drjobs Biologic/Prior Auth Associate

Biologic/Prior Auth Associate

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1 Vacancy
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Job Location drjobs

Raleigh - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overview

At Anne Arundel Dermatology we give exceptional care to our patients and to eachother.

Patient First Caring Accountability Trust One Team Growth

Founded 50 years ago with a mission to provide the highest quality and full spectrum of medical surgical and esthetic skin care services to each and every one of its patients Anne Arundel Dermatology has assembled the finest group of dermatologists in the MidAtlantic and Southeastern states. With 250 clinicians and 110 locations in 7 states were thriving growing and looking to add talented individuals to our team!

Why join Anne Arundel Dermatology

We are committed to continual training and education for our physicians and staff. We are on top of the latest developments in dermatology including ongoing research emerging treatments new medications and prevention methods. You can find more than just a job with Anne Arundel Dermatology. We believe in providing our new associates with intensive hands on training and longterm career growth opportunities from within.

Responsibilities

Biologics Coordinator plays a key role inhelping patients access and manage biologic work closely with patients healthcare providers and insurance companies to ensure timely and accurate medication administration including handling prior authorizations scheduling appointments and educating patients about their treatment plan.

Prior Authorization Management:

  • Initiating and following up on prior authorizations for biologic medications with insurance companies.

Patient Communication:

  • Communicating with patients about medication approvals denials and treatment plans and documenting all interactions.

Appointment Scheduling:

  • Scheduling and coordinating patient appointments ensuring adherence to treatment regimens and medication intervals.

Clinical Information Gathering:

  • Obtaining necessary clinical information from medical records and providers to support prior authorizations.

Medication Management:

  • Ensuring all medications are received prior to patient appointments tracking medication inventory and managing supplies.

Compliance and Training:

  • Adhering to compliance guidelines and completing necessary training.

Patient Education:

  • Educating patients about their biologic therapy including administration instructions potential side effects and followup care.

Collaboration with Healthcare Providers:

  • Working closely with physicians nurses and other healthcare professionals to ensure optimal patient care.

Documentation:

  • Maintaining accurate and complete documentation of patient progress treatment plans and any adverse reactions.

Qualifications

  • Able to triage patient problems.
  • Be familiar with and compliant OSHA/HIPAA infection control & Blood Borne Pathogen Standards.
  • Knowledge of medical terminology CPT and ICD10 codes.
  • Knowledge of office financial policies.
  • Basic computer skills and experience in EMR utilization.
  • Able to operate standard office equipment (i.e. computer fax copier scanner etc)
  • Excellent verbal and written communication skills.
  • Fluent in English
  • Ability to function well in a highpaced and at times stressful environment.
  • Ability to work in an effective cooperative and courteous manner with staff patients and visitors.
  • Must be able to travel to satellite offices as needed
  • Ability to multitask prioritize appropriately and work well both individually and as part of a team
  • Ability to read understand and follow oral and written instruction.
  • Ability to spell sort and file materials correctly alphabetically or numerically.

Licensure/Certifications/Education

Education and Experience:

  • High School Graduate or GED required.
  • Completion of a Medical Assistant Program Certified Nursing Assistant program or completion of a bachelors degree program in the premed or prephysician assistant track preferred.
  • CPR certified preferred.
  • 12 years of recent experience as a Medical Assistant Certified Nursing Assistant or other clinical patient care experience preferred.
  • Previous experience in Dermatology is preferred.

Physical Requirements:

  • Standing and walking for extended periods of time
  • Moderate amount of talking bending twisting reaching and balancing.
  • Use of hands and fingers.
  • Talking and listening in person and on the telephone.
  • Handling of materials such as paper supplies etc.
  • Lifting and carrying up to 30 pounds.
  • Risk of exposure to infectious organisms and the possibility of injury due to chemicals and sharp objects.

Full time employees (defined as regularly working at least 30 hours per week) are eligible for the following benefits:

  • Medical Dental & Vision insurance effective 1st of the month after date of start
  • Shortterm and longterm disability Voluntary life (employee spouse and child) Critical Illness and Hospital Indemnity Effective the 1st of the month following date of hire
  • Company provided Basic Life/AD&D insurance
  • Paid time off
  • Paid holidays
  • Retirement Savings account
  • Employee discount on cosmetic services and products

Required Experience:

IC

Employment Type

Full-Time

Company Industry

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