Prior Authorization Coordinator – Biologics

Forefront Dermatology•Grand Rapids, MI

14h

About The Position

Lakeshore Dermatology is hiring a full-time Prior Authorization Coordinator focused on biologics. The coordinator manages prior authorizations and prescription workflows, including biologics, to help secure timely insurance approvals, maintain accurate documentation, and coordinate medication delivery in support of patient care and clinician treatment plans. The role works with clinicians, patients, pharmacies, and pharmaceutical representatives to facilitate medication access. The position follows a Monday–Friday schedule, from 8:00 a.m. to 5:00 p.m., with a 12:00 p.m. finish on Fridays. Biologics duties include coordinating medication access and initiation, manufacturer support and copay assistance programs, procurement and fulfillment, authorization renewals, and treatment-readiness requirements such as baseline testing and monitoring documentation. The required education is a high school diploma or GED. A bachelor's degree is preferred. The posting identifies 1+ years of medical billing, dermatology, or related patient care experience as preferred.

Requirements

High school diploma or GED.
Strong attention to detail and organizational skills.
Effective verbal and written communication skills.
Ability to manage multiple priorities in a fast-paced clinical environment.
Proficiency in Microsoft Office applications and ability to learn new systems quickly.
Ability to work independently and collaboratively within a team.
Professionalism, adaptability, and accountability.
Ability to maintain confidentiality and handle sensitive information appropriately.

Nice To Haves

1+ years of medical billing, dermatology, or related patient care experience.
Bachelor's degree.

Responsibilities

Initiate and manage prior authorizations for medications, including biologics.
Communicate authorization status, approvals, and denials to patients, and document interactions in the medical record.
Gather and submit clinical documentation to support insurance authorization requests.
Coordinate patient scheduling and testing in alignment with treatment plans and medication timelines.
Verify medication receipt before patient appointments.
Collaborate with clinicians and pharmaceutical representatives to stay current on therapies and medication-access processes.
Support phone triage, including call management, medication requests, authorizations, and scheduling.
Maintain compliance with organizational policies and complete required training.
Perform additional duties as assigned.
Manage biologic medication access and initiation workflows, including enrollment in manufacturer patient-support and copay-assistance programs and other available resources.
Coordinate biologic procurement and fulfillment with specialty pharmacies, infusion centers, and medication distributors, as applicable; monitor prescription status, resolve access barriers, and ensure medications are available for scheduled treatments.
Track biologic authorization requirements and renewal timelines, including reauthorizations, continuation-of-therapy requests, and required clinical documentation.
Coordinate biologic treatment readiness with clinicians and patients, including baseline testing, monitoring documentation, and follow-up requirements according to treatment plans and applicable payer guidelines.