Appeals Assistant

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Oct 17, 2025
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 Mass General Brigham Health Plan Holding Company, Inc. 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.