Authorization Representative I - BioPlus Specialty Pharmacy
Core
Completing and submitting drug re-authorizations for patients requiring therapy re-approvals from health plans.
Role type
Authorization Representative I (Specialty Pharmacy)
Builds
Patient treatment continuity via insurance plan approvals
Domain
Healthcare / Specialty Pharmacy
Deliverable
client delivery
Required skills
processing pharmacy prior authorizations, entering data into portals, submitting forms to insurance plans, maintaining submission logs, following up on approval/denial status via phone/email/spreadsheets
Preferred skills
Certified Pharmacy Technician, specialty pharmacy experience, medical terminology training, experience with denials and appeals
Technologies
portals, spreadsheets
Responsibilities
Enter re-authorizations into the portal and ensure accurate completion of forms; Submit completed forms to appropriate insurance plans; Maintain a log of all submitted re-authorizations; Follow up with insurance companies or physician offices on approval/denial status
Seniority
Entry-level, non-management