Appeals Assistant
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Job Location:
Somerville, NJ - USA
Hourly Salary:
$ 19 - 27
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
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 OpportunityThe 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 Youll 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.
Qualifications
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.
Additional Job Details (if applicable)
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 Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$19.42 - $27.74/HourlyGrade
3EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. 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.
Key Skills
- Fashion Retail
- Engineering
- IFRS
- Axapta
- Computing
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
