Biologics Billing & Compliance Specialist

Paycom; Albuquerque (NM); On-site; USD 50,000 - 70,000; Full time

Job summary

Allergy Partners in Albuquerque, NM is hiring a Biologics Coordinator to ensure compliant biologics billing per billing guidelines. Responsibilities include reviewing charges, supervising rebates, and coordinating with the Central Billing Office and hubs.

You will oversee prior authorizations, assist with patient programs, and drive process improvements while maintaining HIPAA compliance and high accuracy in documentation.

Qualifications

• High school diploma; healthcare experience preferred.
• 3+ years in healthcare or related billing or coding experience.
• Excellent written and verbal communication with internal/external stakeholders.

Responsibilities

• Review biologics charges for accuracy before insurance submission.
• Oversee prior authorizations and re-certifications with hubs.
• Educate practices on rebate/discount programs and billing guidelines.
• Coordinate with Central Billing Office and hubs on charge changes.
• Identify payer restrictions and communicate updates promptly.

Skills

Excellent communication

Detail oriented

Strong organizational skills

Proficient in Excel

Data entry accuracy

Independent worker

Education

High school diploma

Tools

Practice Management System

Microsoft Excel

Job description

Allergy Partners in Albuquerque, NM is hiring a Biologics Coordinator to ensure compliant biologics billing per billing guidelines. Responsibilities include reviewing charges, supervising rebates, and coordinating with the Central Billing Office and hubs.

You will oversee prior authorizations, assist with patient programs, and drive process improvements while maintaining HIPAA compliance and high accuracy in documentation.