Centralized Biologic Coordinator

Key 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/prior determination 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.
• Maintain 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.

Requirements

• Licensure/Certification/Registration: LPN/CMA
• High school diploma or general education degree (GED) is required.
• Minimum of 1-2 years of experience in a medical office or healthcare setting, with prior experience.
• Knowledge of medical terminology, coding (ICD-10, CPT), and insurance policies.
• 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, data entry, excel.
• Must have ability to communicate professionally and effectively with patients, management, co-workers, hub personnel, as well as vendors and other third parties.