Authorization Rep I

Elevance Health; Indianapolis (IN); Hybrid; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking an Authorization Representative I to join their dynamic team. This hybrid role involves managing drug re-authorizations, ensuring accurate submissions, and maintaining communication with insurance providers. Ideal candidates will possess a high school diploma and at least one year of experience in pharmacy prior authorizations. If you thrive in a fast-paced environment and have a keen eye for detail, this opportunity offers a chance to make a significant impact in the healthcare sector while enjoying the flexibility of a hybrid work arrangement.

Qualifications

• 1+ year experience processing pharmacy prior authorizations required.
• High School Diploma or GED is mandatory.

Responsibilities

• Enter and submit re-authorizations accurately into the portal.
• Follow up with insurance companies on re-authorization status.

Skills

Pharmacy Prior Authorizations

Communication Skills

Attention to Detail

Education

High School Diploma or GED

Job description

Title: Authorization Representative I

Location: Hybrid position located at 220 Virginia Avenue, Indianapolis, Indiana

Candidates must live within 50 miles of location.

Shift: Monday through Friday, 8 hour shift between the hours of 8:00am to 6:00pm CST.

The Authorization Representative I is responsible for the completion and submission of appropriate forms for patients whose health plan requires drug re-authorizations for different therapy types.

How you will make an impact:

Primary duties may include, but are not limited to:

• Enters re-authorizations into the portal and ensures accurate completion of re-authorization forms.
• Submits completed re-authorization forms to the appropriate insurance plans.
• Maintains log of all re-authorizations submitted.
• Follows up with the patient's insurance company or physician office by phone, email or spreadsheets on all submitted re-authorization for patient approval/denial status.

Minimum Requirements:

• Requires a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Specialty pharmacy experience highly preferred.