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From Home Cigna Prior Authorization Jobs (NOW HIRING)

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL

$17.75 - $23.75/hr

Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner. * Check daily, weekly, and monthly schedules for prior authorizations and request necessary ...

New

RPC Company

Be Seen First

Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

Prior Authorization Specialist - Pharmacy Technician Pay: $22-$24 per hour Location: Onsite New ... Minimum Qualifications · Certified Pharmacy Technician (CPhT) certification from an accredited ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

... from benefits investigation through authorization approval and therapy initiation. * Conduct ... Submit accurate and complete prior authorization requests, including all required clinical ...

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

The Prior Authorization Coordinator is responsible for striving to complete either approval for ... Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the ...

TriHealth

Prior Authorization Specialist

Montgomery, OH · On-site

$17.25 - $23/hr

... from electronic medical record, and timely communication with patients, prescribers and physician ... Serves as a subject matter expert for the prior authorization process as a whole. Meets or exceeds ...

TriHealth, Inc.

Prior Authorization Specialist

Montgomery, OH · On-site

$17.25 - $23/hr

... from electronic medical record, and timely communication with patients, prescribers and physician ... Serves as a subject matter expert for the prior authorization process as a whole. Meets or exceeds ...

TriHealth

Prior Authorization Specialist

Montgomery, OH

$17.25 - $23/hr

... from electronic medical record, and timely communication with patients, prescribers and physician ... Serves as a subject matter expert for the prior authorization process as a whole. Meets or exceeds ...

MC-Rx

Prior Authorization Coordinator

Gainesville, GA · On-site

$21 - $23/hr

... from benefits investigation through authorization approval and therapy initiation. * Conduct ... Submit accurate and complete prior authorization requests, including all required clinical ...

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All JobsHealthcare JobsFrom Home Cigna Prior Authorization Jobs

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.

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From Home Cigna Prior Authorization jobs near you
Infographic showing various From Home Cigna Prior Authorization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, and 3% Contract. Highlights an 75% Physical, 1% Hybrid, and 24% Remote job distribution.

Prior Authorization Specialist

OneOncology LLC

Huntsville, AL

$17.75 - $23.75/hr

Full-time

Posted 3 days ago

New

OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description:

Job Purpose

The purpose of the Prior Authorization Specialist is to ensure all necessary prior authorizations have been obtained in an effective and efficient manner.

Essential Job Functions

  • Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner.
  • Check daily, weekly, and monthly schedules for prior authorizations and request necessary authorizations.
  • Communicate with Physicians and RN's regarding treatment.
  • Check previous patient treatment with current treatment to ensure insurance payments and prior authorizations have been entered/approved.
  • Other duties as assigned.

Qualifications

  • Must have knowledge of Health Insurance Plans
  • Experience in obtaining Health Plan Prior Authorizations thru online portals and/or by phone or fax.
  • Ability to navigate Health Plan websites for medical policy review regarding services.
  • Must be organized and efficient.
  • Must be able to prioritize and complete tasks in a timely manner.
  • Must be able to follow directions and/or work independently.

Education/Experience

  • Must have a high school diploma or equivalent.
  • Certified Pharmacy Technician preferred, but not required
  • Oncology experience required
  • Familiarity with oncology medications preferred
  • Prior Authorization experience preferred

Working conditions

This position works in the billing department of a busy oncology/hematology clinic. This person generally only has contact with patients via phone.

Physical requirements

This position requires that the employee be able to sit at a desk in front of a computer for up to eight hours a day. Some walking and standing may be required to complete tasks.

Direct Reports

This position is not a supervisory position.

What OneOncology employees say

Pay

Benefits

Hours and flexibility

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