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Biologics Coordinator

3 months ago

Palmdale, United States LA BUSINESS MANAGEMENT SERVICES, LLC Full time $20
Job DescriptionJob Description

• Perform a wide variety of clerical work including the maintenance of accurate and detailed records, verifying accuracy of information, researching discrepancies, auditing, and recording information.

• Maintain and post data relating to specialty medication records and patient charts.

• Initiate and follow up on prior authorization requests for specialty medications. • Initiate and follow up on Appeals process.

• Verify insurance eligibility.

• Present diagnosis that maybe contradicted for use in certain medications. • Understanding of FDA approved indications for Biologic Medications.

• Communicate with healthcare providers, insurance companies, pharmacies, and patients. • Enroll patients in co-pay and/or patient assistant programs.

• Maintain confidentiality and adhere to HIPPA guidelines. Requirements:

• Biologic Coordinator and/or Specialty Pharmacy experience required.

• Sound judgment, critical thinking, discretion, and exceptional attention to detail.

• Previous experience working in a dermatology office or similar healthcare setting required.

• Knowledge of medical terminology and procedures related to dermatology required. • Knowledge of CoverMyMeds software program required.

• Knowledge of ICD-10 codes, J codes, & CPT codes required.

• Pharmacy knowledge such as benefits, dosing, prior authorizations, patient assistant programs, etc. required.

• Excellent communication skills, both verbal and written.

• Excellent Customer Service skills with the ability to provide compassionate care. • Excellent data entry, proofreading, and record management skills.

• Strong organizational skills with the ability to multitask and prioritize tasks effectively.

• Ability to maintain professionalism and confidentiality when dealing with sensitive patient information.

• Ability to work effectively independently with minimal direction and/or guidance.

• High school diploma or equivalent required; additional education or certification in a related field is a plus.