[Hiring] Appeals Assistant @Mass General Brigham

Role Description

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.

Responsible for supporting the appeals and claims resolution process, ensuring timely submission and follow-up on appeals. Assists with gathering documentation, tracking case statuses, and coordinating communications between departments to ensure the accurate handling of claims.

Essential Functions

• Prepares and submits appeal documents and claims-related materials to insurance providers and other stakeholders.
• Maintains organized records of all appeals and claim-related communications and case statuses.
• Coordinates with billing and claims teams to ensure proper documentation for appeals.
• Assists with follow-up on pending appeals and communicates status updates to relevant parties.
• Supports the preparation of reports on appeals activity, trends, and outcomes.
• Handles correspondence related to appeals, including letters, forms, and supporting documentation.
• Monitors appeal deadlines and ensures timely submission and follow-up.
• Provides administrative support to the billing/claims team and other departments as needed.

Qualifications

• High School Diploma or Equivalent required.
• At least 1-2 years of administrative experience required.
• At least 1-2 years of experience in a healthcare billing or claims setting preferred.
• Proficient organizational and time-management skills.
• Effective written and verbal communication abilities.
• Proficient in Microsoft Office and other billing software.
• Attention to detail and accuracy in document preparation.
• Ability to handle multiple tasks and work efficiently in a fast-paced environment.

Requirements

• This is a remote role that can be done from most US states.
• This is a Monday through Friday, 8 am ET - 5 pm ET.
• Remote workdays require a stable, secure, quiet, and HIPAA-compliant workspace. This will be confirmed via Microsoft Teams video for all employees.
• Scheduled Weekly Hours: 40.
• Employee Type: Regular.
• Work Shift: Day (United States of America).
• Pay Range: $19.81 - $28.30/Hourly.
• Grade: 3.

Benefits

• Competitive salaries.
• Flexible work options.
• Career growth opportunities.
• Comprehensive benefits package.
• Recognition programs designed to celebrate contributions and support professional growth.