Authorization Representative I

Elevance Health • St. Louis, MO

23h • Hybrid

About The Position

Authorization Representative I Prior authorization experience is essential. BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey. The Authorization Representative I will be responsible for the completion and submission of appropriate forms for patients whose health plan requires drug re-authorizations for different therapy types. How you will make an impact: 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.

Requirements

• 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.

Nice To Haves

• Specialty pharmacy experience highly preferred.
• Pharmacy license/certification 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.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED