Appeals Assistant

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Apr 24, 2025
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. 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 Knowledge, Skills, and Abilities 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 Conditions: This is a remote role with an onsite presence at the office in Somerville, MA 1x/quarter. Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) Carrying Occasionally (3-33%) Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.