Re-Authorization Representative - Specialty Pharmacy

Elevance Health is looking for an experienced Re-Authorization Representative - Specialty Pharmacy to join our team. The ideal candidate has strong customer service and organizational skills, a passion for detail, and the ability to work in a fast-paced environment. If you're looking for an opportunity to make a positive impact on patients' lives while expanding your skills and knowledge in the healthcare industry, this could be the perfect role for you.To be successful in this role, you should have a minimum of two years of experience in a pharmacy, insurance, or health care environment. You should be knowledgeable in insurance benefits, eligibility, and prior authorization processes. Additionally, you should have excellent communication and customer service skills. You must be flexible, able to work independently, and remain organized in a fast-paced environment. If this sounds like you, we'd love to hear from you.

Responsibilities:

1. Ensure all patient prior authorization requests are processed accurately and in a timely manner.
2. Communicate efficiently with insurance companies, patients, and other healthcare professionals to acquire prior authorization and payment information.
3. Maintain up-to-date knowledge of insurance benefits, eligibility, and prior authorization processes.
4. Monitor, respond to, and resolve customer inquiries in a timely manner.
5. Accurately document patient and insurance information in the system.
6. Provide excellent customer service to patients, insurance companies, and other healthcare professionals.
7. Stay organized and maintain accurate records in a fast-paced environment.
8. Follow all company policies and procedures.

According to JobzMall, the average salary range for a Re-Authorization Representative - Specialty Pharmacy in Charlotte, NC, USA is between $32,000 and $55,000 per year. This range can vary based on the experience and qualifications of the individual.

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.