
Senior Oncology Medication Access Coordinator
1 week ago
Role Overview:
As a specialist in oncology medication access, you will be responsible for managing electronic prior authorisations and ensuring timely and accurate processing of prescriptions.
Key Responsibilities:
- Manage and process electronic prior authorisations through CoverMyMeds, focusing on oncology medications.
- Review clinical documentation to 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 to ensure timely follow-up and resolution.
- Educate prescribers' offices and staff on processes and payer requirements.
- Stay up-to-date on oncology drug access pathways, insurance policies, and payer-specific rules.
- Document case activities accurately in CRM or patient management systems.
Qualifications:
- Bachelor's degree in healthcare, pharmacy, life sciences, or a related field is preferred.
- 2+ years of hands-on experience using CoverMyMeds, specifically in prior authorisation processing.
- Strong background in oncology medication access, reimbursement, or patient services is essential.
- Familiarity with specialty pharmacy operations and payer requirements is beneficial.
- Excellent communication and problem-solving skills are required.
- Strong attention to detail, organisational skills, and ability to handle multiple cases simultaneously are necessary.
Preferred Skills:
- Experience working with oncology patient support programmes is advantageous.
- Knowledge of the insurance verification, appeals, and reimbursement landscape is desirable.
- Ability to work independently while collaborating with cross-functional teams is essential.
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