Cancer Care Access Coordinator

1 week ago

Udaipur, Rajasthan, India beBeeOncology Full time ₹ 9,00,000 - ₹ 12,00,000
Oncology Prior Authorization Specialist

This role plays a vital part in streamlining oncology treatments and minimizing delays in patient care. As an Oncology Prior Authorization Specialist, you will work closely with prescribers, pharmacies, and payers to ensure timely and accurate processing of oncology-related prescriptions.

Your key responsibilities will include:

  • Managing electronic prior authorizations (ePAs) through CoverMyMeds for oncology medications.
  • Reviewing clinical documentation for completeness and accuracy before payer submission.
  • Collaborating with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorization and reimbursement issues.
  • Monitoring and tracking prior authorization requests for timely follow-up and resolution.
  • Educating prescribers' offices and staff on CoverMyMeds processes and payer requirements.
  • Staying updated on oncology drug access pathways, insurance policies, and payer-specific rules.
  • Accurately documenting case activities in CRM or patient management systems.
  • Supporting patient access initiatives through cross-functional collaboration with internal teams.
Requirements

To excel in this role, you should possess:

  • A Bachelor's degree in healthcare, pharmacy, life sciences, or a related field.
  • At least 2 years of hands-on experience using CoverMyMeds for prior authorization processing.
  • A 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 the ability to handle multiple cases simultaneously.

The ideal candidate will have a passion for oncology and a solid understanding of the complex process of prior authorization. They will be highly organized, able to multitask, and possess excellent communication and problem-solving skills.

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