#insurance back office
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Thinking about the time we had a patient who'd gotten surgery at one hospital but then needed revisions a couple years later but the hospital they'd gotten the surgery at had dropped their Medicaid plan so they said they wouldn't take them anymore unless they paid out of pocket and EVERY OTHER HOSPITAL in the city was like 'well our surgeons won't touch another surgeon's work, liability you know' and meanwhile the patient was living with debilitating pain while one of our nurses went on the warpath with the OG hospital's financial assistance department for MONTHS to get them some actual fucking help, the US healthcare system is so evil
#i think about them at least once a week#i dont even know if we managed to get them back for revisions in the end#the nurses at our office spend 75/80% of their time fighting with insurance like that is most of their job at this point#anyone who says it makes our healthcare more efficient is delusional or a liar
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Thank fuck i woke up at like 8 and resolved to hang out in the living room until the mail came because i requested redelivery on a package that needed a signatureā¦ usps doesnt tell you shit but well reddit said it would still need to be signed forā¦ but my Mail Daily Digest didnt say i had any packages coming today so i thought usps was just ignoring the request (again) and i went back to sleepā¦ but no it was just dropped off while i was asleepā¦ i got the Dgaf mailman this time thank youuuuuu!!!!
#i get it. $70 value international package. but like its insured. its not that serious.#this damn thing has been in mail limbo for a week. it was gonna get shipped back on the 15th#im glad i dont have to drag my carcass into the post office to get it#my only photo id is my passport and im like 15 in the image. embarrassing every time#anyway time to get out of bed and grab kurama figure number 12 or whatever i dont know off the top of my head#the kat goes meow
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About to enter my villain era where i just take packages off peoples porches because apparently theres just NO consequences to it so why the fuck not
#slash j this is a JOKE im not gonna do this#im not that hateful and shitty#i mjust pissed because someone stole my package AGAIN and the police wont accept a report because its not like i have anything to provide#and the post office basically said 'well we looked and couldnt find it sorry btw we cant reimburse you'#even though having SENT packages thru USPS i know they have 100$ insurance for what i had assumed was this reason#but nah cant give me my 57 back#okay#sure whatever#im so mad lmao#like ive let a lot of my stolen/lost packages slide#but this was a full set of an out of print manga that i will never find at that price again#and the help desk people id been working with were so mean every time i talked to them#which i GET it i hate customer service too but pleaseeeee i just want m y fucking books šššššš
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going to the doctor today I hope he doesn't ritualisticly kill me
#also i have to drive to the farther office cause the one i usually go to you cant get to cause of the construction#which does suck but thats ok#i dont get to drive that way often and its kinda a weird area#not very built out so theres pretty flowers#im gonna bring my jean plush cause im nervous#we're probably gonna plan the date for my spinal cord stimulator trial#although idk#insurance hasnt gotten back to me yet š¬
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just burst into tears in a post office and immediately the entire world opened up to me. easy criers must have the best lives what the fuck. i should stop taking my prozac Immediately.
#remembered that post advice like 'if youre dealing with a difficult person the best thing you can do is cry' and let it rip#trying to get my passport application filed. she was like you're supposed to do this in your home state#maam i cant file this in new hampshire#okay i need your social security card#maam they told me at the other post office my medical insurance counted as a 2nd form of id so i have all the cards and photocopies-#nope that's not right. the state department doesn't care about that#oh i guess i can't do it today then#she looked at me like i was an idiot. you dont have your social security card with you??#'n... no?? i keep it safe??' 'Really.' and then i burst into tears.#and then she was immediately like oh no baby just go home and get it here you have all your other docs and your application perfect#no honey you're Fine just come back before three and i'll process it. okay??#lord i am having a Day.#home i go. war is hell.
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@pyrotechnicarus was right, that tv can fucking glow.
