Remote Appeals Assistant – Healthcare Claims

Mass General Brigham Health Plan, Inc.; Somerville (MA); On-site; USD 27,000 - 39,000; Full time

Job summary

Mass General Brigham Health Plan, Inc. is seeking an Administrative Support specialist to assist with the appeals and claims resolution process.

You will gather documentation, track case statuses, and coordinate communications to ensure accurate handling of claims. Responsibilities include preparing appeal documents, maintaining records, coordinating with billing and claims teams, and generating reports on appeals activity.

Qualifications

• High School Diploma or Equivalent required.
• 1–2 years of administrative experience required.
• 1–2 years in a healthcare billing or claims setting preferred.

Responsibilities

• Prepare and submit appeal documents and claims-related materials.
• Maintain organized records of appeals and communications.
• Coordinate with billing and claims teams for proper documentation.
• Follow up on pending appeals and provide status updates.
• Prepare reports on appeals activity, trends, and outcomes.
• Handle correspondence related to appeals (letters, forms, documentation).
• Monitor appeal deadlines and ensure timely submission and follow-up.
• Provide administrative support to billing/claims and other departments.

Skills

Organizational skills

Written and verbal communication

Microsoft Office

Attention to detail

Multitasking

Education

High School Diploma or equivalent

Tools

Microsoft Office

Billing software

Job description

Mass General Brigham Health Plan, Inc. is seeking an Administrative Support specialist to assist with the appeals and claims resolution process.

You will gather documentation, track case statuses, and coordinate communications to ensure accurate handling of claims. Responsibilities include preparing appeal documents, maintaining records, coordinating with billing and claims teams, and generating reports on appeals activity.