Biologics Prior Authorization Coordinator

4 days, 20 hours ago
Full-time
Junior
Customer and Technical Support
Winning Assistants

Winning Assistants

Winning Assistants specializes in providing HIPAA certified virtual assistants to healthcare professionals, enabling them to efficiently manage administrative tasks such as medical billing, coding, and patient communications, thereby allowing clients t...

Health Care Providers & Services

Description

  • Coordinate the initiation and continuation of biologic therapies.
  • Manage the workflow from provider order through medication approval, delivery, and ongoing treatment support.
  • Prepare, submit, and track prior authorizations, appeals, and supporting insurance documentation.
  • Follow up with insurance companies and resolve authorization delays or treatment barriers.
  • Coordinate prescriptions and medication delivery with specialty pharmacies.
  • Assist patients with enrollment in manufacturer assistance and medication access programs.
  • Educate patients on approval timelines, specialty pharmacy requirements, and next steps.
  • Maintain accurate patient records, authorization updates, status reports, and tracking systems in the EMR.
  • Collaborate with providers, nurses, pharmacies, insurers, and other clinical staff to support continuity of care.

Requirements

  • At least 1 year of experience handling medication prior authorizations.
  • Experience with biologic medications, specialty pharmacies, or infusion therapies strongly preferred.
  • Previous experience working in a medical office or specialty practice.
  • Completion of an accredited Medical Assistant program preferred.
  • Certified or Registered Medical Assistant credential (CMA/RMA) preferred.
  • Proficiency with EMR systems and other healthcare-related software.
  • Strong understanding of insurance documentation and authorization processes.
  • Excellent attention to detail, organization, and follow-through.
  • Strong written and verbal communication skills.
  • Must speak and write English clearly and professionally.
  • Must provide an NBI Clearance and/or Local Police Clearance before onboarding.
  • Must be available to attend video meetings with camera on when required.
  • Reliable laptop or desktop computer.
  • Stable high-speed internet connection with minimum 25 Mbps.
  • Noise-canceling headset.
  • Working webcam for virtual meetings.
  • Quiet and professional workspace.

Benefits

  • Dedicated HR and contractor support team.
  • Optional premium VPN access for privacy and security.
  • Provided HIPAA and cybersecurity training plus certification.
  • Access to top 1% VA performance training.
  • Client-approved U.S. holidays off.
  • Client-approved paid or unpaid time off.
  • Access to templates, workflow guides, productivity tools, and SOP support.
  • Optional performance-based incentives, bonuses, or increased hours.

Interested in this position?

Apply directly on the company website

Apply Now

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