Travelers

Medical Provider Appeals Analyst

Travelers

Boston, MA, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

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:

  1. Provide excellent customer service to insured customers and medical providers.
  2. Maintain a professional level of expertise in medical provider appeals and authorizations.
  3. Demonstrate strong organizational and analytical skills.
  4. Research and analyze customer and medical provider appeals and authorizations.
  5. Respond to customer inquiries about appeal and authorization processes.
  6. Develop and implement strategies to improve appeal and authorization processes.
  7. Monitor and report on appeals and authorization activity.
  8. Maintain up-to-date knowledge of relevant laws and regulations.
  9. Ensure compliance with all applicable laws and regulations.
  10. Provide guidance and advice to customer service representatives regarding appeals and authorization processes.
Where is this job?
This job is located at Boston, MA, USA
Job Qualifications
  • 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

Required Skills
  • Networking

  • Troubleshooting

  • Auditing

  • Documenting

  • Researching

  • Interpreting

  • organizing

  • Problem-Solving

  • Reviewing

  • communicating

  • Negotiating

  • Analyzing

  • Resolving

  • Investigating

  • Reconciling

Soft Skills
  • Communication

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • motivation

  • Organizational skills

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

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.

Additional Information
Travelers is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 10th, 2023
Apply BeforeJune 21st, 2025
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About Travelers

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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