Hybrid Authorization Specialist I – Pharmacy

The Elevance Health Companies, Inc.; Florida; Hybrid; USD 36,000 - 52,000; Full time

Benefits offered by this job

Hybrid Workforce Strategy

Market-competitive total rewards

Job summary

The Elevance Health family of companies, including BioPlus Specialty Pharmacy, is hiring an Authorization Representative I to manage drug re-authorizations for patients with complex therapeutic needs. The role supports health plans requiring re-authorizations and interacts with insurers and provider offices to process approvals.

Hybrid position with in-office presence 1–2 days per week; strong attention to detail and accurate documentation are essential for success in this role.

Qualifications

• 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.
• Specialty pharmacy experience highly 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 authorization processing

Education

High school diploma or GED

Job description

The Elevance Health family of companies, including BioPlus Specialty Pharmacy, is hiring an Authorization Representative I to manage drug re-authorizations for patients with complex therapeutic needs. The role supports health plans requiring re-authorizations and interacts with insurers and provider offices to process approvals.

Hybrid position with in-office presence 1–2 days per week; strong attention to detail and accurate documentation are essential for success in this role.