Authorization Specialist I — Hybrid Pharmacy Support

Elevance Health (Anthem); Colorado; Hybrid; USD 23,000 - 38,000; Full time

Benefits offered by this job

comprehensive benefits package

incentive and recognition programs

equity stock purchase

401k contribution

Job summary

Elevance Health is seeking an Authorization Representative I for BioPlus Specialty Pharmacy in Denver, Colorado. This hybrid role requires in-office presence 1-2 days per week with some flexibility for commuting from within a reasonable distance.

The role focuses on completing and submitting drug re-authorizations and maintaining corresponding logs. A HS diploma or GED and at least 1 year of prior authorization experience are required; specialty pharmacy experience is preferred.

Qualifications

• Requires HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior authorizations.
• Experience in specialty pharmacy is preferred.

Responsibilities

• 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.

Skills

Prior authorizations

Education

HS diploma or GED

Job description

Elevance Health is seeking an Authorization Representative I for BioPlus Specialty Pharmacy in Denver, Colorado. This hybrid role requires in-office presence 1-2 days per week with some flexibility for commuting from within a reasonable distance.

The role focuses on completing and submitting drug re-authorizations and maintaining corresponding logs. A HS diploma or GED and at least 1 year of prior authorization experience are required; specialty pharmacy experience is preferred.