The role of a biologic coordinator is crucial in the healthcare industry, particularly in dermatology. Angela Lee is a biologic coordinator and Chief Operations Officer of BC Educators. This organization offers in-office training and virtual biologic coordinators to create a single point of contact. In Episode Four of That’s Derm Good, listen as Angela explains why prior authorizations, MIPS, and proofreading allow her to excel in her roles.

DISCLAIMER: This podcast is for informational purposes only and should not be considered medical or health advice. This podcast does not substitute medical treatment. Always consult a doctor or dermatologist regarding medical advice, diagnoses, or treatment.

ADVERTISER: Looking to equip your dermatology office staff better? Work with BC Educators offers in-office training and virtual biologic coordinators to create a single point of contact for everything from prior authorizations to prescription acquisition and patient follow-up. To ensure patients have access to the medications they need, visit bceducators.com.

Dermatology office staff must appreciate the importance of gathering patient information, such as their medication history and any tried and failed therapies. This information is crucial for insurance companies to determine the medical necessity of a prescribed treatment because having a vast knowledge of the patient's medical history benefits the patient and their care.

Angela explains that one of the critical aspects of being a biologic coordinator is the ability to navigate the complex landscape of biologics and specialty medications. These medications often require prior authorizations, which involve gathering and submitting documentation to insurance companies to demonstrate the medical necessity of the specialty medication.

One aspect of a biologic coordinator's role is managing the Merit-Based Incentive Payment System (MIPS). The MIPS program aims to transition physicians from fee-for-service to value-based care. It incentivizes high performance and penalizes those who need to meet program requirements. The biologic coordinator is crucial in ensuring that the office achieves high performance in MIPS and receives the associated incentives.