Prior Authorizations-Oncology(CoverMyMeds)

2 weeks ago

Bengaluru Karnataka India, Karnataka Taglynk Full time

As a CoverMyMeds Specialist, you will be responsible for managing electronic prior authorizations (ePAs) and ensuring timely and accurate processing of oncology-related prescriptions. You will work closely with prescribers, pharmacies, and payers to streamline access to critical oncology treatments and minimize delays in patient care.

Key Responsibilities

• Manage and process electronic prior authorizations (ePAs) through CoverMyMeds, focusing on oncology medications.

• Review clinical documentation and ensure completeness and accuracy for payer submission.

• Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorization and reimbursement issues.

• Monitor and track prior authorization requests, ensuring timely follow-up and resolution. • Educate prescribers’ offices and staff on CoverMyMeds processes and payer requirements.

• Stay updated on oncology drug access pathways, insurance policies, and payer-specific rules.

• Document case activities accurately in CRM or patient management systems.

• Work cross-functionally with internal teams to support patient access initiatives.

Qualifications

• Bachelor’s degree in healthcare, pharmacy, life sciences, or a related field (preferred).

• 2+ years of hands-on experience using CoverMyMeds, specifically in prior authorization processing. • Strong background in oncology medication access, reimbursement, or patient services.

• Familiarity with specialty pharmacy operations and payer requirements.

• Excellent communication and problem-solving skills.

• Strong attention to detail, organizational skills, and ability to handle multiple cases simultaneously.

Preferred Skills

• Experience working with oncology patient support programs.

• Knowledge of insurance verification, appeals, and reimbursement landscape.

• Ability to work independently while collaborating with cross-functional tea

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