Appeals Assistant

About the role

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.
• Collaborates with billing and claims teams to ensure proper documentation for appeals.
• Supports the preparation of reports on appeals activity, trends, and outcomes.
• Handles correspondence related to appeals, including letters, forms, and supporting documentation.
• Maintains awareness of 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.

Additional Job Details (if Applicable)

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 Type. This is a Remote Work Location: 399 Revolution Drive. Scheduled Weekly Hours: 40. Employee Type: Regular. Work Shift: Day (United States of America).

Pay Range

$19.81 - $28.30/Hourly Grade 3

Benefits

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.

Working Conditions

This is a remote role that can be done from most US states.

EEO Statement

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.

Mass General Brigham Competency Framework

The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.