Prescription Prior Authorization Specialist Job at Suma Soft in Pune for B.Pharm and D.Pharm candidates with one year healthcare support experience.
Introduction
Healthcare service companies play an important role in supporting hospitals, pharmacies, and insurance providers by managing administrative and medication approval processes. One of the key roles in this system is Prescription Prior Authorization, which ensures that patients receive the required approvals for medications and treatments from insurance providers.
Suma Soft is currently recruiting Prescription Prior Authorization Specialists for its healthcare services operations in Pune, Maharashtra. This opportunity is suitable for pharmacy graduates or diploma holders who have experience in prior authorization workflows and healthcare documentation.
Candidates with B.Pharm or D.Pharm qualifications and at least one year of experience in prescription authorization processes can apply for this role to build a stable career in healthcare support services. Prescription Prior Authorization Specialist Job at Suma Soft
Company Overview
Suma Soft is an India-based organization that provides technology and business process outsourcing services across industries such as healthcare, insurance, logistics, and financial services.
The company supports healthcare organizations by providing services related to medical billing, prior authorization management, healthcare documentation, and administrative process support. By working with healthcare providers and insurers, Suma Soft helps streamline processes that ensure patients receive timely treatment approvals and improved healthcare access.
The organization has operations in multiple Indian cities and focuses on delivering efficient, technology-enabled healthcare support services. Prescription Prior Authorization Specialist Job at Suma Soft
Job Location & Employment Type
Company: Suma Soft
Position: Prescription Prior Authorization Specialist
Location: Pune, Maharashtra, India
Department: Healthcare Services / Pharmacy Support
Employment Type: Full-Time
Job Overview
| Job Details | Information |
|---|---|
| Position | Prescription Prior Authorization Specialist |
| Company | Suma Soft |
| Location | Pune, Maharashtra |
| Qualification | B.Pharm / D.Pharm |
| Experience | Minimum 1 Year |
| Department | Healthcare Services |
| Employment Type | Full-Time |
| Application Mode | Email Application |
| Estimated Salary | ₹2.8 – ₹4.5 LPA |
Department Details
The healthcare support team at Suma Soft focuses on assisting healthcare providers and insurers with administrative and operational tasks related to patient care.
The Prior Authorization team manages requests for medication approvals and treatment authorizations. This process involves verifying insurance coverage, coordinating with physicians, and ensuring that all required documentation is submitted correctly.
Professionals working in this role help improve efficiency in healthcare operations and reduce delays in treatment approvals for patients. Prescription Prior Authorization Specialist Job at Suma Soft
Key Roles & Responsibilities
Prior Authorization Management
- Handle requests for medication and treatment authorization from healthcare providers.
- Ensure that authorization requests follow insurer requirements and documentation guidelines.
- Review and process authorization forms submitted by healthcare providers.
Coordination with Healthcare Stakeholders
- Communicate with physicians, healthcare staff, and insurance companies regarding authorization requirements.
- Coordinate with pharmacy teams and insurers to ensure timely approvals.
- Provide updates on authorization status to relevant healthcare professionals.
Prescription Prior Authorization Specialist Job at Suma Soft
Insurance Verification
- Verify patient insurance coverage and confirm authorization requirements before processing requests.
- Ensure that prescriptions meet insurer guidelines for approval.
Documentation and Submission
- Prepare and submit required documentation for prior authorization requests.
- Maintain accurate records of authorization submissions and approvals.
- Ensure compliance with healthcare documentation standards.
Authorization Tracking and Follow-up
- Track the progress of authorization requests to ensure timely processing.
- Follow up with insurance companies on pending approvals.
- Resolve authorization issues or documentation discrepancies.
Compliance and Quality Assurance
- Ensure that all processes comply with healthcare regulations and company policies.
- Maintain high accuracy in documentation and data entry.
- Support quality checks and audits related to authorization documentation.
Eligibility Criteria
Educational Qualification
Candidates must possess one of the following pharmacy qualifications:
- Bachelor of Pharmacy (B.Pharm)
- Diploma in Pharmacy (D.Pharm)
These qualifications are preferred as they provide knowledge of medications and pharmacy-related documentation. Prescription Prior Authorization Specialist Job at Suma Soft
Experience
- Minimum 1 year of experience in prior authorization processes
- Experience in healthcare administration or medical billing support may be beneficial.
Required Skills
Candidates applying for this role should demonstrate the following skills:
- Strong communication skills for interacting with healthcare providers and insurers
- Good organizational and multitasking abilities
- Understanding of prescription prior authorization workflows
- Ability to manage multiple authorization requests simultaneously
- Knowledge of healthcare documentation processes
- Attention to detail and accuracy in documentation
Candidate Preference
- Male candidates are preferred for this role as per the employer’s hiring requirement.
Salary & Benefits
The exact salary for this role will depend on candidate experience and company policies. However, the estimated compensation range for similar roles in India is: Prescription Prior Authorization Specialist Job at Suma Soft
₹2,80,000 – ₹4,50,000 per year
Possible benefits may include:
- Exposure to healthcare operations and pharmacy support services
- Professional development opportunities in healthcare administration
- Stable career path in medical support and insurance coordination
- Experience working with healthcare providers and insurance organizations
Selection Process
The recruitment process may include the following stages:
- Resume Screening
The HR team reviews candidate applications and qualifications. - Interview Round
Candidates may be evaluated on communication skills and prior authorization knowledge. - Final HR Discussion
Discussion regarding job responsibilities, salary, and joining timeline.
Successful candidates will receive further communication regarding onboarding.
How to Apply
Interested candidates can apply by sending their updated resume to the email address provided below.
Email: sakshi.shah@sumasoft.net
Candidates should include their professional experience and relevant skills in prior authorization processes in their resume.
Contact Details
Contact Number: 7378814589
Applicants can contact the recruitment team for additional information regarding the role or application process.
Important Dates
Application Mode: Email Application
Last Date to Apply: Not specified in the job announcement.
Candidates are advised to submit their applications as soon as possible.
Why Apply for This Pharma Job?
The Prescription Prior Authorization Specialist role offers pharmacy graduates an opportunity to work in healthcare operations beyond traditional pharmacy roles.
Benefits of this career path include:
- Entry into the healthcare services and insurance support industry
- Exposure to medication authorization workflows
- Opportunities to work with healthcare providers and insurance companies
- Development of expertise in healthcare administration and pharmacy benefit management
- Stable long-term career opportunities in healthcare support services
This role is particularly suitable for pharmacy professionals interested in healthcare coordination, medical billing, and patient support services. Prescription Prior Authorization Specialist Job at Suma Soft
Important Note / Disclaimer
IndiaPharmaJobs.in is an independent job information platform that publishes job opportunities from pharmaceutical, healthcare, and biotechnology companies.
We are not affiliated with Suma Soft or any hiring organization mentioned in this job post. Candidates should verify all job details directly through official company communication channels before applying. IndiaPharmaJobs.in does not charge any fee for job listings or applications. Prescription Prior Authorization Specialist Job at Suma Soft
Final Call-to-Action
Pharmacy professionals with experience in prior authorization processes should consider applying for this opportunity at Suma Soft. Submit your updated resume through the provided email address to be considered for the Prescription Prior Authorization Specialist position in Pune. Prescription Prior Authorization Specialist Job at Suma Soft
