No Claim Left Behind: Building a Seamless Biologics Workflow & Team

A successful biologics program depends on more than just doing your individual part—it requires seamless collaboration between front and back office teams. From benefit investigations and prior authorizations to claim submissions and appeals, each step is interconnected. When communication breaks down between Biologic Coordinators (BCs) and Billing Departments, the result can be denied claims, lost revenue, and delayed patient care.

This session explores how bridging the knowledge gap and fostering mutual respect between these roles can lead to better patient outcomes, stronger workflows, and improved clinic performance. Based on real-world experience from working on both sides, we’ll uncover what it truly takes to function as a united team—and how to break out of silos that hold us back.

Key Takeaways:

• Understand the full biologics workflow: From benefit investigation to clean claim submission, every piece matters.


• Strengthen communication: Learn how front and back office teams can align to reduce errors and maximize success.


• Bridge the knowledge gap: Gain insight into what your counterpart does and how it supports your work.


• Avoid costly mistakes: Explore how common missteps—like missing PA attachments or unclear tracking—impact approvals and payments.


• Encourage cross-training and mentorship: Foster a culture where BCs and Billers learn from each other and grow stronger together.


• Put the patient at the center: Collaboration ensures faster access, fewer delays, and greater trust from patients navigating high-stakes treatment.