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.