Biologics Prior Authorization Coordinator

Winning Assistants LLC

As a Biologics Prior Authorization Coordinator, you will facilitate the initiation and authorization of biologic therapies, support patient enrollment, and manage ongoing treatment processes.

Posted 7/17/2026full-timeRemote • 🇵🇭 PhilippinesJunior💰 $5 - $7 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing biologic therapies, including prior authorizations and insurance documentation, while ensuring effective communication with patients and healthcare providers. Proficient in EMR systems and maintaining accurate patient records to support continuity of care.

Highest-signal resume keywords

Prior Authorization ManagementBiologic Medications ExperienceEMR ProficiencyCertified Medical Assistant (CMA/RMA)Insurance Documentation Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior Authorization HandlingBiologic Therapy CoordinationMedication Delivery ManagementPatient Record MaintenanceInsurance Appeals Preparation

Soft Skills

Attention to DetailOrganizational SkillsWritten CommunicationVerbal CommunicationFollow-Through

Tools & Technologies

EMR SystemsHealthcare Software

Certifications & Qualifications

Certified Medical Assistant (CMA)Registered Medical Assistant (RMA)

Industry Keywords

Specialty PharmaciesInfusion TherapiesMedication Access ProgramsClinical CollaborationPatient Enrollment

About the role

Key responsibilities & impact

Coordinate the initiation and continuation of biologic therapies.
Manage the workflow from the provider’s order through medication approval, delivery, and ongoing treatment support.
Prepare, submit, and track prior authorizations, appeals, and supporting insurance documentation.
Follow up with insurance companies and proactively resolve authorization delays or treatment barriers.
Coordinate prescriptions and medication delivery with specialty pharmacies.
Assist patients with enrollment in manufacturer assistance and medication access programs.
Educate patients about approval timelines, specialty pharmacy requirements, and next steps.
Maintain accurate patient records and authorization updates in the EMR.
Collaborate with providers, nurses, pharmacies, insurers, and other clinical staff to support continuity of care.
Prepare and maintain biologic medication records, status reports, and tracking systems

Requirements

What you’ll need

At least 1 year of previous experience handling medication prior authorizations is required
Experience with biologic medications, specialty pharmacies, or infusion therapies is strongly preferred.
Previous experience working in a medical office or specialty practice.
Completion of an accredited Medical Assistant program is preferred.
Certified or Registered Medical Assistant credential (CMA/RMA) is preferred.
Proficiency with EMR systems and other healthcare-related software.
Strong understanding of insurance documentation and authorization processes.
Excellent attention to detail, organization, and follow-through.
Strong written and verbal communication skills.
Must speak and write English clearly and professionally.
Must have relevant work experience.
Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory).
Must be available to attend video meetings with camera on when required.
Computer: Reliable laptop or desktop computer.
Internet: Stable high-speed internet connection (minimum 25 Mbps).
Audio: Noise-canceling headset.
Video: Working webcam for virtual meetings.
Workspace: Quiet and professional work environment.

Benefits

Comp & perks

Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication.
Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks.
HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients.
Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention.
Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule.
Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client.
Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best.
Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.