Healthcare Specialist

19 hours ago

Vadodara, Gujarat, India beBeeOncology Full time ₹ 20,00,000 - ₹ 25,00,000
Job Description

We are seeking a highly skilled and experienced CoverMyMeds Specialist to join our team. 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:

  • Manage and process electronic prior authorizations (ePAs) 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 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 teams to support patient access initiatives.

Qualifications:

  • Bachelor's degree in healthcare, pharmacy, life sciences, or a related field.
  • 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, organisational skills, and ability to handle multiple cases simultaneously.

Preferred Skills:

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

  • Healthcare Specialist

    1 week ago

    Vadodara, Gujarat, India beBeeHealthcare Full time ₹ 9,00,000 - ₹ 12,00,000

    Job Title: Healthcare SpecialistWe are committed to delivering high-quality medical care services.About the RoleThis full-time position involves working as a healthcare specialist at our facilities. The successful candidate will be responsible for providing primary care, including diagnosing and treating various health issues, promoting health education, and...

  • Healthcare Claims Specialist

    2 days ago

    Vadodara, Gujarat, India beBeeHealthcare Full time ₹ 8,00,000 - ₹ 10,00,000

    Job Title: Healthcare Claims SpecialistAbout the Role:We are seeking a skilled and detail-oriented individual to join our team as a Healthcare Claims Specialist.The successful candidate will be responsible for processing and evaluating health insurance claims with accuracy and fairness. This role requires strong analytical, problem-solving, and...

  • Certified Healthcare Professional

    2 weeks ago

    Vadodara, Gujarat, India beBeeCredentialing Full time ₹ 30,00,000 - ₹ 60,00,000

    Credentialing Specialist - Job DescriptionWe are seeking a highly organized and detail-oriented Credentialing Specialist to assist with credentialing processes.Key Responsibilities:Assist with the credentialing process, ensuring that all healthcare providers meet hospital and regulatory requirements.Required Skills and Qualifications:A degree in healthcare...

  • Talent Acquisition Specialist- Healthcare Recruiter

    3 days ago

    Vadodara, Gujarat, India LanceSoft, Inc. Full time ₹ 1,50,000 - ₹ 28,00,000 per year

    Title: Healthcare RecruiterFull-time, onsite role with competitive salaryLocation: Vadodara, Gujarat (On-Site)Shift Timing: 7:30 PM - 4:30 AM IST - (US shift)Company DescriptionEstablished in 2000, LanceSoft is a pioneer in delivering exceptional Global Workforce Solutions and IT Services to a diverse clientele. As a Certified MBE and Woman-Owned...

  • Healthcare Revenue Cycle Specialist

    1 week ago

    Vadodara, Gujarat, India beBeeRevenueCycle Full time US$ 60,000 - US$ 1,00,000

    As a seasoned Revenue Cycle Strategist, you will play a pivotal role in driving revenue growth and enhancing patient satisfaction for clients in the US healthcare industry.Key Responsibilities:You will serve as an expert Accounts Receivable Specialist, leveraging advanced denial management strategies and best practices to optimize revenue cycle...

  • Healthcare Integration Specialist

    2 weeks ago

    Vadodara, Gujarat, India beBeeEDI Full time ₹ 12,00,000 - ₹ 15,00,000

    Healthcare Integration ExpertWe are seeking a seasoned EDI professional to join our team. As an EDI Specialist, you will play a key role in driving seamless data exchange across payer operations.Key Responsibilities:Design and manage EDIFECS workflows (SpecBuilder, TPF, XEngine, Route Manager)Build & validate HIPAA-compliant X12 transactions (834, 837, 835,...

  • Freelance Healthcare Data Insights Specialist

    7 days ago

    Vadodara, Gujarat, India beBeeData Full time ₹ 1,20,00,000 - ₹ 2,00,00,000

    Healthcare Data Insights SpecialistJob Description:ThreatXIntel, a leading cyber security firm, seeks an experienced Freelance Data Scientist to support business growth through data-driven decision-making. The ideal consultant will leverage expertise in SQL, Python, and healthcare claims/data analysis to uncover actionable insights.Extract, clean, and...

  • Expert Healthcare Provider Credentialer

    3 days ago

    Vadodara, Gujarat, India beBeeCredentialing Full time ₹ 8,00,000 - ₹ 12,00,000

    Job DescriptionThe role of a Credentialing Specialist is pivotal in ensuring that healthcare providers meet hospital and regulatory requirements. The ideal candidate will possess expertise in credentialing, with knowledge of licensing and certification requirements.

  • Administrative Healthcare Professional

    5 days ago

    Vadodara, Gujarat, India beBeeDocumentation Full time ₹ 7,20,000 - ₹ 10,20,000

    Healthcare Documentation SpecialistAbout the RoleThis position plays a crucial role in optimizing healthcare provider productivity and clinic workflow by reviewing physician dictation, transcribing clinical notes into electronic medical records (EMR) and billing systems.Transcribe and review complex clinical documentation to ensure accuracy and compliance...

  • Healthcare Device Expert

    1 week ago

    Vadodara, Gujarat, India beBeeBiomedical Full time ₹ 6,00,000 - ₹ 10,00,000

    Job OverviewA Biomedical Equipment Specialist, also known as a Biomedical Equipment Technician (BMET) or Medical Equipment Repairer, plays a vital role in healthcare settings.The primary responsibility of a Biomedical Equipment Specialist is to ensure the safe and accurate operation of medical devices such as patient monitors, ventilators, X-ray machines,...