Why You'll Love This Job
Position Summary: A biologic team specialist is an individual who manages a patient’s journey from prescription to drug acquisition. 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 prior authorizations, directing patient assistance and bridge programs, and coordinating all efforts of specialty pharmacies and manufacturer HUBs under the direction of the Biologic Program Manager.
Licensure/Certification/Registration: Medical Assistant Certification
Education/Qualifications:
High school diploma or general education degree (GED) is required
Medical Assistant Certification
- Three to five years of medical experience
- Familiar with medical terminology
- Experience with prior authorization submission through cover my meds preferred
- Able to prioritize tasks, understand the providers instruction, and know when to seek information or advice
- Excellent communication skills, both written and oral
- Proficient computer skills including word processing, and 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 patient’s insurance eligibility, benefits, and requirements
- Request, track and obtain pre-authorization 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