What are the responsibilities and job description for the Biologics Coordinator - Nurse position at Conway Regional Health System?
Overview
The Biologics Coordinator Nurse is responsible for ensuring patients have timely and appropriate access to biologic therapies by coordinating prior authorizations, insurance verification, and appeals, while also supporting clinical operations within the clinic. This role serves as the primary liaison among patients, providers, payers, pharmacies, and internal staff to ensure continuity of care, compliance with payer requirements, and optimization of revenue opportunities. This role may also cover responsibilities within the clinic and is accountable for the provision of care as delegated will practice within the scope of the Nurse Practice Act of the State of Arkansas and the policies, procedures and standards of the Health System. The RN or LPN will demonstrate a commitment to teamwork through effective collaboration efforts.
Qualifications
PRE-HIRE QUALIFICATIONS:
The Biologics Coordinator Nurse is responsible for ensuring patients have timely and appropriate access to biologic therapies by coordinating prior authorizations, insurance verification, and appeals, while also supporting clinical operations within the clinic. This role serves as the primary liaison among patients, providers, payers, pharmacies, and internal staff to ensure continuity of care, compliance with payer requirements, and optimization of revenue opportunities. This role may also cover responsibilities within the clinic and is accountable for the provision of care as delegated will practice within the scope of the Nurse Practice Act of the State of Arkansas and the policies, procedures and standards of the Health System. The RN or LPN will demonstrate a commitment to teamwork through effective collaboration efforts.
Qualifications
PRE-HIRE QUALIFICATIONS:
- Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required
- Proof of the highest level of nursing education achieved, if RN or LPN
- Equivalent experience in medical billing/authorization for specialty medications
- Basic computer proficiency (EHR, pharmacy systems, insurance portals).
- Attendance at New Employee Orientation classroom program
- Aggression Management Training
- Successful completion of Computer-Based orientation
- Successful completion of initial RQI Assignments
- American Heart Association Basic Life Support for Health Care Providers (if certified upon hire)
- Successful completion of orientation skills checklist
- American Heart Association Basic Life Support for Health Care Providers Class (if not certified upon hire)