Polly Das
Complaint & Appeal Analyst at Aetna, a CVS Health Company | Fremont, California, United States
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Polly Das is a seasoned Complaint & Appeal Analyst at Aetna, a CVS Health Company, bringing over twelve years of comprehensive experience in the healthcare industry. Her extensive background spans various roles, including her work with Stanford Medical Group and her specialized focus on Compliance and Medicare Fast Track Appeals at Aetna. Polly has honed her expertise in navigating the complexities of the California HMO/IPA platform, as well as other diverse products such as HMO, HNO, EPO, and PPO plans.
In her current role, Polly is instrumental in the initial review and triage of appeal tasks, ensuring that cases are handled efficiently and effectively. Her keen analytical skills enable her to identify outlier cases, such as those involving Length of Stay, which she promptly refers to clinical staff for further evaluation. Utilizing Aetna's advanced systems, including ATV, Polly meticulously builds, researches, and enters member information, ensuring accuracy and compliance with regulatory standards.
Polly's commitment to enhancing communication both internally and externally is a cornerstone of her approach, as she believes that effective collaboration is essential for optimizing medical management services. Her proficiency in customer service, strategic planning, and benefits eligibility, combined with her adeptness in tools like Microsoft Excel and Outlook, allows her to manage high-volume tasks with precision and care. As she continues to contribute to Aetna's mission of providing quality healthcare, Polly remains dedicated to improving patient outcomes through her analytical insights and unwavering professionalism.
Complaint & Appeal Analyst at Aetna, a CVS Health Company in March 2021 to Present
Health Care Coordinator IQA at Aetna, a CVS Health Company in January 2020 to March 2021
Utilization Management Coordinator II at Stanford Health Care in March 2019 to November 2019
Care Coordinator – Skilled Nursing at Stanford Health Care in May 2019 to September 2019
Medical / Behavioral Health, Aetna Student Health, Inbound / Outbound Health Care Associate. at Aetna, a CVS Health Company in November 2007 to November 2017
Computer Merchandising & Operations Buyer at Fry's Electronics in January 2005 to November 2007
Lead Customer Service Supervisor at Fry's Electronics in December 2003 to January 2005
Administrative Assistant at San Jose State University in January 2002 to January 2003
Registration and Administrative Assistant at Carleton University in January 2000 to July 2002
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Carleton University, Bachelor of Arts, September 1997 to September 2026
Algonquin College of Applied Arts and Technology, Associate Degree in, September 1994 to September 1997
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Healthcare
Negotiation
Customer Service
Research
Strategic Planning
CPT Coding
ICD-9
ICD-10
Benefits Eligibility
Inpatient
Outpatient
Plan Sponser
Training
Time Management
management experience
Outlook
Microsoft Word
Wordperfect
Microsoft Excel
Human Resources
PowerPoint
Management
Project Management
Interviews
Sales
Administrative Assistants
Public Speaking
California HMO/IPA platform
HMO, HNO, EPO, PPO, TC and MEHMO, MEPPO Plans
COB
Benefits Systems (ATV, ASD, GIAS, QNXT, ProFAX, ProPAT, Web CCI, RUMBA, Plan Sponsor Tool, ClaimsXten (CXT), Milliman Criteria, AOC)
Plan Sponsor Tool
Medicare
Medicare Appeals
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Discover more about Aetna, a CVS Health CompanyWhat is Polly Das email address?
Email Polly Das at [email protected], [email protected] and [email protected]. This email is the most updated Polly Das's email found in 2026.
What is Polly Das phone number?
Polly Das phone number is 4082460270.
How to contact Polly Das?
To contact Polly Das send an email to [email protected], [email protected] or [email protected]. If you want to call Polly Das try calling on 4082460270. (updated on September 03, 2024)
What company does Polly Das work for?
Polly Das works for Aetna, a CVS Health Company
What is Polly Das's role at Aetna, a CVS Health Company?
Polly Das is Complaint & Appeal Analyst
What industry does Polly Das work in?
Polly Das works in the Hospital & Health Care industry.
Polly Das Email Addresses
Polly Das Phone Numbers
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