Prior Authorization Representative

🔥 3 minutes ago

🌵 Arizona, Illinois, +3 more states – Remote

🌵 Arizona – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – 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

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Review and respond to phone and/or fax inquiries from members and healthcare professionals • Assist with medication prior authorizations • Review system documentation and provide straightforward, empathetic information • Respond primarily to inquiries from members, providers, and pharmacies • Facilitate prior authorization requests • Use multiple applications to obtain information • Follow standard operating procedures, corporate documentation, and HIPAA regulations • Research and resolve issues, seeking assistance as needed • Maintain accurate and complete inquiry documentation • Collaborate with others to apply best practices • Meet or exceed call center and business metrics • Provide excellent and consistent customer service • Attend assigned training classes • Complete 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 • Healthcare background preferred • Ability to remain calm and helpful when dealing with 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 within operating hours ranging from 7:00am–10:00pm Eastern time, Monday through Friday • Reliable high-speed broadband internet with a hard-wired connection, at least 10 Mbps download/5 Mbps upload • Quiet and private work space without interruption

🏖️ 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 • Remote work/home-based arrangement