Centralized Biologic Coordinator

Poppy Bank; Rome (GA); On-site; USD 32,000 - 36,000; Full time

Benefits offered by this job

Health benefits

Health Savings Account (HSA)

Flexible Spending Account (FSA)

Disability (short & long term)

Holidays & PTO

Employee Assistance Program (EAP)

Clinic Hours: Mon-Fri, no weekends

Job summary

SENTA Partners is a leading MSO supporting ENT and Allergy practices. The Centralized Biologic Coordinator manages patient journeys from prescription to drug acquisition, coordinating with offices, insurers, and specialty pharmacies to obtain timely authorizations.

You'll verify benefits, submit prior authorizations, enroll patients in copay and patient assistance programs, and document communications in HIPAA-compliant systems.

Qualifications

• Licensure/Certification/Registration: LPN/CMA.
• High school diploma or GED required.
• 1–2 years of medical office or healthcare experience.
• Knowledge of medical terminology, ICD-10/CPT coding, and insurance policies.
• Strong communication and professional interaction with patients and staff.

Responsibilities

• Communicate with management, staff, hub personnel, vendors, and third parties.
• Enroll patients with manufacturer HUB for insurance verification.
• Verify insurance eligibility, benefits, and requirements with carriers.
• Request and obtain pre-authorization prior to services.
• Enroll patients in copay and patient assistance programs.
• Apply knowledge of medical terminology and HIPAA compliant procedures.
• Document all communications in standardized records.

Skills

Communication skills

HIPAA knowledge

Medical terminology

Prior authorization experience

Education

LPN/CMA certification

High school diploma

Tools

Insurance verification systems

Prior authorization management

Job description

• Base Pay $23.00 - $26.00 / Hour
• Job Category Clinical Back Office, Clinical Support, 3

SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is tohelp people Breathe better, Hear better, Livebetter. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.

Position Summary

Centralized Biologic Coordinator is an individual who manages a patient’s journey from prescription to drug acquisition within the Centralized Senta Biologic Department. This role navigates the complexities of patient access on behalf of those prescribed biologics. Responsible for communicating with office staff, providers, insurance providers, completing enrollment forms, reviewing benefit verifications, submitting medical and pharmacy prior authorizations, directing patient assistance and bridge programs, coordinating all efforts of specialty pharmacies and manufacturer HUBs under the direction of the Biologic Program Manager. Ability to work efficiently in a fast-paced environment while maintaining accuracy. This position offers the opportunity to contribute to the healthcare industry while ensuring patients receive timely authorizations for necessary treatments. If you possess the required qualifications and are looking to make a difference in patient care, we encourage you to apply for this rewarding role.

Key Responsibilities

• Communicate professionally and effectively with management, co-workers, hub personnel, as well as vendors and other third parties.
• Enroll patients with manufacturer HUB for insurance verification/benefit investigation.
• Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.
• Request, track and obtain pre-authorization/prior determination from insurance carriers prior to services being performed.
• Enroll patients for copay assistance/patient assistance programs.
• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
• Communicate any insurance changes or trends among team.
• Maintains a level of productivity suitable for the department.
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format
• Other duties as assigned.

What We Offer

• Comprehensive Health Benefits (Medical, Dental, and Vision)
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Short & Long Term Disability
• Holidays & Paid Time Off (PTO)
• Employee Assistance Program (EAP)
• Clinic Hours: AAA ONLY
  • Monday-Friday
  • Half-Day Fridays (office closes at 12pm)
  • No Weekends

Qualifications

• Licensure/Certification/Registration: LPN/CMA
• High school diploma or general education degree (GED) is required.
• Minimum of 1-2 years of experience in a medical office or healthcare setting, with prior experience
• Knowledge of medical terminology, coding (ICD-10, CPT), and insurance policies
• Able to prioritize tasks, understand the providers instruction, and know when to seek information or advice.
• Excellent communication skills, both written and oral
• Must have ability to communicate professionally and effectively with patients, management, co-workers, hub personnel, as well as vendors and other third parties.

Summary

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• Cer tain US jurisdictions require S ENTA Partners to provide new employees with a reasonable estimate of the salary for th is role at the loc a tion in which the job may be performed . Th e posted salary range reflects our best estimate at the time of posting, though it's important to remember that actual salaries may vary. Factors that determine the final salary offer include office location, experience , skills, and current organizational needs .
• SENTA Partners is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other protected status.