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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.
Job Responsibility:
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
Requirements:
HS diploma or GED
minimum of 1 year of experience processing pharmacy prior authorizations