Biologics & Prior Authorization Coordinator

Biologics/Prior Authorization Coordinator Job Description Summary: This is a full‑time position. This position is eligible for health insurance, paid time off, 401k, etc. This position reports to the Practice Manager as their direct supervisor. Essential Functions and Responsibilities Managing a patient’s journey from prescription to drug acquisition Navigates the complexities of patient access on behalf of those prescribed biologics Supports doctors, patients and Specialty Pharmacy through a variety of tasks related to patient prescriptions including status and delays Communicates with patients, insurance providers, physicians and other staff as needed Completes enrollment forms and submits prior authorizations for Specialty Medications Reviews benefit verifications and expected costs with patients Writes appeals and letters of medical necessity as needed and/or works with Specialty Pharmacy to complete Directs patient assistance and bridge programs Appropriately interacts with patients, providers, and other staff Responds to patient phone calls and provider tasks in timely manner Full documentation of all communications Coordinates efforts of specialty pharmacies and manufacturer HUBs Completes all other Prior Authorization regarding other medications Organizes, processes and uploads incoming faxes that pertain to biologics and/or prior authorizations Submits refills for biologic medications And other duties/tasks as assigned by management Qualifications Required: High school diploma or equivalent Prior experience in a medical office or other healthcare facility Knowledge of biologics and other prescriptions Experience and Knowledge with various health insurances, including Prior Authorizations Knowledge of medical office systems and procedures, EMR Excellent time management skills and ability to multi-task and prioritize work Friendly, team player, excellent collaborator, and communicator Preferred: Knowledge of NexTech system Knowledge of Biologics process Physical Demands: significant amount of sitting, screen time, typing, and assisting patients; lifting up to 25 lbs.; occasional bending and stretching Work environment: Fast‑paced office setting. Working independently, but communicating as needed to patients, providers, coworkers, and supervisor. #J-18808-Ljbffr MIDSTATE SKIN INSTITUTE, LLC