Appeals Assistant

Site: Mass General Brigham Health Plan Holding Company, Inc.

 

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

 

 

Job Summary

The Opportunity
The Appeals Assistant is vital to the team and supports the appeals and claims resolution process, ensuring timely submission and follow-up on appeals for DSNP and Medicare Advantage lines of business at Mass General Brigham Health Plan. S/he assists with gathering documentation, tracking case statuses, and coordinating communications between departments to ensure the accurate handling of claims
What You'll Do
• Prepares and submits appeal documents and claims-related materials
• 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.

 

Education

• High School Diploma or Equivalent required

Experience

• At least 1-2 years of Administrative experience required
• At least 1-2 years of experience in a healthcare billing or claims setting preferred
• Experience with Medicare Advantage and DSNP claims highly preferred

Skills For Success

• 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.

 

Working Model Requirements

• This is a remote role; M-F, schedule ranges from 8 AM - 5:30 PM EST
• A stable, secure, quiet, compliant workstation is required within the US

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

Pay Range

$19.42 - $27.74/Hourly

Grade

3
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

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