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Full Time Cigna Prior Authorization Jobs (NOW HIRING)

Hopedale MC

Prior Authorization Specialist

Hopedale, IL · On-site

$18 - $23/hr

Prior Authorization Specialist, Full-time $18-$23/hour HMC Offers: * Tuition Reimbursement * Excellent benefits - health, dental, vision, and life and disability insurance * Quality childcare located ...

CareMed Specialty Pharmacy

$23 - $25/hr

Senior Pharmacy Prior Authorization Specialist - CareMed Specialty Pharmacy Buffalo, NY ... This is a full-time position ideal for candidates local to the area. Remote work possible after ...

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Full Time Cigna Prior Authorization information

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How much do full time cigna prior authorization jobs pay per year?

As of Jun 14, 2026, the average yearly pay for full time 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 Full Time Cigna Prior Authorization Specialist?

A Full Time Cigna Prior Authorization Specialist is a healthcare professional responsible for reviewing and processing prior authorization requests for medical procedures, medications, or services on behalf of Cigna, a major health insurance company. Their role involves evaluating requests from healthcare providers to ensure they meet Cigna's guidelines and coverage policies. They communicate with providers, patients, and internal teams to gather necessary information and make timely decisions. This position is typically full-time, requiring strong organizational, communication, and analytical skills.

What are the key skills and qualifications needed to thrive as a Full Time Cigna Prior Authorization Specialist, and why are they important?

To thrive as a Full Time Cigna Prior Authorization Specialist, you need knowledge of medical terminology, insurance processes, and prior authorization procedures, typically supported by a healthcare-related degree or equivalent experience. Familiarity with electronic health record (EHR) systems, claims processing software, and insurance portals is essential. Attention to detail, organizational skills, and effective communication are vital soft skills for coordinating between providers, patients, and insurers. These competencies ensure accurate and timely authorization of medical services, reducing delays in care and supporting a smooth workflow.

What is the difference between Full Time Cigna Prior Authorization vs Full Time Cigna Claims Processor?

AspectFull Time Cigna Prior AuthorizationFull Time Cigna Claims Processor
Primary RoleReview and approve prior authorization requests for medical servicesProcess and review insurance claims for payment and accuracy
Required CredentialsHealth insurance knowledge, attention to detail, possibly healthcare certificationsInsurance processing knowledge, data entry skills, attention to detail
Work EnvironmentOffice-based, healthcare insurance settingOffice-based, insurance claims department
Industry UsageCommonly used in health insurance and healthcare organizationsWidely used in insurance companies and third-party administrators

Full Time Cigna Prior Authorization specialists focus on reviewing requests for medical services before approval, requiring healthcare knowledge. In contrast, Full Time Cigna Claims Processors handle claims after services are rendered, focusing on processing and payment. Both roles are essential in health insurance operations but differ in their responsibilities and workflow.

What are the typical challenges faced by someone in a Full Time Cigna Prior Authorization role and how can they be managed?

In a Full Time Cigna Prior Authorization position, professionals often encounter challenges such as navigating complex insurance policies, managing a high volume of requests, and ensuring timely communication with providers and members. To manage these challenges, it’s important to stay organized, develop strong attention to detail, and maintain up-to-date knowledge of Cigna’s policies and procedures. Collaboration with care teams and ongoing training can also help streamline the process and improve outcomes for patients.
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Full Time Cigna Prior Authorization jobs near you

Prior Authorization Specialist

Riverhills Healthcare, Inc

Cincinnati, OH • Hybrid

$401K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

About Us:

For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.

Position: Prior Authorization Specialist

Location: Norwood Office

Department: Billing

Schedule: Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training.

Key Benefits for Full-Time Employees:

  • Competitive pay based on experience, minimum $18
  • 401k with Profit Sharing and 4% Company Match
  • Comprehensive Medical, Dental, and Vision insurance
  • Long-Term and Short-Term Disability Insurance
  • Company Paid Life Insurance
  • Paid Holidays
  • Over three weeks of Paid Time Off
  • Continuing Education Reimbursement
  • Uniform Allowance
  • Free Parking

Responsibilities:

As a Prior Authorization Specialist at Riverhills Neuroscience, you will play a vital role in ensuring the efficiency and accuracy of our billing processes. Your responsibilities include:

  • Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirements
  • Coordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determination
  • Facilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patients
  • Ensure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin procedures
  • Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheet
  • Initiate patient education on available assistance programs

Background and Experience:

  • 1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practice
  • Pain Management experience is a plus
  • Experience with an Electronic Medical Record (EMR) and practice management system
  • Knowledge of Medicare/Medicaid and major insurance carrier's guidelines
  • Working knowledge of ICD-9-10 medical coding and billing and medical terminology
  • Superior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors

If you're eager to contribute to a world-class healthcare team, apply today. We look forward to welcoming dedicated professionals to contribute to the growth of our practice.

Equal Opportunity/Drug-Free Workplace:

Riverhills Neuroscience is an equal opportunity employer and maintains a drug-free workplace.

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