Authorization Specialist I - Specialty Pharmacy (Hybrid)

Elevance Health (Anthem); Denver (CO); Ibrido; USD 23.000 - 38.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive benefits

Incentive programs

Equity stock purchase

401k contribution

Descrizione del lavoro

Elevance Health is seeking an Authorization Representative I for BioPlus Specialty Pharmacy in Colorado. The role focuses on completing and submitting pharmacy re-authorization forms and maintaining accurate records for patient cases.

The candidate will interact with insurance plans, physicians, and patients, ensuring timely approvals and denials. A HS diploma or GED with 1 year of experience is preferred, and a hybrid work arrangement is available.

Competenze

• Requires HS diploma or GED and at least 1 year of experience processing pharmacy prior authorizations or an equivalent background.
• Pharmacy-related experience strongly preferred.
• Strong communication skills and attention to detail are essential.

Mansioni

• Enter re-authorizations into the portal and ensure accurate completion of re-authorization forms.
• Submit completed re-authorization forms to insurance plans.
• Maintain log of all re-authorizations submitted.
• Follow up with insurance companies or physician offices by phone, email or spreadsheets on status.

Conoscenze

Prior authorizations

Pharmacy knowledge

Communication skills

Formazione

HS diploma or GED

Strumenti

Insurance portals

Descrizione del lavoro

Elevance Health is seeking an Authorization Representative I for BioPlus Specialty Pharmacy in Colorado. The role focuses on completing and submitting pharmacy re-authorization forms and maintaining accurate records for patient cases.

The candidate will interact with insurance plans, physicians, and patients, ensuring timely approvals and denials. A HS diploma or GED with 1 year of experience is preferred, and a hybrid work arrangement is available.