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2 days ago
Job Title: Oncology Prior Authorisation Specialist
About the RoleWe are seeking a highly skilled Oncology Prior Authorisation Specialist to join our team. As an Oncology Prior Authorisation Specialist, you will play a critical role in managing electronic prior authorizations (ePAs) and ensuring timely access to oncology treatments.
Key Responsibilities:- Process electronic prior authorizations (ePAs) through CoverMyMeds, focusing on oncology medications.
- Review clinical documentation for completeness and accuracy.
- Resolve prior authorisation and reimbursement issues with healthcare providers and insurance companies.
- Monitor and track prior authorization requests for timely follow-up and resolution.
- Educate prescribers' offices 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 systems.
To be successful as an Oncology Prior Authorisation Specialist, you will require:
- Bachelor's degree in healthcare, pharmacy, life sciences, or a related field.
- At least 2 years of experience using CoverMyMeds for 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.
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