Authorization Representative I - BioPlus Specialty Pharmacy

Elevance Health • St. Louis, MO

5d • Hybrid

About The Position

The Authorization Representative I at BioPlus Specialty Pharmacy completes and submits forms for patients whose health plans require drug re-authorizations for different therapy types. The role enters re-authorizations into portals, ensures forms are accurate, submits completed forms to insurance plans, tracks submissions, and follows up with insurers or physician offices to check approval or denial status.

The position uses a hybrid arrangement requiring associates to work in-office 1–2 days per week. Candidates must live within a reasonable commuting distance of a posting location unless an accommodation is granted as required by law.

Requirements

• High school diploma or GED and at least 1 year of experience processing pharmacy prior authorizations, or an equivalent combination of education and experience.

Nice To Haves

• Certified Pharmacy Technician credential.
• Specialty pharmacy experience.
• Medical terminology training.
• Experience with prior authorizations, denials, and appeals.

Responsibilities

• Enter re-authorizations into the portal and ensure re-authorization forms are completed accurately.
• Submit completed re-authorization forms to the appropriate insurance plans.
• Maintain a log of all submitted re-authorizations.
• Follow up with patients’ insurance companies or physician offices by phone, email, or spreadsheets to determine approval or denial status.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs, unless covered by a collective bargaining agreement
• Medical benefits
• Dental benefits
• Vision benefits
• Short-term disability benefits
• Long-term disability benefits
• 401(k) with match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

What This Job Offers

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