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Advanced Medical Reviews

Engaged employer

Medical Review Coordinator - Anonymous employee Advanced Medical Reviews Employee Review

2.0
16 Feb 2016
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

There hasn't been a Glassdoor review written since the sale of AMR to Exam Works in late January 2016, so I thought I'd chime in to give new prospective applicants a fresh insight. It is still early in the acquisition process, so things might change and Ill add another review in a few months. The positives: If you have medical experience or majored in anything health-field related in college, you'll find the work is not too challenging. If you do not, you will struggle. Basically you process medical appeals from insurance companies all day – not the most exciting job in the world but if you’re semi interested in healthcare you’ll get some enjoyment out of it. The #1 benefit of this job was the opportunity to work from home – not anymore. If you are a recent college grad looking for a place that will hire you with no experience – this is the place for you. If you have any experience after college whatsoever in the medical field (biology, chemistry, nursing) don’t apply – you can get a higher paying job elsewhere (a lot of people quit once they realize this). The double edge sword to this is that once you start working here for 1+ years, you’ll find no one outside medical appeal companies will want to hire you because you don’t have experience with anything else other than this specific realm of healthcare. In summary, the pros to this company are: #1 that they hire recent grads or those with little to no experience, #2 the work isn’t too hard, and that is about it. A lot of people have commented that at least the management is trying to improve things, but this is more a façade than a pro.

Cons

Quite a few cons, hence the 2 stars. I probably would’ve rated AMR as 3.5 stars a few months ago. But the merger lost AMR a star because my #1 con is the sale of AMR to EW. Here is why: AMR is in a unique state of flux as any company is when a Fortune 500 company acquires them. First, I was not impressed by the EW execs when they visited. They dodged all questions with the typical political ruse of misdirection. According to Yahoo! Finance, both made close to $1mil/year, and they acted like it. Second, I feel like the founders of AMR are taking the take the money and run approach. But according to our CEO, they’ve “earned it”. Third, EW has absolutely awful benefits - just look at their Glassdoor page, it is their #1 complaint - no 401K matching, unable to opt out of vision coverage, poor healthcare options, etc. - typical Fortune 500 ploys to improve the bottom line. AMR used to have great benefits (floating holiday, 3% 401k matching, etc). When I first started at AMR, I felt the small business family feeling. It is gone now. My #2 con overall is that the management does not let staff work remote anymore. I work in the office and I don’t understand why were not allowed to work remote. Traffic is awful, especially around the office. Commuting is one of the worst parts of this job. And you’re not allowed to work shifts other than 8-5 or 9-6 because of “company needs”. In my opinion, every company has needs, some just care more about offering flexible shifts than others (AMR used to be one of them). There are some people who are allowed to work remote, but no one seems to know why. AMR has all the capabilities to let employees to work from home (and you think it would save them money to do so), but management claims they are harder to account for and training them is harder and there are more costs with remote people? I do not agree because AMR has pretty good productivity measures in place so it baffles me that it is that hard to keep track of remote people - if they aren't working, fire them. My #3 overall con: literally ZERO incentives. It is like no one has ever heard of the word incentive. I guess management says they are not in the budget. Yearly bonus? Its completely dependent on the competence of your coworkers. My #4 overall con: management really has no idea what they are doing. Many of the Team Leads (the supervisor to this position) quit recently under unknown circumstances. Instead of being experts for our questions and helping us process cases when volume is high, they just kind of micromanage and audit us to make sure were not loosing the company too much money. Above them are the department directors who are particularly awful at explaining anything and good luck if you can even get any management figure in a meeting. Which brings me to my #5 overall con: no room for growth. After you are out of training, the only thing you can be promoted to is Team Lead, Sales, or rarely a tech spot will open up. I have heard no one wants to be a Team Lead because the department directors are slave drivers and you really don’t get to do anything other than middle management work. Sales is not a promotion because they make the same as we do (maybe $3000 more a year because of commission) and you know… its sales… Most people just end up finding other jobs. Management says the lack of vertical growth is not a problem because in exchange they give us a lot of opportunities to develop skills that are transferrable. My #6 con: the only thing that matters to management is the bottom line. Did you meet your prod for today? Well that sucks because if you didn’t you will hear about it. All we’ve been hearing lately is profitability and about how EW needs us to double it (see literally ANY article about corporate greed). My #7 con, we have to complain (a lot) to get anything. Remember those portal upgrades? Remember when we had to take significant time out of our day to document every single slowdown? Remember how there were a lot of people telling you it was happening months before? I do. Remember when we were told they were going to build the break room at night but no one bothered to get an actual quote to realize that its wayyyyy more expensive to employ night construction crews? My #8 con (and honestly, this should be higher on the list): the pay is absurdly low for the intensity and complexity of the work. Usually they start you at $16/hour and after you are out of training (90-180 days) they’ll bump up your pay by $1 or so. I’ve asked the most senior MRCs and they only make $19/hour. Management says pay is comparable to similar jobs in the area but 1) we are a niche market (independent medical reviews) so comparable jobs are hard to compare to (you cant exactly just search “medical reviewer coordinator” and get a ton of results) and 2) the entry level healthcare jobs in the area that I’ve searched for actually pay $1-2 more per hour. Again, see the earlier part about high turnover rate.

