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Appeals Specialist

Remote / Online - Candidates ideally in
Somerville, Middlesex County, Massachusetts, 02145, USA
Listing for: Mass General Brigham
Remote/Work from Home position
Listed on 2026-02-15
Job specializations:
  • Healthcare
    Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 90750 USD Yearly USD 90750.00 YEAR
Job Description & How to Apply Below

Employer Industry: Healthcare Services

Why consider this job opportunity:
  • Salary up to $90,750.40 annually
  • Opportunity for career advancement and growth within the organization
  • Flexible remote work options available
  • Comprehensive benefits package, including bonuses and recognition programs
  • Collaborative and supportive work environment
  • Engage in meaningful work that directly impacts patient care and hospital financial health
What to Expect (Job Responsibilities):
  • Assist with insurance denials and adhere to policies to maximize reimbursement
  • Monitor reports and work queues to ensure timely response to denied cases
  • Communicate with payers and hospital staff to coordinate appeal activities
  • Prepare and submit well-documented appeals with supporting clinical information
  • Analyze root causes of denials and implement action plans to prevent future occurrences
What is Required (Qualifications):
  • High School diploma/GED required
  • Minimum of 2-4 years of administrative and financial work experience in a healthcare setting
  • Denials or appeals experience is required
  • Strong communication skills, both oral and written
  • Ability to work effectively in a fast-paced, demanding environment
How to Stand Out (Preferred Qualifications):
  • Bachelor’s degree in business, accounting, or a healthcare-related field preferred
  • Experience with management information systems and data analysis
  • Familiarity with EPIC and Huron reporting tools
  • Ability to train new employees when necessary
  • Strong problem-solving skills and adaptability to change

#Healthcare Services #Appeals Specialist #Remote Work #Career Growth #Competitive Pay #Team Collaboration

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Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.

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