Cigna Prior Authorization Jobs in Indiana (NOW HIRING)

• Please note: This is mainly a remote/work at home position but the candidate selected must be within driving distance to Whitestown, Indiana as it will require several days in office per quarter to be on-site in the Whitestown, Indiana office.
• The schedule is Monday - Friday, 8:00am - 4:30pm EST.

ESSENTIAL FUNCTIONS

• Prepare and review claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations.
• Pursue collection activities to obtain reimbursement from payors and/or patients.
• Contact payors to request overrides, retro authorizations, additional documentation, window extensions, etc. to ensure invoice has necessary elements for reimbursement or to work a rejected claim (denial).
• Make 10-20 outbound calls daily, as needed.
• Frequent follow up with payers and/or patients on outstanding accounts.
• Respond to billing inquiries and questions relating to patient accounts.
• Frequently use phone/email/portal communications with patients and payors.

QUALIFICATIONS

• Must be local to Whitestown, Indiana & willing and able to come onsite as needed for training and meetings
• Must be able to work an 8 hour shift Monday - Friday from 8:00am - 4:30pm EST
• High school diploma or GED required
• Customer service experience; healthcare/insurance/pharmacy industry preferred
• Patient billing and collections experience preferred
• Rx Home, CSP, Blue Zone experience a plus
• PC Skills including Microsoft Outlook, Excel, Word and Teams
• Strong written & verbal communication skills
• Detail oriented and strong organizational skills
• Self-starter and team player; willingness to learn
• Focus on quality and service
• Demonstrated ability to meet multiple deadlines and manage a heavy workload
• Integrity to handle sensitive or confidential information is critical

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.