Janella Silva
Research Appeals Coordinator at Aetna, a CVS Health Company | Las Vegas, Nevada, United States
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Janella Silva currently serves as a Research Appeals Coordinator at Aetna, a CVS Health Company, where she leverages her extensive knowledge of medical terminology and data management to enhance patient care and streamline administrative processes. In her role, Janella is responsible for meticulously researching incoming electronic appeals, ensuring that each case is evaluated against established business responsibilities. Her keen analytical skills allow her to identify the appropriate resources for routing appeals, effectively filtering out cases that do not meet the necessary criteria for disputes or appeals. This critical function not only supports the operational efficiency of the unit but also upholds Aetna’s commitment to delivering accurate and timely resolutions for members.
Janella's expertise extends to the intricate details of Standard Plan Design and Certification of Coverage, where she assesses the accuracy and appropriateness of benefit and administrative denials. Her ability to navigate complex claim processing scenarios is complemented by her strong communication skills, enabling her to collaborate effectively with physicians, office management, and other stakeholders. As a dedicated team player, Janella thrives in environments that require conflict resolution and customer service excellence. Her passion for continuous learning and professional growth drives her to stay updated on industry trends and best practices, ensuring that she remains a valuable asset to her team and the broader Aetna organization. With a focus on patient-centered care, Janella Silva exemplifies the qualities of a proactive and detail-oriented professional committed to enhancing the healthcare experience for all members.
Research Appeals Coordinator at Aetna, a CVS Health Company in June 2023 to Present
Provider Disputes Coordinator at Aetna, a CVS Health Company in May 2024 to Present
Senior Coordinator at Aetna, a CVS Health Company in October 2024 to Present
Consumer Service Associate at Anthem, Inc. in February 2023 to June 2023
Customer Service Representative II at Anthem, Inc. in November 2021 to February 2023
Visual Merchandiser Keyholder at H&M in October 2009 to October 2021
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Pima Medical Institute, Bachelor of Science - BS, October 2026
Pima Medical Institute, Associate's degree, October 2026
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Regulatory Compliance
Legal Compliance
Compliance Management
Health Plans
State Laws
Data Analysis
GED
Team Leadership
Policy Analysis
Contract Disputes
Insurance
Health Policy
Microsoft Outlook
Medicare
Medical Records
Electronic Medical Record (EMR)
Appeals
Grievances
Analysts
Sales
Retail
Coaching
Health Insurance
Merchandising
Team Motivation
Management
Training
Customer Support
Customer Service
Typing and Shorthand
Leadership ability
Proficiency in software applications
Hands-on Training
Dedicated team player
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Discover more about Aetna, a CVS Health CompanyWhat is Janella Silva email address?
Email Janella Silva at [email protected]. This email is the most updated Janella Silva's email found in 2026.
How to contact Janella Silva?
To contact Janella Silva send an email to [email protected]. (updated on September 17, 2024)
What company does Janella Silva work for?
Janella Silva works for Aetna, a CVS Health Company
What is Janella Silva's role at Aetna, a CVS Health Company?
Janella Silva is Research Appeals Coordinator
What is Janella Silva's Phone Number?
Janella Silva's phone (702) ***-*196
What industry does Janella Silva work in?
Janella Silva works in the Hospital & Health Care industry.
Janella Silva Email Addresses
Janella Silva Phone Numbers
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