livy morgan
@livymorgan
Detail-oriented Insurance Appeals Coordinator with strong customer service skills.
What I'm looking for
As an experienced Insurance Appeals Coordinator, I have developed a robust skill set in managing and resolving member grievances and appeals, ensuring compliance with CMS regulations. My role at AmeriHealth Caritas has honed my ability to draft comprehensive written responses and adjust insurance claims using various systems, including MCS and CICS. I pride myself on my exceptional communication and research skills, which have been instrumental in delivering high-quality documentation in fast-paced environments.
Prior to my current position, I served as a Customer Service Trainer at LuckyVitamin, where I trained new representatives on best practices and operational tools. My proactive approach to problem-solving and commitment to process improvements contributed to exceeding sales goals and enhancing team efficiency. I am passionate about leveraging my experience in case management and customer service to make a meaningful impact in the healthcare industry.
Experience
Work history, roles, and key accomplishments
Grievance Coordinator, Insurance Appeals
AmeriHealth Caritas Family of Companies
Nov 2019 - Present (5 years 10 months)
Managed and resolved member grievances and appeals via phone and written correspondence, adhering to CMS regulations. Researched and analyzed inquiries using internal databases, Medicare guidelines, and organizational procedures, while drafting accurate, timely, and comprehensive written responses to ensure clarity and regulatory compliance.
Customer Service Trainer
LuckyVitamin
May 2015 - Aug 2019 (4 years 3 months)
Trained new customer service representatives on best practices, communication techniques, and operational tools. Resolved complex customer issues promptly and effectively to ensure high satisfaction rates, and identified and implemented process improvements to boost team efficiency and service quality.
Education
Degrees, certifications, and relevant coursework
Capella University
Bachelor of Science, Psychology
Currently pursuing a Bachelor of Science in Psychology. Expected to graduate in 2024.
Bishop McDevitt High School
High School Diploma, General Studies
Completed high school education and received a High School Diploma.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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