Medication Support Coordinator
Mass General Brigham
Summary
We 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.
Job description
Main Responsibilities
Durable 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 Responsibilities
Patient 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.
Requirements
- High School Diploma or Equivalent required
- Medical Office/Hospital/Managed Care experience 1-2 years required
- Medication Administration/Pharmacy experience 1-2 years required
- Experience with electronic medical record system(s) and Outlook preferred
- 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
Benefits
- Comprehensive benefits
- Career advancement opportunities
- Differentials
- Premiums
- Bonuses
- Recognition programs
Company overview
Mass General Brigham is one of the largest integrated healthcare delivery systems in the United States, formed through the merger of Massachusetts General Hospital and Brigham and Women's Hospital. Based in Boston, Massachusetts, this academic medical center system operates multiple hospitals, specialty facilities, and community health centers throughout New England. The organization is renowned for its world-class patient care, cutting-edge medical research, and comprehensive medical education programs. As a teaching affiliate of Harvard Medical School, Mass General Brigham trains the next generation of healthcare professionals while advancing medical science through groundbreaking research initiatives. The system provides a full continuum of healthcare services, from primary care and preventive medicine to complex specialty treatments and emergency services. With a focus on innovation and patient-centered care, Mass General Brigham consistently ranks among the top hospital systems in the nation for clinical excellence and research output.