Provider Appeals Representative
Baystate Health(1 month ago)
About this role
The Provider Appeals Representative is a mid-level role within Provider Relations at Health New England focused on handling provider appeals and supporting post-claim review processes. The position serves as a liaison between the provider network and internal teams, contributes to policy adherence and process improvements, and helps identify training needs. The role is based in Springfield, MA with commutable remote options for MA and CT candidates.
Required Skills
- Provider Appeals
- Claims Analysis
- Provider Relations
- Communication
- Customer Service
- Problem Resolution
- Negotiation
- Multi-Tasking
- Attention To Detail
- Microsoft Office
+4 more
Qualifications
- Associate's Degree
- Coding Certification
About Baystate Health
baystatehealth.orgBaystate Health is a not-for-profit, academic healthcare system offering comprehensive medical services, health information, and community support.
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