Cancer Treatment Access Specialist
6 days ago
Job Overview:
Role Description:
In this role, you will play a critical part in facilitating timely access to life-saving cancer treatments for patients. As a skilled specialist, you will be responsible for managing electronic prior authorizations and collaborating with various stakeholders to resolve prior authorization and reimbursement issues.
Key Responsibilities:
- Manage electronic prior authorizations through CoverMyMeds, focusing on oncology medications.
- Review and verify clinical documentation for payer submission, ensuring accuracy and completeness.
- 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.
- 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.
Qualifications:
- Bachelor's degree in a healthcare-related field (preferred).
- Minimum 2+ years of hands-on experience using CoverMyMeds, specifically in 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.
- Strong attention to detail, organizational skills, and ability to handle multiple cases simultaneously.
Prior Authorization Specialist Job Requirements:
This role requires a strong understanding of oncology medication access, reimbursement, and patient services. You should have excellent communication and problem-solving skills, as well as strong attention to detail and organizational abilities.
Benefits of Working as a Cancer Treatment Access Specialist:
You will have the opportunity to make a meaningful difference in the lives of patients by facilitating timely access to life-saving cancer treatments. You will work collaboratively with various stakeholders to resolve complex issues and develop innovative solutions.
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