Drug Prior Authorization Executive with experience in healthcare prior authorization and knowledge of oncology medications.
The candidate will be responsible for processing authorization requests, reviewing medical documentation, and coordinating with insurance providers and healthcare professionals to ensure timely processing.
Key Responsibilities
- Process prior authorization requests for oncology medications.
- Review medical records and clinical documents.
- Coordinate with insurance companies and healthcare providers.
- Follow up on pending authorization requests.
- Maintain records of authorization submissions and approvals.
- Handle authorization-related queries and documentation.
- Assist with denied requests and appeal procedures.
Requirements
- Minimum 1 year of experience in Prior Authorization or Healthcare.
- Experience in Oncology Prior Authorization is required.
- Knowledge of oncology medications and medical terminology.
- Graduate in any stream.
- B.Pharm or D.Pharm qualification preferred.
- Positive written and verbal communication skills.
- Basic computer knowledge and documentation skills.