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Biologics Coordinator

3 months ago

Palmdale, United States Skin and Cancer Institute Full time

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 mínimal direction and/or guidance.
- High school diploma or equivalent required; additional education or certification in a related field is a plus.