Medical Assistant II - Remote

Beth Israel Lahey Health; United States; Remote; USD 35,000 - 50,000; Full time

Job summary

A healthcare organization is seeking a Medical Assistant to manage diabetic DME, prescriptions, and testing for optimal health outcomes. This remote role requires a High School diploma or GED and a Medical Assistant Certificate, along with 1-3 years of related experience. Responsibilities include obtaining authorizations, ordering supplies, and educating coworkers on insurance guidelines. Join a team dedicated to making a difference in patient care.

Qualifications

• High School diploma or GED.
• Medical Assistant Certificate.
• 1-3 years related experience.
• Experience with computer systems, including web-based applications and Microsoft Office suite.

Responsibilities

• Obtain prior authorizations for diabetes and GLP-1 weight management medications and DME supplies.
• Order diabetes supplies through DME suppliers for CGMs and insulin pumps.
• Review records, gather, and prepare documentation to support insurance authorization requests.
• Follow up on the progress of authorization and supply requests.
• Appeal denied authorization requests.
• Communicate with providers and patients regarding authorizations and DME orders.
• Assist with patient phone calls and portal messages.
• Manage pharmacy and patient medication refill requests.
• Assist with daily fax files for Needham, Wayland, Dedham.
• Manage and maintain the Diabetic Management pool.
• Educate coworkers on insurance coverage guidelines, policies, and formulary changes.
• Download data from pumps, meters, and sensors.

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Acts as a key resource to the Diabetic team/Primary care sites for managing Diabetic DME, prescriptions, testing, and medication to ensure patients receive necessary testing and medical management for optimal health outcomes.

Facilitates appointment scheduling, telephone outreach, and patient education. Coordinates distribution of patient reminder letters on behalf of specialists.

Performs Practice Assistant duties: verifies demographic and fiscal data, schedules, reschedules, and cancels appointments, and obtains and enters referrals. Prepares and maintains medical records.

Identifies and resolves OSHA compliance issues, audits, maintains point of care testing, and tracks test results. Participates in practice improvement initiatives and small projects under the direction of the Manager or Designee.

Supports practice operations by working with Nurse and Medical Assistant teams to streamline workflows.

Job Description:

• Location: Primarily remote position with in-person coverage as needed.

Essential Responsibilities:

• Obtain prior authorizations for diabetes and GLP-1 weight management medications and DME supplies.

• Order diabetes supplies through DME suppliers for CGMs and insulin pumps.

• Review records, gather, and prepare documentation to support insurance authorization requests.

• Follow up on the progress of authorization and supply requests.

• Appeal denied authorization requests.

• Communicate with providers and patients regarding authorizations and DME orders.

• Assist with patient phone calls and portal messages.

• Manage pharmacy and patient medication refill requests.

• Assist with daily fax files for Needham, Wayland, Dedham.

• Manage and maintain the Diabetic Management pool.

• Educate coworkers on insurance coverage guidelines, policies, and formulary changes.

• Download data from pumps, meters, and sensors.

Required Qualifications:

High School diploma or GED.

Medical Assistant Certificate.

1-3 years related experience.

Experience with computer systems, including web-based applications and Microsoft Office suite.

Preferred Qualifications:

1-3 years as a Medical Assistant in a primary care setting.

As a healthcare organization, we are committed to protecting our patients, colleagues, and communities. Beth Israel Lahey Health requires all staff to be vaccinated against influenza as a condition of employment. Learn more about this requirement. Join over 35,000 professionals making a difference. Your skills and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled