Prior Authorization Representative

🔥 1 hour ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Respond primarily to phone inquiries from members, providers, and/or pharmacies • Respond to fax inquiries as needed • Facilitate medication prior authorization requests • Review system documentation and provide straightforward, empathetic information • Use multiple applications to obtain information • Follow standard operating procedures, corporate documentation, and HIPAA regulations • Research and resolve issues proactively, seeking assistance when needed • Maintain accurate and complete inquiry documentation • Collaborate with others to apply best practices • Meet or exceed call center and other business metrics • Provide excellent and consistent customer service • Attend assigned training classes • Work on assigned tasks and projects

🎯 Requirements

• High School Diploma / GED • 1+ years call center customer service experience • Excellent customer service and communication skills • Strong organizational skills • Intermediate proficiency in Microsoft Outlook • Working knowledge of Windows • Ability to navigate multiple screens and applications • Ability to remain calm and helpful in difficult situations • Flexibility to support extended hours and overtime based on business needs • 100% attendance throughout training/on-the-job training and excellent attendance thereafter • Must live in a DoD SCA County • Must work any schedule between operating hours ranging from 7:00am–10:00pm Eastern time, Monday through Friday • Reliable high-speed broadband internet with a hard-wired connection of at least 10 Mbps download/5 Mbps upload • Quiet and private work space without interruption • Healthcare background preferred

🏖️ 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 • Work-from-home arrangement • Hard-wired high-speed broadband internet requirement for home working