Pharmacy Prior Authorization Specialist - Oncology specific

1 - 3 years

5 - 6 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Greetings from Flatworld Healthcare Services!

About Company:

Flatworld Healthcare Services PVT LTD, a Subsidiary of Finnastra Private Limited, a technology-driven B2B solutions provider specializing in Revenue Cycle Management (RCM), Credentialing, and PM & EHR Software. Headquartered in Bengaluru, India, with a strong presence in the US, Flatworld (Finnastra) is committed to innovation, transparency, and efficiency in healthcare. The company offers end-to-end Revenue Cycle Management solutions, Credentialing & Provider Enrollment, Payer Solutions, and PM & EHR Software solutions to empower healthcare organizations.

Job Title:

Experience:

Shift:

Key Responsibilities:

  • Manage end-to-end pharmacy prior authorization processes for oncology drugs.
  • Review prescriptions and medical necessity for specialty medications.
  • Communicate with payers and providers to obtain approvals and resolve denials.
  • Ensure accurate documentation and compliance with payer-specific guidelines.
  • Collaborate with providers and billing teams to streamline the authorization workflow.

Desired Candidate Profile:

  • 2 to 3 years of hands-on experience in US Healthcare RCM Pharmacy Prior Authorization.
  • Must have experience in oncology-related medications and treatment protocols.
  • Familiarity with payer guidelines, ICD-10, CPT codes, and EHR systems.
  • Strong communication and coordination skills.
  • Willingness to work in night shifts aligned with US business hours.

Benefits:

  • Travel

    Allowance

  • 5 Days Working

    Weekends off for personal time
  • Provident Fund & Gratuity

    Long-term financial security
  • Medical Insurance

    Health coverage for you
  • Supportive Work Environment

    Inclusive and growth-driven culture

Preferred: Immediate joiners with oncology experience in pharmacy prior auth.

pavan.v@finnastra.com

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