Pharmacy Authorization Specialist I – Hybrid

The Elevance Health Companies, Inc.; Denver (CO); Hybrid; USD 2,190,000 - 3,751,000; Full time

Benefits offered by this job

Hybrid Work

Job summary

BioPlus Specialty Pharmacy is seeking an Authorization Representative I to manage and track pharmacy pre-authorizations, ensuring accuracy and timely submission to insurance plans from its Denver office. The role supports patient access to specialty medications within a hybrid in-office/remote model.

The position requires a HS diploma or GED and at least 1 year of prior authorization experience; specialty pharmacy experience is highly preferred.

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 authorizations

Phone communication

Education

HS diploma or GED

Job description

BioPlus Specialty Pharmacy is seeking an Authorization Representative I to manage and track pharmacy pre-authorizations, ensuring accuracy and timely submission to insurance plans from its Denver office. The role supports patient access to specialty medications within a hybrid in-office/remote model.

The position requires a HS diploma or GED and at least 1 year of prior authorization experience; specialty pharmacy experience is highly preferred.