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From Home Cigna Prior Authorization Jobs in Rome, GA

InsuraTec

Sales Representative (Remote)

Rome, GA · Remote

Enjoy the freedom to work from home on your schedule. * Work-Life Balance : Achieve balance with our flexible hours. Qualifications: * Entry-Level Friendly : No prior experience needed; we offer full ...

InsuraTec

Sales Representative (Remote)

Calhoun, GA · Remote

Enjoy the freedom to work from home on your schedule. * Work-Life Balance : Achieve balance with our flexible hours. Qualifications: * Entry-Level Friendly : No prior experience needed; we offer full ...

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All JobsCigna Prior Authorization JobsFrom Home Cigna Prior Authorization JobsFrom Home Cigna Prior Authorization Jobs in Rome, GA

From Home Cigna Prior Authorization information

See Rome, GA salary details

$66.9K

$86.7K

$104K

How much do from home cigna prior authorization jobs pay per year?

As of Aug 21, 2026, the average yearly pay for from home cigna prior authorization in Rome, GA is $86,659.00, according to ZipRecruiter salary data. Most workers in this role earn between $77,000.00 and $96,300.00 per year, depending on experience, location, and employer.

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 Rome, GA?

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

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

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

From Home Cigna Prior Authorization jobs near you
Infographic showing various From Home Cigna Prior Authorization job openings in Rome, GA as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, and 3% Contract. Highlights an 80% Physical, 1% Hybrid, and 19% Remote job distribution, with an average salary of $86,659 per year, or $41.7 per hour.

Centralized Biologic Coordinator

SENTA Partners

Rome, GA • On-site

$23 - $26/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago

Job description

Description
Atlanta Allergy & Asthma Clinic (AAA), a leading Allergy and Asthma practice and an affiliate of SENTA Partners, is the largest allergy group in Georgia, treating both children and adults at 18 locations across Atlanta and north Georgia.
SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe better, Hear better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.
Position Summary
Centralized Biologic Coordinator is an individual who manages a patient's journey from prescription to drug acquisition within the Centralized Senta Biologic Department. This role navigates the complexities of patient access on behalf of those prescribed biologics. Responsible for communicating with office staff, providers, insurance providers, completing enrollment forms, reviewing benefit verifications, submitting medical and pharmacy prior authorizations, directing patient assistance and bridge programs, coordinating all efforts of specialty pharmacies and manufacturer HUBs under the direction of the Biologic Program Manager. Ability to work efficiently in a fast-paced environment while maintaining accuracy. This position offers the opportunity to contribute to the healthcare industry while ensuring patients receive timely authorizations for necessary treatments. If you possess the required qualifications and are looking to make a difference in patient care, we encourage you to apply for this rewarding role.
Key Responsibilities
  • Communicate professionally and effectively with management, co-workers, hub personnel, as well as vendors and other third parties.
  • Enroll patients with manufacturer HUB for insurance verification/benefit investigation.
  • Contact insurance carriers to verify patient's insurance eligibility, benefits, and requirements.
  • Request, track and obtain pre-authorization/prior determination from insurance carriers prior to services being performed.
  • Enroll patients for copay assistance/patient assistance programs.
  • Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
  • Communicate any insurance changes or trends among team.
  • Maintains a level of productivity suitable for the department.
  • Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format
  • Other duties as assigned.

What We Offer
  • Comprehensive Health Benefits (Medical, Dental, and Vision)
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Short & Long Term Disability
  • Holidays & Paid Time Off (PTO)
  • Employee Assistance Program (EAP)
  • Retirement Contribution Program - 401(K) Match
  • Clinic Hours: AAA ONLY
    • Monday-Friday
    • Half-Day Fridays (office closes at 12pm)
    • No Weekends

Requirements
Qualifications
  • Licensure/Certification/Registration: LPN/CMA
  • High school diploma or general education degree (GED) is required.
  • Minimum of 1-2 years of experience in a medical office or healthcare setting, with prior experience
  • Knowledge of medical terminology, coding (ICD-10, CPT), and insurance policies
  • Able to prioritize tasks, understand the providers instruction, and know when to seek information or advice.
  • Excellent communication skills, both written and oral
  • Proficient computer skills including word processing, data entry, excel.
  • Must have ability to communicate professionally and effectively with patients, management, co-workers, hub personnel, as well as vendors and other third parties.

Apply