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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 maintaining accurate records of submissions. Strong communication skills are essential for effective follow-up with insurance companies and physician offices.
Highest-signal resume keywords
Pharmacy Prior Authorization ProcessingSpecialty Pharmacy ExperienceInsurance Submission AccuracyPatient CommunicationRecord Maintenance
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 MaintenanceInsurance Approval Follow-UpData Entry
Soft Skills
CommunicationAttention to DetailOrganizational Skills
Tools & Technologies
Portal SystemsSpreadsheets
Certifications & Qualifications
HS DiplomaGED
Industry Keywords
PharmacyInsurance PlansPatient CareCOVID-19 VaccinationInfluenza Vaccination
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 the 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
Requirements
What you’ll need- Requires a 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
- Schedule: Monday - Friday
- Availability during hours of operation: 8:00 AM - 8:00 PM
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k 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) with match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources