
Medical Provider Appeals Analyst
As a Medical Provider Appeals Analyst at Travelers, you will play a critical role in providing quality customer service to our insured customers and medical providers. You will be responsible for maintaining a professional level of expertise in medical provider appeals and authorizations. We are looking for a motivated individual with strong organizational and analytical skills. You must have a Bachelor's degree in a related field or the equivalent experience. Additionally, you must have 1-3 years of experience in the managed care industry, with an emphasis on medical provider appeals and authorizations. If you have the necessary qualifications and are looking for an opportunity to make a positive impact on our customers every day, this is the position for you!
Responsibilities:
- Provide excellent customer service to insured customers and medical providers.
- Maintain a professional level of expertise in medical provider appeals and authorizations.
- Demonstrate strong organizational and analytical skills.
- Research and analyze customer and medical provider appeals and authorizations.
- Respond to customer inquiries about appeal and authorization processes.
- Develop and implement strategies to improve appeal and authorization processes.
- Monitor and report on appeals and authorization activity.
- Maintain up-to-date knowledge of relevant laws and regulations.
- Ensure compliance with all applicable laws and regulations.
- Provide guidance and advice to customer service representatives regarding appeals and authorization processes.
Proficiency In Microsoft Office Suite
Ability To Work Independently And In A Team Environment
Strong Analytical Skills
Excellent Written And Verbal Communication Skills
Knowledge Of Legal And Regulatory Requirements
Knowledge Of Medical Terminology
Experience With Insurance Claims
Prior Experience In Appeals Management Or Medical Claims Processing
Networking
Troubleshooting
Auditing
Documenting
Researching
Interpreting
organizing
Problem-Solving
Reviewing
communicating
Negotiating
Analyzing
Resolving
Investigating
Reconciling
Communication
Leadership
Time management
Interpersonal Skills
creativity
motivation
Organizational skills
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Medical Provider Appeals Analyst in Boston, MA, USA is $61,000 to $68,000 per year. This range is based on the salaries reported by various employers and job sites.
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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.

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