Biologics Coordinator

Essential Duties and Responsibilities

Track start dates, re-authorization timelines, and renewal requirements to ensure uninterrupted therapy.

Communicate with Ohio Gastroenterology Prior authorization departments, Infusion team, specialty pharmacies, and Pharmaceutical Representative to resolve barriers and expedite timeline between insurance authorization and initiation of biologic therapy.

Coordinate applications and directly enroll patients for financial assistance meeting drug-specific requirements for participation, including but not limited to forms, patient proof of income, relative clinical information, and provider signatures.

Displays effective file management by maintaining documentation and detailed records of program participation, and medication dispensations provided to patients via Portal assistance programs.

Collaborate with providers, nursing staff, and the billing team to ensure appropriate documentation, diagnostic codes, and treatment plans are submitted.

Educate patients on the biologic process including:

Medication purpose and administration route (infusion, injection, oral).

Expected timelines for approval and delivery.

Financial assistance and patient support program options.

Assist patients in applying for pharmaceutical copay assistance and bridge programs if applicable.

Coordinate with in-office infusion center or external infusion centers to schedule start of therapy.

Maintain detailed and accurate records of patient interactions and follow-up in the electronic health record (EHR).

Ensure all necessary labs have been obtained and resulted in patient's EHR

Request and track medications for patients on bridge programs

Monitor and report on biologic utilization, turnaround times, and payer trends for quality improvement and compliance.

Stay current on biologic therapy developments in gastroenterology and any changes to Patient Portal assistance programs.

Serve as the point of contact for patients and staff regarding biologic medication questions or issues. Qualifications

Education:

High school diploma or equivalent required.

Associate or bachelor's degree in healthcare administration, nursing, or related field preferred.

Experience:

Minimum 2 years of experience in gastroenterology, specialty pharmacy, or infusion coordination setting.

Working knowledge of gastrointestinal biologics and insurance authorization processes strongly preferred.

Familiarity with EMR/EHR systems and payer portals required.

Skills and Competencies:

Strong interpersonal and communication skills with patients and healthcare professionals.

High attention to detail and excellent organizational abilities.

Proficiency in navigating specialty pharmacy workflows and patient assistance programs .

Ability to multitask, meet deadlines, and maintain confidentiality.

Compassionate and patient-centered approach to care coordination. Working Conditions

Office-based environment, primarily administrative and telephonic work.

Frequent coordination with providers, infusion nurses, pharmacies, and pharmaceutical representatives.

Standard weekday schedule with occasional flexibility for urgent patients or provider/departmental needs. Performance Expectations

Timeliness: Prompt patient enrollment into pharmaceutical assistance and nurse navigator programs once Provider refers patient for Biologic treatment

Accuracy: Proper documentation in the EHR and pharmaceutical assistance programs

Patient Experience: Positive patient feedback regarding communication and support.

Continuity of Care: Minimized therapy delays and improved treatment adherence.

Equal Opportunity Employer

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