Biologics Coordinator

Reports To: Manager of Clinical Services

Status: Non-Exempt

Supervises Others: No

Job Summary:
Clinically minded, task-oriented, self-motivated team member to assist with incoming faxes, medication approvals/appeals, phone triage, and back-office workflow.

Essential Duties and Responsibilities:

• Manage prior authorization submissions for biological and other prescriptions in a timely manner.
• Responsible for working with payors, drug manufacturers, and patients to see that patient receives their prescriptions.
• Communicate status of authorizations and results to patient and clinical care team.
• Assist with medical necessity and/or appeal letters.
• Assist with developing and implementing prior authorization work flows, policies, and procedures.
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines.
• Maintains knowledge of practice management, electronic medical records, and other computer software as it relates to job requirements.
• Assist with interoffice surgical procedure scheduling.
• Perform other duties as assigned.

Education / Experience:

• High School Diploma or equivalent
• Valid driver license
• Minimum of two years medical office experience

Skills:

• Familiarity with insurance: medical and prescription benefits. Knowledge of prior authorizations and how to obtain them. Comfortable using email, word processing, and interacting with Internet application
• Working knowledge of electronic medical records software. ModMed, Cover My Meds and IPledge is a plus.

Ability to perform multiple and diverse task simultaneously-with accuracy and efficiency. Strong written and communication skills.

• Must be detail oriented.
• Must have excellent communication skills and the ability to communicate effectively orally and in writing.
• Demonstrated leadership experience. Must be able to demonstrate leadership by serving as an example to others with regard to professional behavior, handling multiple tasks, maintaining a positive attitude, and in response to organizational change.
• Proficiency with Microsoft Word, Excel and PowerPoint is required. Must be able to learn new software quickly.
• Must possess excellent leadership, organizational, and computer skills.
• Ability to work effectively and cooperatively with staff, board, clients, and the public.
• Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.
• Ability to use time productively and contribute to high levels of company operational efficiency and effectiveness.
• Ability to maintain confidentiality of information.

Physical Requirements:

• Must be able to stand/walk for prolonged periods of time; must be able to sit for prolonged periods of time.

This Job Description is intended to describe the general nature and required work to be performed. It is not intended to be an exhaustive list of all responsibilities, duties and skills required.

Total Skin and Beauty Dermatology is an Equal Opportunity Employer.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical office: 2 years (Preferred)

Work Location: In person