Centralized Biologics Coordinator (R&D)

Position Summary: Centralized Biologic Coordinator is an individual who manages a patients 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.
Licensure/Certification/Registration:Medical Assistant Certification
Education/Qualifications:
High school diploma or general education degree (GED) is required.
Medical Assistant Certification
Minimum of 1-2 years of experience in a medical office or healthcare setting, with prior experience in prior authorization Knowledge of medical terminology, coding (ICD-10, CPT), and insurance policiesAble to prioritize tasks, understand the providers instruction, and know when to seek information or advice.Excellent communication skills, both written and oralProficient computer skills including word processing, data entry, excel.Must have ability to communicate professionally and effectively with management, co-workers, hub personnel, as well as vendors and other third parties.

Job 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 patients insurance eligibility, benefits, and 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.
Job Type: Full-time