Multi-faceted, efficient & reliable Appeals and Grievance Analyst with 7+ years of experience in a call center setting. Proficient in all of the standard office desktop software, Facets, MyCoach, ETS escalation tracking system), Macess, IBAAG and CareOne.,CSP Facets platform Excellent inter-personal, phone and digital communication skills assisting both members and providers.
Administrative, attention to detail, CPT ICD9 and ICD 10 knowledge, critical thinking, customer service, Customer Care, documentation, Government, Director, policies, pricing, problem resolution, Quality, Medicaid and Medicare health plan knowledge, Research, troubleshooting.
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