Cancer Medication Specialist

2 weeks ago

Dombivli, Maharashtra, India beBeeOncology Full time ₹ 8,00,000 - ₹ 12,00,000
Specialist Role in Oncology Prior Authorizations

As a CoverMyMeds Specialist, you will play a crucial role in managing electronic prior authorizations (ePAs) and ensuring timely and accurate processing of oncology-related prescriptions.

Key Responsibilities:

  • Process electronic prior authorizations (ePAs) through CoverMyMeds, focusing on oncology medications to expedite patient care.
  • Review clinical documentation for completeness and accuracy before payer submission.
  • Collaborate with healthcare providers, insurance companies, and specialty pharmacies to resolve prior authorization and reimbursement issues.
  • Monitor and track prior authorization requests, ensuring timely follow-up and resolution.
  • Develop effective communication strategies with prescribers' offices and staff on CoverMyMeds processes and payer requirements.
  • Stay updated on oncology drug access pathways, insurance policies, and payer-specific rules to optimize patient outcomes.
  • Document case activities accurately in CRM or patient management systems to support continuous improvement.

Required Skills and Qualifications:

  • Bachelor's degree in a relevant field such as healthcare, pharmacy, or life sciences.
  • At least 2 years of experience using CoverMyMeds, specifically in prior authorization processing.
  • Strong background in oncology medication access, reimbursement, or patient services to ensure expert knowledge.
  • Familiarity with specialty pharmacy operations and payer requirements is essential for success.
  • Excellent communication and problem-solving skills are necessary for collaboration and conflict resolution.
  • Strong attention to detail, organisational skills, and ability to handle multiple cases simultaneously are critical.

Preferred Skills:

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

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