Key Responsibilities:
- Contact doctors' offices to obtain prior authorisation (PA) approvals for prescribed medications.
- Submit prior authorisation requests through
Cover My Meds
and other payer portals.
- Follow up with providers and insurance companies on pending PA requests.
- Review and work on denied prior authorisation cases by collecting required clinical information and resubmitting appeals as needed.
- Update and tag the status of each case accurately (e.g.,
PA Approved
,
PA Denied
,
Pending
).
- Maintain complete and accurate documentation in the system.
- Coordinate with internal teams to ensure timely medication approvals.
Requirements:
- Experience in US Healthcare Prior Authorisation is preferred.
- Knowledge of Cover-My-Meds and insurance authorisation processes.
- Strong communication and follow-up skills.
- Valuable documentation and attention to detail.
- Ability to work in a fast-paced environment and meet turnaround times.
Skills:
Prior Authorisation,
Desktop Support, Technical Support, System Support, Calling
Process
📌 Pharmacovigilance Associate (India)
🏢 Drug Drop Rx
📍 India
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