Biologics Coordinator

3 weeks ago

Albany, United States Allied Digestive Health, LLC Full time
Albany Gastroenterology Consultants have partnered with Allied Digestive Health which is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report.

We are excited to announce that we are looking for a Full-Time Biologics Coordinator at Albany Gastroenterology Consultants of Albany New York

The Biologics Coordinator Responsibilities are:
  • Obtains necessary clinical information from the medical record, provider, and assistance program to process proper authorizations.
  • Completes and submits pre-authorization forms to insurance companies on patients' behalf.
  • Navigates the complexities with the insurance companies to obtain prior authorizations quickly.
  • Follows up on denied drug prior approval requests.
  • Remains informed about specific insurance requirements for each biologic.
  • Maintains accurate records of all biologic transactions.
  • Determines which patients require financial support and facilitates assistance in obtaining financial help.
  • Monitors current authorizations and submits timely for additional authorization as necessary.
  • Provides prompt, efficient, and accurate patient service.
  • Communicates with all new infusion patients on medication approvals, insurance benefits, and out of pocket costs.
  • Works closely with physicians and infusion nurses
  • Other duties as assigned.
The Biologics Coordinator must have the following qualifications and experience:
  • High School graduate or GED.
  • Minimum of 2 years of experience in precertification and/or biologics coordination
  • Computer efficiency and attention to detail
  • High integrity, team player with focus on patient service
  • Excellent organizational and communication skills
  • Ability to work independently and as part of a team


We offer a competitive base salary, generous benefits, including: Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits.

Job Type: Full-Time

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