My Past, My Present, and My Evolving Perceptions

Posted by:

Who I Am

My name is Angel Seri.  I’m an Account Services Representative at mueller QAAS.  I’d like to introduce myself, and share some of what I’ve learned along the way.

My Experience

My industry experience began several years ago, as a Certified Medical Reimbursement Specialist (CMRS) at a small medical billing company.  I was responsible for ensuring claims and payments were processed efficiently.  I have firsthand knowledge of getting around the “red tape” within an insurance company to get results.  Within a year, I was promoted to a credentialing position, which also provided me with some experience in contracting.  This transition allowed me to familiarize myself with a variety of health care laws like HIPAA and the ACA, and with navigating the rules of Medicare and Medicaid.  I also developed valuable relationships with insurance contractors, providers, and enrollment specialists.  Many of whom ended up being my unsuspecting mentors.

After the medical billing company was sold and restructured, I joined mueller QAAS in December 2016.  I’m looking forward to transitioning my past experience in working with insurance to benefit providers and their patients, to instead benefiting employers and their staff.  I’d like to share some things I’ve learned from an outsider’s perspective, and during my first month at mueller QAAS.

What I’ve Learned & Why It Matters

First, people need help with their benefits. They need help to make benefit choices that are in the best interest of their businesses and their employees. This perspective is based on my days of talking to patients after they received a medical bill. Many had little understanding of why their health insurance premium and/or deductible was so high. More often than not, it came down to the benefit options that their employer offered. Most employers have their employees’ happiness somewhere on their list of important factors in running their business, but often times, benefits are overlooked, misunderstood, or selected without knowing all of the available options. This can put a strain on not only the employees, but have a significant financial impact on the employer as well.

Second, not all employee benefit advisors are created equal. This doesn’t exactly fall into the outside perspective category, because this is something that I just recently learned upon joining mueller QAAS. Until recently, I didn’t think there was much difference between an insurance agent, a broker, and a consultant. I thought they all recommended insurance policies based on what benefits them (i.e. which insurance company pays them the most), rather than on what is in the best interest of the client. I also thought that none of them take the time to truly understand policies or keep tabs on healthcare laws/changes to keep their clients well-informed, and that they are, frankly, an unnecessary third party.

After only a few weeks of working with the mueller QAAS team, I realized my old ideas about benefit advisors were not entirely true. Being at mueller QAAS has given me new insight into what a benefit consulting company can do when their main concern truly is their client. Here, there are no ulterior motives, conflicts of interest, or fickle responses to client questions and concerns. There is transparency, truthfulness, and a genuine desire to get results for their clients. It really is a breath of fresh air to see a company work so hard for the people that decide to put their trust in them. No, this isn’t meant to be a push for mueller QAAS. It’s my way of reminding you that yes, there are some shady characters out there, but there is good amongst the bad, and that it’s incredibly important to do your research before you hire someone to do any type of benefits work for you or your company.

My Aspirations

Although I’ve only just begun to get my feet wet in in my new position at mueller QAAS, I look forward to developing a deeper understanding of the efforts made by this company to thrive and earn its respectable reputation. I also look forward to building strong new working relationships with our clients, as well as sharing my personal insight on healthcare, insurance, and other related topics.

“To give real service, you must add something that cannot be bought or measured with money, and that is sincerity and integrity”. – Douglas Adams