Re-Authorization Representative - Specialty Pharmacy

We are seeking a highly motivated and experienced Re-Authorization Representative - Specialty Pharmacy to join our team at Elevance Health. This individual will play a critical role in ensuring our patients receive the treatment they need in a timely manner. The Re-Authorization Representative will be responsible for working closely with patients, healthcare providers, and insurance companies to obtain prior authorization for medications and services.Ideal candidates will have a demonstrated ability to work independently and have excellent interpersonal and communication skills. They should also have a working knowledge of specialty pharmacy and insurance authorization processes, as well as an understanding of medical terminology. The successful Re-Authorization Representative will be detail-oriented, organized, and able to manage multiple tasks with a high degree of accuracy and efficiency. If you’re ready to make a difference in the lives of our patients and join a team of dedicated professionals, we’d love to hear from you!

Responsibilities:

1. Contact patients, healthcare providers, and insurance companies to obtain prior authorization for medications and services.
2. Develop a working knowledge of specialty pharmacy and insurance authorization processes.
3. Utilize medical terminology in conversations with patients, healthcare providers, and insurance companies.
4. Manage multiple tasks with a high degree of accuracy and efficiency.
5. Ensure patient needs are met in a timely manner.
6. Maintain detailed records of all interactions with patients, healthcare providers, and insurance companies.
7. Provide support to other team members as needed.
8. Troubleshoot and resolve any issues that arise in the re-authorization process.
9. Stay up to date on all regulations and policies related to re-authorization.
10. Work collaboratively with other departments to ensure effective communication.

According to JobzMall, the average salary range for a Re-Authorization Representative - Specialty Pharmacy in Indianapolis, IN, USA is $18 - $25 per hour.

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.