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Cigna Prior Authorization Jobs (NOW HIRING)

DrFirst Inc.

Senior Integration Engineer

You will play a critical role in scaling direct payer integrations and prior authorization ... Design, build, and support direct payer integrations with UnitedHealthcare, Aetna, Cigna, Humana ...

Cigna

Legal Research Intern

Bloomfield, CT · On-site

$35 - $37/hr

Completion of at least one year of law school prior to the internship start date. * Currently ... Work Authorization: Candidates must be authorized to work in the United States and not require ...

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How much do cigna prior authorization jobs pay per year?

As of Sep 2, 2026, the average yearly pay for cigna prior authorization in the United States is $71,292.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,500.00 and $97,500.00 per year, depending on experience, location, and employer.

What is a Cigna Prior Authorization?

A Cigna Prior Authorization job involves reviewing requests for medical procedures, medications, or services to determine if they meet Cigna's coverage criteria. Employees in this role assess medical necessity, ensure compliance with insurance policies, and communicate approvals or denials to healthcare providers or members. They may work with nurses, doctors, and other specialists to evaluate requests. Strong knowledge of healthcare guidelines and attention to detail are essential for success in this position.

What are some of the typical challenges faced by Cigna Prior Authorization specialists and how can they overcome them?

A common challenge for Cigna Prior Authorization specialists is navigating complex healthcare plans and ensuring all requests are processed in compliance with current policies and medical guidelines. Specialists often juggle a high volume of requests and must quickly gather and verify clinical information from providers and patients. Successful team members develop strong organizational systems to manage deadlines, rely on effective communication to resolve discrepancies, and stay updated on policy changes through ongoing training. Collaboration with both internal teams and external medical offices is essential to streamline workflows and deliver timely results.

What are the key skills and qualifications needed to thrive in the Cigna Prior Authorization position, and why are they important?

To thrive as a Cigna Prior Authorization specialist, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization guidelines, often supported by experience in medical billing or claims processing. Familiarity with insurance databases, authorization management software, and HIPAA compliance tools is typically required. Attention to detail, organizational skills, and effective communication with providers and patients are critical soft skills. These competencies are crucial for accurately processing requests, ensuring compliance, and delivering efficient service to all stakeholders.

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Cigna Prior Authorization jobs near you
Infographic showing various Cigna Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $71,292 per year, or $34.3 per hour.

Insurance Verification & Authorizations Specialist

North Texas Team Care Surgery Center

Dallas, TX • On-site

$18 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

Insurance Verification & Authorizations Specialist

Ambulatory Surgery Center 

Location: Onsite – DFW Area
Position Type: Full-Time | Healthcare Revenue Cycle

Position Summary

We are seeking an experienced Insurance Verification & Authorizations Specialist to manage front-end revenue cycle functions for an ambulatory surgery center and pain management practice. This onsite role is critical to ensuring accurate benefits verification, timely prior authorizations, and proactive follow-up across multiple payers and portals.

Key Responsibilities

  • Verify insurance eligibility, benefits, deductibles, co-insurance, and out-of-pocket maximums

  • Obtain and track prior authorizations for surgical, interventional pain, and diagnostic procedures

  • Perform authorization follow-up to ensure approvals are received prior to date of service

  • Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna, Tricare, etc.)

  • Enter and maintain accurate authorization and benefit data within HST Pathways

  • Communicate authorization requirements and financial responsibility clearly to staff and patients

  • Escalate delayed or denied authorizations and document outcomes

  • Maintain compliance with payer-specific rules and timelines

Required Qualifications

  • Minimum 2–3 years experience in insurance verification and prior authorizations

  • Hands-on experience with HST (HST Pathways) – required

  • Strong working knowledge of ASC and pain management workflows

  • Proven ability to use payer web portals efficiently and independently

  • Familiarity with Medicare, Medicaid, and commercial payer authorization rules

  • High attention to detail and strong follow-through skills

  • Ability to manage multiple cases simultaneously in a fast-paced environment

Preferred Qualifications

  • Experience in an Ambulatory Surgery Center (ASC) setting

  • Knowledge of interventional pain procedures, spine, ortho, or GI authorizations

  • Prior experience working with Texas Medicaid and Medicare MACs

  • Understanding of medical necessity and payer policy requirements

  • Bilingual Spanish/English

What We Offer

  • Competitive compensation based on experience

  • Stable, physician-led practice environment

  • Collaborative onsite team culture