Position Summary: Responsible for coordinating and communications regarding biologics products and procedures in the office. This role will be responsible for the biologics program and oversee the operations of the program (insurance, prescription processing).

Essential Function

• Monitor/Process patients insurance authorizations, prior authorizations, and appeals.
• Monitor/Process patients prescription refills to the mandated specialty pharmacy.
• Greet incoming calls with a courteous and professional manner
• Provide prompt, efficient, and accurate patient service.
• Monitor/Process all email communications with insurance companies, providers, and patients.
• Completion of all necessary paperwork.
• Maintains work area in neat and orderly manner.
• Files correspondence and report in medical records.
• Various clerical duties including but not limited to: photocopying, faxing, filing, typing letters, envelopes and forms, and maintaining office equipment in order to perform duties.
• Completes forms to facilitate referrals, laboratory orders, registration, insurance payment and others.
• Other duties as assigned by supervisor

Organizational Standards

• Demonstrates Knowledge of Job Duties
• Knowledgeable in insurance carriers (i.e. Medicare, commercial, HMO)
• Judgment: demonstrates sound forethought and logic in all actions Communications: written communications and email are clear and well organized
• Communications: oral communications are clear and appropriate for business. Checks email throughout the day
• Team & Working Relationships: Effective in working with others. Actively assists other departments as needed, particularly back office.
• Safety: adheres to all workplace safety standards and policies Adheres to all HIPAA standards
• Maintains strictest confidentiality
• Stewardship of company resources: appropriate use of PC, email, rest areas, maintains a clean and organized work environment. Refrains from using company services and equipment for personal matters.
• Attendance: reports for work on-time and as scheduled, available for work as needed Ability to organize and prioritize tasks/responsibilities effectively
• All Golden State Dermatology employees may be temporarily scheduled in any GSD facility based upon the needs of the organization. Employee demonstrates understanding and willingness to go where needed.
• Promotes Golden State Dermatology in an effort to enhance patient comfort and further organization reputation of excellence in the patient, medical, and associated business communities. Conveys a positive image of the organization.

Requirements Knowledge, expertise:

• Use of a PC, keyboard, mouse, printer, photocopy machine, and other office equipment
• Multi-line telephone system
• Ability to learn systems; competent in EMA and EClinicalWorks (or current system) upon training.
• Able to speak clearly
• Skilled in tact and diplomacy in interpersonal interactions
• Ability to communicate clearly in person and on the phone and establish/maintain cooperative relationships with patients, families, staff and other customers.

Certifications, training, licensure:

High School Graduate or Equivalent.

Safety Requirements:

Adheres to all GSD safety standards, including lifting technique, use of footstools, safe operation of moveable medical records shelving.

GSD strongly encourages employees to receive the COVID-19 primary series vaccination.