Medical Provider Appeals Analyst

Travelers is looking for a passionate, detail-oriented Medical Provider Appeals Analyst to join our team. In this role, you will be responsible for reviewing and recommending resolution for appeals of medical provider claims. You will need to be organized, have excellent communication skills and be able to adapt to an ever-changing environment. The ideal candidate for this position must have a Bachelor's degree in a related field and 3+ years of experience in a medical provider claims appeals environment. You must be well-versed in state and federal regulations and have a thorough understanding of medical terminology and claims coding. You must also have the ability to work independently and in a team setting. The Medical Provider Appeals Analyst must be compassionate, have a strong customer service focus and the ability to make sound decisions. If you are a motivated, organized and detail-oriented individual, we encourage you to apply today!

Responsibilities:

1. Review and recommend resolution for appeals of medical provider claims.
2. Ensure compliance with state and federal regulations related to medical claims appeals.
3. Develop and maintain a thorough understanding of medical terminology, claims coding, and reimbursement.
4. Communicate effectively with customers and other stakeholders throughout the appeals process.
5. Manage an ever-changing environment and make sound decisions.
6. Maintain and update records and appeal decisions.
7. Provide excellent customer service and demonstrate compassion.
8. Work independently and collaboratively with a team.
9. Research and evaluate appeals to ensure proper resolution.
10. Adhere to established policies and procedures.

According to JobzMall, the average salary range for a Medical Provider Appeals Analyst in New York, NY, USA is $45,000 - $80,000 per year. The salary range may vary depending on the individual's experience, qualifications, and job duties.

The Travelers Companies, Inc., commonly known as Travelers, is an American insurance company. It is the second-largest writer of U.S. commercial property casualty insurance, and the sixth-largest writer of U.S. personal insurance through independent agents.