Hybrid Pharmacy Authorization Specialist

Elevance Health; Town of Florida (NY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

Elevance Health in the United States is seeking a BioPlus Authorization Rep to support drug re-authorizations for different therapy types. The role requires in-office presence one day per week within a hybrid work model, with options for alternate locations per commuting distance guidance.

The Authorization Representative I will enter re-authorizations into the portal, submit forms to insurance plans, and maintain a log of all submissions.

Qualifications

• Requires HS diploma or GED and at least 1 year of experience processing pharmacy prior authorizations.
• Experience with re-authorization processes and portal entry is preferred.
• Strong communication with insurance plans and patient offices is beneficial.

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

Specialty pharmacy experience

Education

HS diploma or GED

Job description

Elevance Health in the United States is seeking a BioPlus Authorization Rep to support drug re-authorizations for different therapy types. The role requires in-office presence one day per week within a hybrid work model, with options for alternate locations per commuting distance guidance.

The Authorization Representative I will enter re-authorizations into the portal, submit forms to insurance plans, and maintain a log of all submissions.