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From Home Cigna Prior Authorization Jobs in Renton, WA

Proliance Surgeons

Authorization & Benefits Specialist

Issaquah, WA · On-site

$20.75 - $27.75/hr

  • Medical

  • Life

  • Retirement

  • PTO

We hire and support people from diverse backgrounds, fostering growth and development to make ... This position will focus on obtaining prior authorization for procedures. *Fully Remote but must be ...

Cigna

Home Infusion Nurse II - Accredo - Seattle, WA

Seattle, WA · On-site

$42 - $55.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

If you will be working at home occasionally or permanently, the internet connection must be ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

Cigna

Home Infusion Nurse II - Accredo - Seattle, WA

Seattle, WA · Remote

$42 - $55.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

If you will be working at home occasionally or permanently, the internet connection must be ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...

Proliance Surgeons

Authorization & Benefits Specialist

Seattle, WA · On-site

$20.50 - $27.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We hire and support people from diverse backgrounds, fostering growth and development to make ... This position will focus on obtaining prior authorization for procedures. Key Duties and ...

Cigna

Software Engineering Senior Advisor- Hybrid

Seattle, WA · On-site +1

$180K - $217K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Cigna-Evernorth Services Inc. seeks a Software Engineering Senior Advisor for the Seattle, WA ... Salary Range: $180,710-$217,000 If you will be working at home occasionally or permanently, the ...

Cigna

Software Engineering Senior Advisor- Hybrid

Seattle, WA · On-site

$180K - $217K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Cigna-Evernorth Services Inc. seeks a Software Engineering Senior Advisor for the Seattle, WA ... Salary Range: $180,710-$217,000 If you will be working at home occasionally or permanently, the ...

Globe Life

Be Seen First

Benefit Specialist - Work from Home

Seattle, WA · Remote

$60K - $80K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

... all from the comfort of home. Your day may include: ● Meeting with clients through scheduled ... authorized to work in the U.S. or Canada ● Must be at least 18 years old Why People Love Working ...

New

Symmetry

Sales Representative Work From Home

Bremerton, WA · On-site

  • Life

  • Retirement

Sales Representative Work From Home Must be authorized to work in the US, no work visas offered at this time Organization Description: ABOUT THE COMPANY: Listed by Inc. Magazine as one of the 5000 ...

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All JobsCigna Prior Authorization JobsFrom Home Cigna Prior Authorization JobsFrom Home Cigna Prior Authorization Jobs in Renton, WA

From Home Cigna Prior Authorization information

What is a from home Cigna Prior Authorization specialist?

A From Home Cigna Prior Authorization job typically involves working remotely to review and process prior authorization requests for medical procedures, medications, or services on behalf of Cigna, a major health insurance provider. Employees in this role evaluate clinical documentation to determine if requested services meet Cigna’s coverage criteria and guidelines. The job may require communication with healthcare providers, patients, and internal teams to gather necessary information and ensure timely processing. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance processes are important for success in this position.

What are the main challenges of working remotely as a Cigna Prior Authorization specialist, and how can they be managed?

Working from home as a Cigna Prior Authorization specialist often involves managing high call volumes, staying updated with changing insurance policies, and maintaining clear communication with healthcare providers. Balancing productivity and avoiding distractions can also be challenging in a remote setting. To succeed, it's important to establish a dedicated workspace, use digital tools to stay organized, and participate in regular team meetings to stay connected and informed.

What are the key skills and qualifications needed to thrive as a from home Cigna Prior Authorization specialist, and why are they important?

To thrive as a Work From Home Cigna Prior Authorization Specialist, you need a solid understanding of medical terminology, insurance processes, and prior authorization procedures, often supported by healthcare-related experience or certification. Familiarity with insurance management systems, electronic health records (EHR), and specialized authorization software is typically required. Strong attention to detail, effective communication, and the ability to work independently are essential soft skills in this remote role. These competencies ensure accurate processing of authorization requests, compliance with guidelines, and high-quality service to patients and providers.

What is the difference between From Home Cigna Prior Authorization vs From Home Cigna Medical Reviewer?

AspectFrom Home Cigna Prior AuthorizationFrom Home Cigna Medical Reviewer
CredentialsLicenses or certifications in healthcare administration or related fieldsMedical degrees (MD, DO) and clinical certifications
Work EnvironmentRemote, administrative settingRemote, clinical review setting
Employer & IndustryCigna, health insurance industryCigna, health insurance industry
Primary RoleReviewing and approving prior authorization requestsConducting detailed medical reviews and making clinical decisions

While both roles are remote positions within Cigna, the Prior Authorization specialist focuses on processing authorization requests, whereas the Medical Reviewer performs in-depth clinical assessments to support approval decisions. Both roles require healthcare knowledge but differ in clinical involvement and responsibilities.

What are popular job titles related to From Home Cigna Prior Authorization jobs in Renton, WA?

For From Home Cigna Prior Authorization jobs in Renton, WA, the most frequently searched job titles are:

What job categories do people searching From Home Cigna Prior Authorization jobs in Renton, WA look for?

The top searched job categories for From Home Cigna Prior Authorization jobs in Renton, WA are:

From Home Cigna Prior Authorization jobs near you

RN Prior Authorization Nurse

Healthcare Support Staffing

Tacoma, WA • On-site

$78K/yr

Full-time

Medical, Retirement

Re-posted 13 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities Prior Auth RN:

  • Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
  • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
  • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
  • Educate providers on utilization and medical management processes
  • Provide clinical knowledge and act as a clinical resource to non-clinical team staff
  • Enter and maintain pertinent clinical information in various medical management systems


Qualifications

Requirements RN Prior Authorizations:

  • RN license
  • Associate's degree in Nursing.
  • Minimum of 2-5 years of clinical experience in acute setting
  • One of these 2: experience authorizing services or experience calling in for auths from a provider setting
  • Knowledge of utilization management principles and managed care.
  • Must be comfortable with computers and with learning software programs


Hours for this Position:

M-F 8-5:30

Advantages of this Opportunity:

  • Competitive salary ($64-78K) plus annual bonus
  • Fun and positive work environment
  • Room for growth
  • Medical benefits 1st of the month after hire
  • 401k Matching
Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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