3 /5 Susana Diaz: This has been the worst experience trying to get a hold of anyone in this claims department. Terry S. was emailed on my behalf on the 13 of Nov. I didnt not hear from her till the 3rd of December. Unfortunately for me I was in the shower when she called. I called back 30 min after her call and have left roughly a message a day, she had even changed her voicemail since my initial call.
This has been a horrifying/ frustrating experience trying to talking to billing . Unfortunately, everyone keeps point me to talk with Terry. My only choice at this point is to file a complaint with the hospital system, a grievance with the insurance and try to get a hold of someone up the ladder.
I will definitely post the end result.
One and half months later,
After having a conference call with the ins. representative and a rep from the hospitals billing department. The call that the St. Joseph staff made to my ins was reviewed and upon reviewing it, it was determined that the ins rep did NOT approve the services for my son under our plan. Therefore the hospitals representative made an error in scheduling us for therapy.
I eventually filed a letter of grievance with the hospital and my claim was forward to the billing department. The lead supervisor" Martin did reach out to me at this point in time . He listened to my concerns and was very clear and well spoken when responding. After some discussion, the issue was resolved in about 2 week time frame.
I do have to say that the last two representatives from the billing department: Mayra and Martin, did respond to my calls and followed through when they informed me they would get back to me "such and such date". Unfortunately I did not hear back from Terry.
Overall this was a costly error by the rep who performed my ins verification request for services. I do believe that this process could and should be reviewed for improvement.
I do suggest that all patients keep their signed copies of the paperwork and all documentation. Upon signing, make sure you review under which terms you are agreeing to services ( remember its a binding contract). If they make a false claim in error, they are accountable. But you will need to provide that documentation.