's aren't usually much fun and of course once you get out of school or once you finally do then you are usually in need of a paycheck and have to become employed somewhere. Those who can't do teach. somebody came up with that phrase and probably for good reason. Well, how else would you get the money to go out and celebrate?
We need to do what makes us happy. I do believe that is when we put in the most work and not worry about how much money we will earn. Of course we need to live and earn a living wage but when you do what makes you happy there is for the most part a feeling of satisfaction that as long as you are able to care for yourself, one does not complain about money as much. I think that the choice of a career should be up to the individual who will be doing the job and not up to one who asks "How was your day?" Think about it, what do you expect for an answer if one does a job day in and out that he or she despises? Do jobs grow on us? This is a problem in thinking that you can fit almost anyone into any career. If one cannot go anywhere else in the company except to sarcastically be given all the work to do then the job is pretty much dead end or at some point you will outgrow it. Now, I remember a day when there were more choices for employment and many of those jobs have really gotten high tech or high travel by going overseas. Some jobs are difficult to compete for especially if you went to school at a time when technology was at the novice level. Now, it's true that that would have been the best time to get in to that job or career but the jobs were few because there was not too much of a demand since computers or devices like them were not in every aspect of our lives. Now, many, many years later the careers in this area are available, but it would be nice to have them broken down in school format so that an online education system can teach the course so that almost anyone if willing to learn can do that type of work. It would be great if the same institutions who offer medical, pharmacy and law programs begin to offer computer science courses online, so that one could learn what it takes to write programs, if that is such an interest or hobby. The thing here is that when careers price us out the door(When a company will only pay you so much), then what does one do? Yes, you make it a hobby and work on it as though you are earning a living. This makes more sense, because the other jobs are limited in how far you will go and how much you will make, so you might as well do something you like as opposed to something you won't.
I suppose there could be many other things to talk about. But I'm not really bothered about my age. Years ago it was a thing for a woman not to tell of her age and considered rude if someone were to ask it. But now more and more people are becoming health conscious and that is reducing the oxidative stress that is put upon the body. Oxidative stress is an imbalance between the antioxidants and free radicals in the body. When these free radicals are out of balance they damage DNA, proteins along with fatty tissue in the body. This causes they body to develop diseases and is what causes the body to age. This is because the free radicals do a lot of damage to the growing cells in the body by causing impairment to cellular DNA. Once the body has a mutation of harmful DNA it begins to age and one's health will decline as a result. I'm into supplements because the fast and processed foods that are made honestly cause our bodies to age quicker than we would like them to. My regimen really started as a way to keep from getting hungry because I did not have money to eat lunch. So I calculated how much I would need in a months time to eat and I found that by taking supplements that I would save more money because they were a lot cheaper(when bought in bulk) and used on a daily basis. This meant that I only spent a few dollars a day for lunch by consuming these supplements, and therefore didn't have to go worrying about being hungry because the supplements helped me throughout the day. I still continue my regimen to this day because salaries seem to not include what it costs to eat these days, but the supplements last over a period of time and can save on the average of two meals per day. Eating can be quite expensive. So I tell my age and let people think what they want because in a few more years if I'm too old to work perhaps they will allow people to retire without penalty in collecting of social security. Really, if the job market has a problem with my age or becomes discriminatory with regard to it- people should be allowed to collect their social security because they would then be unable to find jobs or employment. So tell your age, yay!
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