Intake Specialist

**Intake Specialist** **Location:** 3033 W George Bush Highway, Suite 100, Plano, Texas 75075. This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week. The **Intake Specialist** is responsible for the administration of prior authorizations requests for patients whose health plan requires drug prior authorizations for different therapy types. **How You Will Make an Impact** Primary duties may include, but are not limited to: + 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. **Minimum Requirements:** + Requires a HS diploma or GED and a minimum of 2 years of experience processing pharmacy prior authorizations, and a minimum of 1 year of experience applying knowledge of Medicare, Medicaid and Managed Care reimbursement guidelines; or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, & Experiences:** + Specialty pharmacy or healthcare experience highly preferred. + Medical terminology training or exposure preferred. + Proficient in Microsoft Excel, with experience in pivot table functionalities. + Basic understanding of credits, debits, and prompt pay discounts. + Accounts Payable Processing with 3-way match, with inventory experience strongly desired. + Experience and ability to work in high-volume healthcare environments preferred.