Centralized Biologic Coordinator

Description

Atlanta Allergy & Asthma Clinic (AAA) , a leading Allergy and Asthma practice and an affiliate of SENTA Partners , is the largest allergy group in Georgia, treating both children and adults at 18 locations across Atlanta and north Georgia.


SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe better, Hear better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.

Position Summary

Centralized Biologic Coordinator is an individual who manages a patient's journey from prescription to drug acquisition within the Centralized Senta Biologic Department. This role navigates the complexities of patient access on behalf of those prescribed biologics. Responsible for communicating with office staff, providers, insurance providers, completing enrollment forms, reviewing benefit verifications, submitting medical and pharmacy prior authorizations, directing patient assistance and bridge programs, coordinating all efforts of specialty pharmacies and manufacturer HUBs under the direction of the Biologic Program Manager. Ability to work efficiently in a fast-paced environment while maintaining accuracy. This position offers the opportunity to contribute to the healthcare industry while ensuring patients receive timely authorizations for necessary treatments. If you possess the required qualifications and are looking to make a difference in patient care, we encourage you to apply for this rewarding role.

Key Responsibilities

• Communicate professionally and effectively with management, co-workers, hub personnel, as well as vendors and other third parties.
• Enroll patients with manufacturer HUB for insurance verification/benefit investigation.
• Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
• Request, track and obtain pre-authorization/prior determination from insurance carriers prior to services being performed.
• Enroll patients for copay assistance/patient assistance programs.
• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
• Communicate any insurance changes or trends among team.
• Maintains a level of productivity suitable for the department.
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format
• Other duties as assigned.

What We Offer

• Comprehensive Health Benefits (Medical, Dental, and Vision)
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Short & Long Term Disability
• Holidays & Paid Time Off (PTO)
• Employee Assistance Program (EAP)
• Retirement Contribution Program - 401(K) Match

• Clinic Hours: AAA ONLY
  • Monday-Friday
  • Half-Day Fridays (office closes at 12pm)
  • No Weekends

Requirements

Qualifications

• Licensure/Certification/Registration: LPN/CMA
• High school diploma or general education degree (GED) is required.
• Minimum of 1-2 years of experience in a medical office or healthcare setting, with prior experience
• Knowledge of medical terminology, coding (ICD-10, CPT), and insurance policies
• Able to prioritize tasks, understand the providers instruction, and know when to seek information or advice.
• Excellent communication skills, both written and oral
• Proficient computer skills including word processing, data entry, excel.
• Must have ability to communicate professionally and effectively with patients, management, co-workers, hub personnel, as well as vendors and other third parties.