
Expertise in Electronic Prior Authorization for Oncology Medications Needed
4 days ago
Job Title: Oncology Medication Access Specialist
We are seeking a skilled professional to manage electronic prior authorizations for oncology medications. This role involves reviewing clinical documentation, collaborating with healthcare providers and insurance companies, and ensuring timely follow-up and resolution.
Key Responsibilities:
- Process electronic prior authorizations through CoverMyMeds, focusing on oncology medications.
- Review clinical documentation for completeness and accuracy.
- Collaborate with healthcare providers and insurance companies to resolve issues.
- Monitor and track prior authorization requests.
- Educate prescribers' offices on CoverMyMeds processes.
- Stay updated on oncology drug access pathways.
- Document case activities accurately in CRM systems.
- Work cross-functionally with internal teams.
Requirements:
- Bachelor's degree in a relevant field (healthcare, pharmacy, life sciences).
- 2+ years of experience using CoverMyMeds for prior authorization processing.
- Strong background in oncology medication access and reimbursement.
- Familiarity with specialty pharmacy operations and payer requirements.
- Excellent communication and problem-solving skills.
- Attention to detail and organizational skills.
Preferred Skills:
- Experience working with oncology patient support programs.
- Knowledge of insurance verification, appeals, and reimbursement landscape.
- Ability to work independently and collaboratively.
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