Biologics Prior Authorization Coordinator

**Job Title: Biologics Prior Authorization Coordinator** **Position Type: Full-time** **Working Hours: 8:00 AM - 5:00 PM Eastern Daylight Time,Monday to Friday** **Salary rate: $5-$7** **Job Responsibilities:** - Coordinate the initiation and continuation of biologic therapies. - Manage the workflow from the provider’s 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 proactively 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 about approval timelines, specialty pharmacy requirements, and next steps. - Maintain accurate patient records and authorization updates in the EMR. - Collaborate with providers, nurses, pharmacies, insurers, and other clinical staff to support continuity of care. - Prepare and maintain biologic medication records, status reports, and tracking systems - At least 1 year of previous experience handling medication prior authorizations is required - Experience with biologic medications, specialty pharmacies, or infusion therapies is strongly preferred. - Previous experience working in a medical office or specialty practice. - Completion of an accredited Medical Assistant program is preferred. - Certified or Registered Medical Assistant credential (CMA/RMA) is 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. ### Basic Requirements - Must speak and write English clearly and professionally. - Must have relevant work experience. - Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). - Must be available to attend video meetings with camera on when required. ### Technical Requirements - Computer: Reliable laptop or desktop computer. - Internet: Stable high-speed internet connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Working webcam for virtual meetings. - Workspace: Quiet and professional work environment. - **Dedicated HR & Contractor Support Team:** Access to world-class support for questions, guidance, contract matters, and client communication. - **Premium VPN Access (Optional):** A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - **HIPAA & Cybersecurity Training + Certification (Provided):** Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - **Top 1% VA Performance Training:** Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - **Client-Approved U.S. Holidays:** Contractors may take U.S. holidays off according to the client’s needs and schedule. - **Client-Approved Paid or Unpaid Time Off:** Time off may be granted by your client. Paid time off is optional and only if offered by the client. - **Access to Tools & Resources:** Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - **Optional Performance-Based Incentives:** Some clients may offer bonuses, incentives, or increased hours based on your performance. These are optional resources and client-approved allowances available to you as an independent contractor. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.