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Biologics Coordinator

LA BUSINESS MANAGEMENT SERVICES, LLC

Biologics Coordinator

Palmdale, CA
Full Time
Paid
  • Responsibilities

    • 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.