#i saw the tv glow#isttvg#the set design dude#the world is just decaying around Owen as theyāre dying from the inside out#everything starts losing color and we stop seeing Owen out in the bright sunlight#the only shot thatās there thatās nice and bright and wonderful is the one of maddys burial spot#the split second pause after the drive thru worker calls Owen sir#like it was just physically painful to hear and they needed a second#the fact they just start apologizing for having a breakdown but thereās still time and they shouldnāt be doing that#they phrase it as needing to become a man but really all theyāre doing is killing themself slowly over time#i 100% read Maddy and Owen/Isabel and Tara as t4t love where one of them was ready to come out and move on with their life while the other#is too scared to ever change and is stuck in an endless loop of being something theyāre not#Owen has the personality of wet grass but thatās the entire point#being too scared to ever be anything more than what is expected and just rotting over years and year and just hating yourself all the while#I love the part where Owen canāt verbalize why exactly their romantic attraction feels wrong#itās wrong because theyāre trans and canāt incision a life as Owen but canāt say out loud that itās being perceived as a male in#a relationship that is the problem#the jab the dad makes about pink opaque being a girlās show and how the dad is the one to drag Owen away from freedom in the tv#heās holding Owen back but theyāre so fucking scared to live as Isabel and are just stuck in a cycle of self loathing#but thereās still time#the reason Maddy/Tara doesnāt come back is because there is still time#but Owen has to be the one to commit to being Isabel and no one else is going to drag them into the dirt#itās their choice alone and their inaction is a choice all on its own#no matter how much time passes as long as Owen is alive then there is still time to change but their inaction is slowly killing them#the fact they find the truth in their own chest dude thatās such a trans thing#where the fuck is my insurance card Iām calling my doctor to start t when the offices open#THERES STILL TIME MAN#THERES STILL TIME
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while we're on the topic of god-touched cleaning supplies can i give a little shoutout to my best friend and worst nemesis Spitfire? nothing takes grime and shoe marks off white paint like Spitfire. but goddamn you smelled like shit lmfao
#z.chat#i miss being a janitor. genuinely#if they paid properly i might still be in that same job#according to the inflation calculator i was making $12.15 in 2024 money back then. and i was also trying to hold down an apartment and car#regularly broke down crying on my way home bc my shitty expensive insurance didnt cover mental health#and we were on food stamps#they had a thanksgiving dinner for the workers which was really nice. full spread! the office folks stayed to serve it up#but i started crying sitting next to my coworkers bc i had forgotten what a full stomach felt like#...#i wonder what Miss Alice is making now#think they'll tell me if i call over for curiosity's sake?
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#trying to not freak myself the hell out over my health rn šµāš«#the way the ophthalmologist office was like 'we'll call you back'. and then didn't.#like it's been 2 weeks now š CAN THEY PLEASE JUST SCHEDULE ME.#anyways. i'll call tomorrow.#i have another appointment i need to make too#took way too long because my insurance was being stupid + slow and so was the clinic referring me for the appt#like omfg where is the sense of URGENCY like these are serious health issues can they pleasseeeee act like they gaf#i'm at least glad i went to the er a few weeks ago and got an mri otherwise i'd be freaking out way more than i already am#txt
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I feel like if I (a fellow working professional) have to call you multiple times a day, for over a week, and you keep leaving me on voicemail instead of helping me get what I need from your office to do my job, then I should be allowed to blame you when everything falls apart.
#personal#text#working adult#work life#nimfa speaks#I needed this care plans signed two weeks ago#but the person willing to respond to calls is on vacation#and their backup refuses to answer the phone much less call back#I feel really bad for the patient because there's a good chance that these unsigned documents are why insurance has everything on hold#but I can't do shit if the office refuses to respond
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have to be honest guys its actually going Really Badly again.
