Prior Authorization Biologics Coordinator
SkinCare Physicians
Chestnut Hill, MA
- Part-time, on-site position 2 to 3 days per week; potential for hybrid-remote opportunity following six months of consistently demonstrating exemplary performance.
- Salary range $23/hour to $26/hour, commensurate with experience.
Join one of Boston’s most respected dermatology practices as a Prior Authorization Biologics Coordinator! In this role, the Prior Authorization Biologics Coordinator serves as the critical link between physicians, patients, and insurance carriers, managing prior authorizations across a range of medications and procedures, including biologic and specialty therapies used in the treatment of dermatologic conditions.
Prior Authorization Biologics Coordinator Qualifications
- High School diploma or equivalent; associate or bachelor’s degree in business preferred
- Prior authorization or healthcare administrative experience preferred; knowledge of dermatology and biologic or specialty pharmaceuticals a plus
- Strong interpersonal and communication skills; excellent customer service skills
- Must possess a calm, reassuring, competent, and sensitive demeanor; patient confidentiality required
- Maintain a positive and professional attitude at all times
- Highly organized with a strong attention to detail
- Excellent organizational skills and ability to work in a fast-paced environment
- Team player
- Strong technical skills including experience with AI-assisted platforms, and proficiency with MS Office; experience with Forus and ModMed a plus
Why you should apply
- Enjoy valuable and comprehensive benefits, 401(k) plan with profit sharing, tuition reimbursement, generous PTO and holidays, pet insurance, and free parking
- Treat yourself to complimentary or discounted treatments and products
- Exceptional, respectful, and inclusive workplace culture that encourages you to give your best while respecting work-life balance
- Explore opportunities for learning and development through in-house training and hands-on exposure to a highly skilled medical and clinical team
Prior Authorization Biologics Coordinator Job Responsibilities
- Collect prior authorization requests initiated by physicians
- Maintain detailed tracking log for all prior authorization requests and statuses
- Initiate the prior authorization request to patient’s insurance carrier
- Maintain a line of communication between patient, provider, and insurance carrier
- Work daily within the Forus portal to retrieve incoming tasks and notifications; facilitate timely communication between provider, pharmacy, and patient
- Document and maintain authorization records from insurance carriers in patient charts
- Update patient records in ModMed with current prior authorization status in a timely manner
- Initiate letters of medical necessity from physicians
- Pre-authorize surgeries, medications, and other procedures with third party payers as necessary
- Must keep patient and business confidentiality at all times
- Follow HIPAA policies for patient privacy and has access to Level 2,3,4 PHI; comply with OSHA and AAHC policies and procedures
- Support the billing team with additional administrative duties as needed
About Company Summary (www.skincarephysicians.net)
SkinCare Physicians is a comprehensive, state-of-the-art center for dermatology, cosmetic and laser procedures, dermatologic and skin cancer surgery, and medical aesthetics. Our commitment to excellence, along with the credentials and experience of our skilled physicians and support staff, are what make SkinCare Physicians one of the premier dermatology facilities in greater Boston – and the world.
At SkinCare Physicians we believe that it is through the efforts of our employees that we have become a leader in the field of medical and cosmetic dermatology. Our state of the art and world-renowned practice is always looking for people who are committed to supporting our mission of providing the best possible personalized service to our patients along with ethical, skilled, and comprehensive care. Only by making our employees successful will we make our patients satisfied and achieve our organization's mission.
Our expectation is that all employees will support SkinCare Physicians' mission, vision, and values by exhibiting the following behavior: excellence and competence, collaboration, teamwork and team building, innovation, respect, personalization, commitment to our patients, and accountability and ownership.
SkinCare Physicians is an equal opportunity employer, dedicated to building an inclusive and diverse workforce.
#INDSCPBK
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Application Question(s):
- What are your salary expectations for this role?
Ability to Commute:
- Chestnut Hill, MA 02467 (Required)
Work Location: In person
