Medical Assistant II- Pulmonary

Partner's Healthcare; Boston (MA); On-site; USD 31,000 - 34,000; Full time

Job summary

The Pulmonary Hypertension Team Medical Assistant at Mass General Brigham coordinates administrative and clinical support for patients with pulmonary hypertension.

This role manages medication prior authorizations, referral processing and insurance authorizations for specialized testing, including Right Heart Catheterizations, CPET, and Level I-III services, while acting as a liaison among patients, providers, specialty pharmacies, and insurance carriers.

Responsibilities

• Coordinate prior authorizations for pulmonary and cardiopulmonary testing and medications.
• Facilitate referrals and insurance authorizations for RHC, CPET, and Level I–III services.
• Maintain accurate documentation and EMR entries; manage patient testing and follow-up scheduling.
• Serve as a liaison among patients, providers, pharmacies, and insurers to ensure timely access to care.

Job description

Site:

Site: The General Hospital CorporationMass 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

• 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 Onsite

Work Location 66 Blossom Street

Scheduled Weekly Hours 40

Employee Type Regular

Work Shift Day (United States of America)

Pay Range $22.75 - $24.94/Hourly

Grade 3

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package.

In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement: 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 Competency FrameworkAt 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.