#j.txt#vent#barest thread holding me back right now and I dont even know what to do to fix it besides trying to repress it as deep as possible#I'm just. so overwhelmed and tired and frantic all the time. Work is giving me authority positions I didnt ask for and am not paid to do#my family is insane as always and I'm extra on edge around them bc I can just sense the impending fallout-#from when they realize Im taking hormones. Not that that is actually happening yet bc my insurance is fucking me over#the pharmacy keeps pushing back the date for getting my t (should have had it 3 weeks ago. did not happen.) and I might end up having to pa#nearly Two Hundred Dollars for i dont even know how much of a supply bc of the fucked insurance thing.#And I cant even talk to my therapist about any of this bc my old schedule wont work anymore but I cant get in touch with the office to#see what other openings they may have. and some of the weird nebulous resentment-inducing stuff with my old friends is coming back bc#I hung out with one of them recently and it somehow it Still hurts like a fresh wound despite how often I tell myself Im resigned to being#treated the way I am. I barely have time to spend with the friends I do still have pleasant relationships with so I cant even talk through#any of it like that. and to round it all off my dysphoria has gotten so agonizing of late bc i finally had hope i would be on hrt#but. gestures at earlier topic. my hopes of that are being quickly and brutally slaughtered so.#its just. like genuinely what is the point of any of it. how is This what my life is supposed to be. I know I dont deserve very much#but surely I havent sinned so terribly as to earn misery like this.#and I'm not even strong enough of will to *** about it. pathetic really#I just want one day to feel even neutral abt being alive without having my feet swept from under me by some new unbearable Thing developmen
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i was literally going back and forth with a student over email at the time of their appointment, resent them the link and they still no showed. apparently this is the tone of the 2025 work year.
#( ooc. )#negative tw#they're also forcing us back in the office four days a week#despite the protests - terrible pay - and the fact that#THE STUDENTS AREN'T ON CAMPUS.#& also after cutting our health insurance down & taking away vacation hours#i'm telling you this YEAR LONG JOB HUNT still has me in the pits of depression#it's been over a year of active job hunting and fucking NOTHING.#i should have jumped ship when the college initially started going under but NOOOO i liked my COWORKERS#& now they're ALL GONE & i'm stuck jackassing to downtown brooklyn every day
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please forgive me, but I need to complain and over-share or my brain is going to explode please feel free to ignore
#I'm not doing well.#the last two places I worked (in a tourism-adjacent sector) closed. broadly speaking due to post-lockdown financial issues#for the past year at my current job I've been earning less than half what I used to. this was the only offer I got at the time and#I haven't found anything better since. this is not sustainable I'm barely making it each month...#I live with my parents and cancelled my health insurance I don't know how else to reduce my budget. it's depressing tbh#the solution is obviously to find a better job but that's just not happening and I'm beginning to feel discouraged.#I hate being negative it's a very unattractive character trait but I just feel myself slipping and spiraling#I know I should be taking short courses or volunteering to boost my cv but like when ! and how !#I can't afford to work less but I get home at 20h so even evening courses are tricky. I work every other saturday too so weekends are out#and like I do need to rest at some point you can't be depressed and burnt out that's a terrible combo#was looking at a dtp/typesetting short course and 1) I'll need a new computer that can actually run design programs#and 2) the course itself is like 2 month's salaries which I cannot realistically save right now#and yet I'm still ''over-qualified'' for entry level positions because I went to uni. well maybe that's just a polite excuse#because as interesting as my humanities degrees were they didn't equip me with any practical or marketable skills#besides being good at reading and writing. but AI can do that for free now so that's not helpful#I always thought I was reasonably intelligent but I cannot solve this puzzle. there must be a creative solution that I'm missing#but i feel so stuck and trapped#and at least once a week some poor soul stumbles in to the office practically begging for a job so I feel bad for complaining#a little truly is better than nothing#but thank god we elected more pro-business capitalists into government that really is going to be great for us workers (sarcasm)#also I should acknowledge#I am getting some dĆ©jĆ vu. I feel like I've vented about this topic before#the difference is. back then it was a potential concern. now the concern has materialised into reality and rendered the situation desperate
