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FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000
Source: Elevance Health careers · View original posting
From Elevance Health's posting. “We” and “our” refer to the employer.
2026-10-30
Authorization Representative II - Oncology | BioPlus Specialty Pharmacy
Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies . 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.
The Authorization Representative II will be responsible for the administration of prior authorizations requests for patients whose health plan requires drug prior authorizations for different therapy types.
Reviews accuracy and completeness of prior authorization information requested and ensures supporting documents are present and meet company set standards.
Assists with the completion of medical necessity documentation to expedite approvals and ensures that appropriate follow up is performed.
Collaborates with other departments to assist in obtaining prior authorizations/appeals.
Document insurance company interactions and all prior authorization information in system.
Reviews insurance denials and submit appeals as permitted by payor.
Contacts physician offices as needed to obtain demographic information or medical data.
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
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