Medication Support Coordinator

Site: The Brigham and Women's Hospital, Inc.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 SummaryWe are seeking a full time Medication Support Coordinator for a hybrid position which will required on site 2-3 days per week at the Phyllis Jen Center at 75 Francis Street, Boston.Main ResponsibilitiesDurable Medical Equipment (DME) Management• Accurately complete, process, and submit order forms and certificates of medical necessity for DME.• Coordinate with healthcare providers to ensure all clinical documentation precisely aligns with payer-specific DME coverage requirements.• Follow up routinely with DME vendors and insurance plans to track order status, resolve fulfillment delays, and ensure timely delivery to the patient.Secondary ResponsibilitiesPatient Coordination & Assistance• Conduct one-on-one meetings with patients to explain insurance benefits, out-of-pocket costs, and available financial support options.• Complete, submit, and track applications for Patient Assistance Programs (PAP), foundation grants, and co-pay cards on behalf of eligible patients.• Guide patients through the access journey, clearly communicating the documentation required for medication and equipment approvals.Prior Authorizations & Coverage Guidance• Processing and submitting prior authorizations, maintaining a high level of expertise in clinical criteria.• Investigate, draft, and respond to detailed daily inquiries from providers regarding insurance coverage guidelines, clinical criteria requirements, and denial management strategies.• Act as the primary escalation point for complex coverage issues, collaborating with clinical staff to formulate and submit successful appeals for denied therapies.QualificationsEducationHigh School Diploma or Equivalent requiredCan this role accept experience in lieu of a degree?NoExperienceMedical Office/Hospital/Managed Care experience 1-2 years required and Medication Administration/Pharmacy experience 1-2 years required and Experience with electronic medical record system(s) and Outlook preferredKnowledge, Skills and Abilities- Knowledge of laws and regulations related to clinical practice and patient confidentiality.- Knowledge of medication abbreviation and symbols, medication indication and dosage, and common medication questions.- Strong written and verbal communication skills.- Demonstrated skills in service excellence including active listening, problem solving and ability to remain calm in emotional situations.Additional Job Details (if applicable)Remote TypeHybridWork Location75 Francis StreetScheduled Weekly Hours40Employee TypeRegularWork ShiftDay (United States of America)Pay Range$22.81 - $27.71/HourlyGrade4At 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. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.EEO Statement:2200 The Brigham and Women's Hospital, Inc. 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 View phone number on click.appcast.io.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. #J-18808-Ljbffr