Roles and Responsibilities

- Process and manage prior authorization requests for oncology medications.
- Review medical records, clinical documentation, and prescriptions to ensure payer requirements are met.
- Coordinate with insurance companies, healthcare providers, pharmacies, and patients for authorization approvals.
- Follow up on pending authorization requests and resolve queries.
- Handle authorization denials, escalations, and appeals.
- Ensure accuracy and compliance with insurance guidelines and medical necessity criteria.
- Maintain proper documentation of authorization requests, approvals, and denials.
- Stay updated on oncology medications, treatment protocols, and insurance policies.

Required Skills & Qualifications

- Any Graduate / Bachelor's Degree.
- B.Pharm / D.Pharm candidates preferred.
- Minimum 1 year of experience in Prior Authorization,



Pharmacy, or US Healthcare Insurance.
- Mandatory: Oncology-specific experience and knowledge of cancer treatments, medications, and protocols.
- Excellent verbal and written English communication skills.
- Good analytical, problem-solving, and multitasking abilities.
- Strong attention to detail and documentation skills.

Compensation & Benefits

- Competitive salary based on experience.
- Day Shift.
- Health Insurance.
- Paid Time Off.
- Career growth opportunities.

Pay: ₹30,000.00 - ₹45,000.00 per month

Advantages:

- Commuter assistance
- Flexible schedule
- Paid sick time
- Provident Fund

Work Location: In person

📌 Prior Authorization (Pune)
🏢 MG Consulting Private
📍 Pune