Massgeneralbrigham·4 days ago
4 days ago
Medical Assistant I- Pulmonary
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What you'll do
- Coordinating administrative and clinical support services for patients with pulmonary hypertension
- Manages medication prior authorizations, referral processing and follow-up for both in-network and out-of-network services
- Handles insurance authorizations for specialized diagnostic testing and procedures, including Right Heart Catheterizations (RHC), Cardiopulmonary Exercise Testing (CPET), and Level I, II, and III services
- Serves as a liaison among patients, providers, specialty pharmacies, and insurance carriers to facilitate timely access to care
- Maintains accurate documentation, coordinates patient testing and appointments, and assists the multidisciplinary Pulmonary Hypertension team
- Obtains and tracks prior authorizations for specialized pulmonary and cardiopulmonary diagnostic testing
- Provide phone support on non-clinic days by responding to patient inquiries, assisting with scheduling needs, routing messages appropriately
- Ensure examination rooms are stocked daily with appropriate medical supplies and equipment
- Perform standardized 6-Minute Walk Tests to assess patients' functional exercise capacity and oxygen requirements
What they're looking for
- Escort patients to examination rooms; prepare patients for provider visits by conducting medication reconciliation, obtaining and documenting vital signs, height, and weight; and accurately record all clinical information in the electronic medical record to ensure complete and up-to-date patient documentation.
- Supports patient care and the health care team by anticipating administrative functions requiring support including but not limited to preparing prior authorizations, participating with the approval process for medications as appropriate, monitoring clinical messaging, supporting providers with completion of patient follow up letters, updating the medical record with patient information under the guidance of the provider.
- Learn and support the Durable Medical Equipment (DME) process by assisting with the coordination, preparation, submission, and follow-up of DME requests to ensure timely patient care and accurate documentation.
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Site: The General Hospital CorporationOnsite66 Blossom Street40RegularDay (United States of America)1200 The General Hospital Corporation is an Equal Opportunity Employer. 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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 Pulmonary Hypertension Team Medical Assistant is responsible for coordinating administrative and clinical support services for patients with pulmonary hypertension. This role manages medication prior authorizations, referral processing and follow-up for both in-network and out-of-network services, and insurance authorizations for specialized diagnostic testing and procedures, including Right Heart Catheterizations (RHC), Cardiopulmonary Exercise Testing (CPET), and Level I, II, and III services. The Medical Assistant serves as a liaison among patients, providers, specialty pharmacies, and insurance carriers to facilitate timely access to care, ensure compliance with payer requirements, and support the delivery of high-quality patient care. Additionally, the role maintains accurate documentation, coordinates patient testing and appointments, and assists the multidisciplinary Pulmonary Hypertension team in managing complex patient care needs.
Qualifications
This position is Monday-Friday 8:30am-5pm
• Escort patients to examination rooms; prepare patients for provider visits by conducting medication reconciliation, obtaining and documenting vital signs, height, and weight; and accurately record all clinical information in the electronic medical record to ensure complete and up-to-date patient documentation.
• Supports patient care and the health care team by anticipating administrative functions requiring support including but not limited to preparing prior authorizations, participating with the approval process for medications as appropriate, monitoring clinical messaging, supporting providers with completion of patient follow up letters, updating the medical record with patient information under the guidance of the provider.
• Learn and support the Durable Medical Equipment (DME) process by assisting with the coordination, preparation, submission, and follow-up of DME requests to ensure timely patient care and accurate documentation.Obtains and tracks prior authorizations for specialized pulmonary and cardiopulmonary diagnostic testing, including Right Heart Catheterizations (RHC), CPET, and Level I, II, and III CTEPH-related services and procedures.
• Provide phone support on non-clinic days by responding to patient inquiries, assisting with scheduling needs, routing messages appropriately, and ensuring timely communication with patients and the healthcare team.
• Ensure examination rooms are stocked daily with appropriate medical supplies and equipment to support efficient clinic operations and patient care.
• Perform standardized 6-Minute Walk Tests to assess patients' functional exercise capacity and oxygen requirements
• Other duties as assigned.
Additional Job Details (if applicable)
Physical Requirements
- Standing Frequently (34-66%)
- Walking Frequently (34-66%)
- Sitting Occasionally (3-33%)
- Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
- Carrying Frequently (34-66%) 20lbs - 35lbs
- Pushing Occasionally (3-33%)
- Pulling Occasionally (3-33%)
- Climbing Rarely (Less than 2%)
- Balancing Frequently (34-66%)
- Stooping Occasionally (3-33%)
- Kneeling Occasionally (3-33%)
- Crouching Occasionally (3-33%)
- Crawling Rarely (Less than 2%)
- Reaching Frequently (34-66%)
- Gross Manipulation (Handling) Frequently (34-66%)
- Fine Manipulation (Fingering) Frequently (34-66%)
- Feeling Constantly (67-100%)
- Foot Use Rarely (Less than 2%)
- Vision - Far Constantly (67-100%)
- Vision - Near Constantly (67-100%)
- Talking Constantly (67-100%)
- Hearing Constantly (67-100%)
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$22.00 - $24.94/Hourly
Grade
3
EEO 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.
Company
Massgeneralbrigham
Boston, United States of America
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