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Next month I have stable insurance again and I can start looking for surgeons who will do a breast reduction for me I want these things SMALLER
#stopped looking a while back cause of the insurance situation#BUT! almost have it sorted#anyways the surgeon in my home system that my doctor referred me to wonāt do it cause Iām too fat#so I gotta try to find someone on my own#btw funniest thing about this process is when I walked into my drs office#and went hey I want a breast reduction#question number one was is it a gender thing#and itās not really but she really looked at me and when hmmm. yeah
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fucking up this jamoca cappuccino blast from br while listening to cibo matto. im going to impale myself on yhis straw because i am Half Asleep
#we didnt get back from the fuckhole that is pomona until 5am last night bc of the whole car situatiom#last night was so#so evil. we got taken to a gas station to get our tires changed by some dude w an#ginormous plumbers crack (i could have stuck a wad of $5s in there for his handywork) and his buddy wearing an fsociety tee together they#TOOK FOUR HOURS TO DO ANYTHING#THEY KEPT SITTING AROUNF AND LIKE. CALLING RANDOM ASS PEOPLE . FOR ADVUCE#arent you guys Literally Professionals. Why Are You Asking How To Change A Tire Stem#and then midway through that someone on the highway across from us lit a dumpster on fire and it was blazing for#30 mins and chuffing out black smoke while my dad called 911 to get someone out there bc we thought it was a car crash#AND THEN I FOUND A BAG FILLED W HUMAN FECES AND USED NAPKINS TIED NEATLY IN A BOW THAT STILL SMELED SO BAD..#by the time we got home i felt like a husk of a person no one was open w a bathroom except yumyum donuts and i did get a donut#that was the only highlight of last night. my dad kept apologizing to me and the kids like. dude its not your fault we hit a giant pothole#otw home#we Could Not See It#but why did chp and triple a take several hours Plus 25+ phonecalls each to let us know the insurance expired.#and the chp officer tjat had to babysit us on the side of the road to ensure we didnt get ran over or killed pn the highway#w#lookef so pissed off at us for being stranded š they r always soo mad#THAT WHOLE SITUATION WAS SEVEN HOURSSS#Six flags was spo fun thooo
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#listen. sometimes. when i get emails pertaining to a specific project i worked on that nearly broke my brain. i just stop what im doing#and start playing Losing My Religion by REM. and i wish the person emailing me could see me face down at a table listening to thay song#mostly its fine. its just when someones trying to manage the data files so i kno im gonna have to go back thru and update my code#for a bunch of tiny stuff and its like: does this sound ok? and i just dont care so much that i want to start screaming#and then at the end of the day i hike up a fucking mountain going over what im gonna tell a therapist when my insurance switches#and im gonna say it in a way thats v calm and agreeable but i want to scream and tear my hair out. or maybe i wont b agreeable. i wasnt#last time i was in a therapist office but that guy deserved it and i wasn't being that bad#ugh. im just mad bc working on my stuff makes me so miserable that when i stop its like wow im no longer in agony. cool#coool. fun times. becoming increasingly apprehensive abt how im gonna try to b more healthy abt working while taking on triple#the responsibility with a phd project and being a student and being a TA. i mean. ill try but its gonna b fucking interesting#ugh. had to bust out the burnout playlist. which like. when u try to look at other ppls burnout playlists they all suck#theyre all like former gifted kid burnout Playlists and im like fuckkk offfff. why do u not have the incredibly specific vibes that im#looking for? i just demand the perfect burnout playlist and somehow nobody puts No Surprises on there#like what??? y not? its a song abt being so totally saturated that youve had enough. a heart thats full up like a landfill. a job that#slowly kills u. bruises that wont heal. how is it not THE burnout song? but whatever. i listen to too much radi0head.#ugh. but now my burnout playlist is becoming too much like my My Brain Doesnt Feel Too Good playlist#listen. i just need to curate playlist so that they can express the feelings for me#unrelated
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