Prior Authorization Representative

Job not on LinkedIn

🔥 13 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 21 days.

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Submit initial and renewal prior authorization requests through payer portals, phone, fax, or other approved methods • Track open requests and follow up on time to help reduce delays in care • Review information for accuracy and completeness before sending requests to insurance plans • Work with clinicians and internal teams to gather documents needed to support authorization requests • Share clear updates with patients, prescribers, and team members about approvals, denials, or next steps • Respond to email, chat, and other requests in a timely and professional way • Manage daily tasks and priorities while meeting team quality and productivity goals • Keep patient information private and document work accurately • Support CarepathRx within Evernorth Health Services’ Pharmacy and Care Delivery organization, focused on specialty pharmacy and infusion services in partnership with hospitals and health systems

🎯 Requirements

• High school diploma or GED • Minimum 1 year of experience in customer service, administrative support, healthcare support, insurance, call center, data entry, or a related role • Basic knowledge of medical terminology • Comfort using computers and Microsoft Office applications, including Outlook, Word, and Excel • Clear written and verbal communication skills • Strong attention to detail and ability to stay organized while managing multiple tasks • Customer-focused mindset and ability to work well with patients, providers, and internal teams • Ability to handle confidential patient information with care • If working from home, cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• Annual bonus plan eligibility • Medical, vision, and dental benefits starting on day one • Well-being and behavioral health programs • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Tobacco-free policy • Reasonable accommodation support for the online application process

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