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Authorization Representative I
Elevance Health. Enter re-authorizations into the portal and ensure accurate completion of re-authorization forms .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in processing pharmacy prior authorizations and managing re-authorization forms, ensuring accuracy and compliance with insurance requirements. Strong communication skills are essential for effective follow-up with insurance companies and patients.
Highest-signal resume keywords
Pharmacy Prior Authorization ProcessingRe-Authorization Form ManagementSpecialty Pharmacy ExperiencePatient CommunicationInsurance Follow-Up
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Re-Authorization Form CompletionLog MaintenanceDrug Re-Authorization SubmissionInsurance Plan Submission
Soft Skills
CommunicationAttention to DetailProblem-Solving
Tools & Technologies
Portal ManagementSpreadsheet Software
Certifications & Qualifications
HS DiplomaGED
Industry Keywords
PharmacyInsurancePatient CareHealth Plans
About the role
Key responsibilities & impact- Enter re-authorizations into the portal and ensure accurate completion of re-authorization forms
- Submit completed re-authorization forms to appropriate insurance plans
- Maintain a log of all re-authorizations submitted
- Follow up with patients' insurance companies or physician offices by phone, email, or spreadsheets regarding approval/denial status
- Complete and submit appropriate forms for patients whose health plans require drug re-authorizations
Requirements
What you’ll need- HS diploma or GED
- Minimum of 1 year of experience processing pharmacy prior authorizations
- Any combination of education and experience which would provide an equivalent background
- Specialty pharmacy experience highly preferred
- Must be within a reasonable commuting distance from a posting location unless an accommodation is granted
- Candidates in patient/member-facing roles may be required to become vaccinated against COVID-19 and Influenza
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401(k) contribution
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources