
Oncology Prior Authorisation Specialist
1 day ago
Job Title: Oncology Prior Authorisation Specialist
Description:
We are seeking a highly skilled and detail-oriented Oncology Prior Authorisation Specialist to join our team. The successful candidate will be responsible for managing electronic prior authorizations (ePAs) and ensuring timely and accurate processing of oncology-related prescriptions.
Key Responsibilities:
- Process ePAs through CoverMyMeds, focusing on oncology medications.
- Review clinical documentation for payer submission.
- Collaborate with healthcare providers and insurance companies to resolve prior authorization issues.
- Monitor and track prior authorization requests.
- Educate prescribers' offices on CoverMyMeds processes.
- Stay updated on oncology drug access pathways and insurance policies.
Requirements:
- Bachelor's degree in a relevant field (preferred).
- 2+ years of experience using CoverMyMeds in prior authorization processing.
- Strong background in oncology medication access or patient services.
- Familiarity with specialty pharmacy operations and payer requirements.
- Excellent communication and problem-solving skills.
Preferred Skills:
- Experience working with oncology patient support programs.
- Knowledge of the insurance verification and appeals landscape.
This role requires strong attention to detail, organisational skills, and the ability to handle multiple cases simultaneously.
You will work closely with cross-functional teams to streamline access to critical oncology treatments and minimise delays in patient care.
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