Medicare Appeals Coordinator

Mass General Brigham Health Plan Holding Company, Inc.

Base: $30.60 - $44.51phly; bonus/equity: not speci...
Fully remote
Medicare appeals and grievances management
Regulatory compliance knowledge cms doi masshealth
Customer service and interpersonal skills
Mass General Brigham Health Plan is on the forefront of transformation with one of the world’s leading integrated healthcare systems

Job Summary

  • Mass General Brigham Health Plan is on the forefront of transformation with one of the world’s leading integrated healthcare systems.
  • The Appeals Coordinator will handle all aspects of member appeals, ensuring timely resolution within regulatory and contractual requirements while maintaining high-quality documentation.
  • We offer competitive salaries, benefits, flexible work options, career growth opportunities, and a people-first organizational culture.

Matching Summary

Mass General Brigham Health Plan is on the forefront of transformation with one of the world’s leading integrated healthcare systems.

Salary

Base: $30.60 - $44.51/Hourly; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package including career advancement opportunities

Skills & Requirements

Must-have

  • Medicare appeals and grievances management
  • Regulatory compliance knowledge CMS DOI MassHealth
  • Customer service and interpersonal skills
  • Health plan policies and procedures expertise
  • Remote work capability
  • Case tracking and documentation

Nice-to-have

  • Bilingual skills
  • Ability to adapt to changing priorities
  • Strong organizational abilities
  • Collaboration with cross-functional teams
  • Technology-based solutions aptitude
  • Positive relationship building

Key Requirements

  • Bachelor's Degree preferred
  • 3-5 years health plan experience
  • Experience with Medicare appeals and grievances
  • Knowledge of CMS, EOHHS, Division of Insurance regulations

Work Rights

Not specified

Tailored Resume

Cover Letter