Biologics Coordinator

Job Description

Job Description

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

Working Conditions

Performance Expectations

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