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.
Solid attention to detail and documentation skills.

Compensation & Benefits
Competitive salary based on experience.
Day Shift.
Health Insurance.
Paid Time Off.
Growth opportunities opportunities.

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

Perks:
Commuter assistance
Flexible schedule
Paid sick time
Provident Fund

Work Location: In person

📌 Prior Authorization Pune
🏢 MG Consulting Private
📍 Pune