• Authorization Representative I - BioPlus Specialty Pharmacy

    Elevance HealthDenver, CO 80238

    Job #2694972769

  • Be Part of an Extraordinary Team

    BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey.

    Build the Possibilities. Make an Extraordinary Impact.

    LOCATION: This position will work ONSITE 5 days/week at our office at 700 N Broadway Denver, CO 80273. Candidates must reside within 50 miles or 1-hour commute each way of this location.

    SCHEDULE : Monday- Friday

    HOURS : Monday through Friday; you will be assigned one of the following:

    • 8 AM-5 PM

    • 9 AM-6 PM

    • 10 AM-7 PM

    The Authorization Representative I is responsible for the completion and submission of appropriate forms for patients whose health plan requires drug re-authorizations for different therapy types.

    How you will make an impact:

    Primary duties may include, but are not limited to:

    • 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.

    Minimum 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.

    Preferred Skills, Capabilities and Experiences:

    • Specialty pharmacy experience highly preferred.

    For candidates working in person or remotely in the below locations, the salary* range for this specific position is $17.65 to $26.47.

    Location: Colorado

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.