Oncology Prior Authorisation Specialist

1 week ago


Hubli, Karnataka, India beBeeOncology Full time ₹ 9,00,000 - ₹ 12,00,000

Job Title: Oncology Prior Authorisation Specialist

Role Overview:

As a specialist in this field, you will oversee the electronic prior authorisation process and ensure timely processing of oncology-related prescriptions.

  • Manage ePAs through CoverMyMeds, focusing on oncology medications to facilitate seamless patient access.
  • Review clinical documentation for payer submission to guarantee compliance and expedite the process.
  • Collaborate with healthcare providers and payers to resolve prior authorisation issues efficiently.
  • Monitor and track prior authorisation requests, ensuring timely follow-up to prevent delays.

Key Responsibilities:

  • Educate prescribers' offices on CoverMyMeds processes and payer requirements to enhance understanding and streamline workflow.
  • Stay updated on oncology drug access pathways and insurance policies to provide expert guidance.
  • Document case activities in CRM or patient management systems to maintain accurate records.
  • Work cross-functionally with internal teams to support patient access initiatives effectively.

Qualifications:

  • Bachelor's degree in healthcare, pharmacy, life sciences, or a related field, preferably with relevant experience.
  • At least 2 years of experience using CoverMyMeds in prior authorisation processing, with a strong background in oncology medication access, reimbursement, or patient services.
  • Familiarity with specialty pharmacy operations and payer requirements is essential.
  • Excellent communication and problem-solving skills are necessary for success in this role.

Preferred Skills:

  • Experience working with oncology patient support programs can be beneficial.
  • Knowledge of insurance verification, appeals, and reimbursement landscape can enhance your expertise.
  • Ability to work independently while collaborating with cross-functional teams is valuable in this position.


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