Patient Care Coordinator
bioplusspecialtypharmacy
Full time
Clinical Appeals Coordinator
About this role
Company Description
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
The Appeals Coordinator is responsible for gathering all information required on an appeal, writing, and submitting the appeal to insurance company and for all follow up phone calls and documentation of these appeals.
Responsibilities
Confirm prescriber/ patients request to appeal.
Verify the information needed by the plan for an appeal and where to submit.
Gather all necessary information from prescriber office to complete the appeal.
- Responsible for writing the letter of appeal.
Notifying appropriate staff of approved/denied medications.
Process/reverse online claims as required.
Responsible for maintaining required spreadsheets if applicable.
Responsible for all follow up phone calls to the insurance company or
prescriber office for status of appeal or request for additional information.
Responsible for all documentation of appeal statuses into CPR+ progress notes.
Update sales staff with pertinent information.
Participate and perform other duties as assigned by leadership
Skills & Abilities
Demonstrate the BioPlus C.A.R.T. values.
Competence
Accountability
Respect
Trust
Excellent Computer Skills.
Knowledge of medical terminology.
Excellent communication skills.
Ability to work cooperatively and be a liaison between departments when needed.
Professional Image
Qualifications
QUALIFICATIONS & ABILITIES:
High School Diploma or Equivalent.
At least 1 year experience working with appeals, prior authorizations, or billing.
Specialty pharmacy experience preferred.
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer
Frequently Asked Questions
Is the salary disclosed for the Clinical Appeals Coordinator position at bioplusspecialtypharmacy?
The salary for this Clinical Appeals Coordinator role at bioplusspecialtypharmacy is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Clinical Appeals Coordinator position at bioplusspecialtypharmacy located?
This Clinical Appeals Coordinator role at bioplusspecialtypharmacy is based in Altamonte Springs, Altamonte Springs, FL, United States, FL, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Clinical Appeals Coordinator role at bioplusspecialtypharmacy full-time or part-time?
This is listed as a Full time position. It is posted as a Clinical Appeals Coordinator role at bioplusspecialtypharmacy.
How do I apply for the Clinical Appeals Coordinator position at bioplusspecialtypharmacy?
Click the "Apply Now" button on this page. You will be redirected to bioplusspecialtypharmacy's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Clinical Appeals Coordinator job at bioplusspecialtypharmacy posted?
This Clinical Appeals Coordinator position at bioplusspecialtypharmacy was posted on Jan 23, 2023. Apply as soon as possible — early applications are often reviewed first.
Clinical Appeals Coordinator
bioplusspecialtypharmacy
You'll be redirected to bioplusspecialtypharmacy's official application page on SmartRecruiters.