Biologics Prior Authorization Coordinator

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Winning Assistants LLC

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51 - 200 employees

At Winning Assistants, we help doctors, healthcare professionals, and business owners save time, cut costs, and scale their operations with highly skilled, HIPAA-compliant virtual assistants. Our VAs handle tasks like admin support, medical office management, marketing, and customer service, allowing you to focus on growth.

📋 Description

• 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

🎯 Requirements

• 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. • 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. • 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.

🏖️ Benefits

• 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.