BioPlus Authorization Rep

Elevance Health•Lake Mary, FL

10d•Hybrid

About The Position

This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. 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.

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

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