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Advanced Medical Reviews Response
10y
Thank you for taking the time to share your thoughts about the experience here at Advanced Medical Reviews (AMR) post-merger with ExamWorks. Certainly it is an exciting time for us, as well as, a time where we are experiencing an important stage in our evolution as a company. However, even with the ownership change, we continue to believe that every patient should receive quality healthcare and will absolutely continue to conduct ourselves in a manner consistent with our values of dedication, selflessness, and approaching challenges with a can-do attitude. Regarding your comments referring to “company needs” and “remote work.” We have a working group made up of staff members that has been doing a large amount of data analysis around shifts and working remotely. This group of fellow review coordinators has been looking into how we can best meet our client and business needs, and is providing recommendations for how best to fairly deploy staff at different times, locally or remotely, to meet those needs. Needless to say that we will continue to embrace remote work at AMR and have this as a valued benefit for employees. In regards to the comments about “zero incentives.” We believe we have a number of incentives, designed to acknowledge when we meet or exceed different goals (monthly “stars”; EE of the quarter and year; 2015 annual bonus opportunity; 2015 High Achievers Circle; etc.). Furthermore, we recognize that people are not motivated by the same things. Based on 2015 Total Rewards Survey results, where base compensation was by far the #1 valued reward, we are taking a look at how to reallocate incentive monies to base compensation whenever possible. Regarding your perception that there is “lack of growth” opportunities. We believe that growth comes in many different forms, and rare is the occasion that any given individual’s career trajectory is straight up, no matter which organization we work in. We’ve had a number of roles open across the department over the last 6 months. Some of these opportunities are into managerial roles, while other opportunities provide individuals the chance to build competencies in other areas of interest. We believe that “growth” does not always have a title change associated with it; growth means that you are building transferrable skills over time so then you are ready to make a move in your career – whether that here at AMR, within ExamWorks, into a new field of study, or elsewhere, that you have the preparation and skills to be successful. Your comment that the “only thing that matters is the bottom line” left the biggest impression on me. As mentioned above, with or without the merger, we continue to believe that patients should receive quality healthcare, and that we have an effect on the healthcare that others receive who are struggling with their health. Our contributions to “quality healthcare” have to include being timely in our work; keeping our costs down so that we are not contributing to higher overall healthcare costs; and continuing to innovate to find new ways to make an impact, which requires capital that we have to be responsible for generating. Profitability is the oxygen of any business. The stronger our bottom line is the more our purpose and values can make a positive impact in the healthcare industry and possibly influence others to emulate what we are doing. This will continue to be our unwavering mission. Ah yes, those necessary “passwords” and the need to change them periodically. Protecting patients’ personal and health information is extremely important to us and to our clients. As a matter of fact we adhere to the highest security standard, which is why we choose to invest in obtaining our SOC 2® Report on Controls at a Service Organization Relevant to Security, Availability, Processing Integrity, Confidentiality or Privacy (SOC II, Type II), that among many other things requires the frequency of password changes. AMR is an organization that continues to transform itself in pursuit of ever higher degrees of excellence and growth. We ask that you grow leadership capabilities by joining in and working alongside your colleagues to contribute to our shared success. Help lead the company by getting your voice in the room through avenues like: Operations Team Meetings; Open Forum; one-on-ones with supervisors and managers; etc. Finally, let me say that you have contributed many valuable insights with this post and again want to thank you for that. I would encourage you to talk more to your leads and others here at AMR about some of your concerns. I for one have an open door policy and would love to hear directly from you. Thank you for the opportunity to respond. Vince Bianco President Advanced Medical Reviews

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