
Specialist in Oncology Prior Authorizations
2 days ago
Oncology Medication Access Specialist Job Overview
As an Oncology Medication Access specialist, you will play a crucial role in managing electronic prior authorisations and ensuring timely and accurate processing of oncology-related prescriptions. Your responsibilities will include working closely with healthcare providers, insurance companies, and specialty pharmacies to streamline access to critical oncology treatments and minimize delays in patient care.
Main Responsibilities
- Manage and process electronic prior authorisations 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 authorisation and reimbursement issues.
- Monitor and track prior authorisation 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.
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