This work demonstrates the use of a highly sensitive Liquid Core Photonic Crystal Fiber (LCPCF) Surface Enhanced Raman Scattering (SERS) sensor in detecting biological and biochemical molecules. The Photonic Crystal Fiber (PCF) probe was prepared by carefully sealing the cladding holes using a fusion splicer while leaving the central hollow core open, which ensures that the liquid mixture of the analyte and silver nanoparticles only fills in the hollow core of the PCF, therefore preserving the photonic bandgap. The dependence of the SERS signal on the excitation power and sample concentration was fully characterized using Rhodamine 6G (R6G) molecules. The result shows that the LCPCF sensor has significant advantages over flat surface SERS detections at lower concentrations. This is attributed to the lower absorption at lower concentration leading to a longer effective interaction length inside the LCPCF, which in turn, results in a stronger SERS signal. Several biomolecules, such as Prostate Specific Antigen (PSA) and alpha-synuclein, which are indicators of prostate cancer and Parkinson's disease, respectively, and fail to be detected directly, are successfully detected by the LCPCF sensor. Our results demonstrate the potential of the LCPCF SERS sensor for biomedical detection at low concentrations.