Pharmacy Prior-Auth Specialist I | Hybrid

Elevance Health; Harvey (LA); Hybrid; USD 22,000 - 29,000; Full time

Job summary

BioPlus Specialty Pharmacy is seeking an Authorization Representative I to process re-authorization requests for patients whose health plans require prior authorizations. The role requires in-office presence 1–2 days weekly as part of Elevance Health’s hybrid approach.

You will enter re-authorizations, submit to insurance plans, and maintain comprehensive logs while coordinating with insurers and physicians to resolve status updates. Experience in specialty pharmacy is preferred.

Qualifications

• Requires a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior authorizations.

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

Pharmacy experience

Education

HS diploma or GED

Job description

BioPlus Specialty Pharmacy is seeking an Authorization Representative I to process re-authorization requests for patients whose health plans require prior authorizations. The role requires in-office presence 1–2 days weekly as part of Elevance Health’s hybrid approach.

You will enter re-authorizations, submit to insurance plans, and maintain comprehensive logs while coordinating with insurers and physicians to resolve status updates. Experience in specialty pharmacy is preferred.