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Remote Cigna Prior Authorization Jobs in Iowa (NOW HIRING)

Remote Receptionist (PRN)

Alleman, IA · On-site +1

$15 - $19.75/hr

Completes prior authorizations as needed for referrals * Contacts patients regarding upcoming or ... Required to have reliable internet for remote position. Download and upload speed must be at ...

Claim Analyst 3

Des Moines, IA · On-site +1

$30.58 - $40.96/hr

... remote work arrangements. Work Authorization/Sponsorship At this time, we're not considering ... Bachelor's degree or associate degree with legal and or medical terminology, or prior Life and ...

New

Claim Analyst 3

Des Moines, IA · On-site +1

$22.93 - $40.96/hr

Bachelor's degree or associate degree with legal and or medical terminology, or prior Life and ... remote work arrangements. Work Authorization/Sponsorship At this time, we're not considering ...

This is a fully remote position. Employees must be located in Iowa (applicants outside of Iowa will ... Review incoming Medical Service Authorizations and Medical paperwork to create new clients, update ...

This is a fully remote position. Employees must be located in Iowa (applicants outside of Iowa will ... Review incoming Medical Service Authorizations and Medical paperwork to create new clients, update ...

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Remote Cigna Prior Authorization information

What is the difference between Remote Cigna Prior Authorization vs Remote Cigna Claims Specialist?

AspectRemote Cigna Prior AuthorizationRemote Cigna Claims Specialist
Primary RoleReviewing and approving prior authorization requests for medical servicesProcessing and reviewing insurance claims for reimbursement
Required CredentialsHealthcare knowledge, insurance policies, possibly medical backgroundInsurance knowledge, claims processing experience, attention to detail
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Industry UsageHealthcare insurance companies, providersInsurance companies, third-party administrators

Remote Cigna Prior Authorization specialists focus on evaluating requests for medical services before approval, ensuring compliance with policies. In contrast, Remote Cigna Claims Specialists handle the processing and review of claims after services are rendered. Both roles require insurance knowledge and often work remotely within the healthcare insurance industry, but their core responsibilities differ significantly.

What are popular job titles related to Remote Cigna Prior Authorization jobs in Iowa?

For Remote Cigna Prior Authorization jobs in Iowa, the most frequently searched job titles are:

What cities in Iowa are hiring for Remote Cigna Prior Authorization jobs?

Cities in Iowa with the most Remote Cigna Prior Authorization job openings:

Remote Receptionist (PRN)

QuickVisit Urgent Care

Alleman, IA • On-site, Remote

$15 - $19.75/hr

Part-time

Posted 24 days ago


Job description

Job Type
Part-time
Description
The Intake and Scheduling Coordinator ("ISC") is responsible for acting as the liaison between patients and providers. The ISC ensures patient appointments are scheduled properly for Behavioral Health visits and all necessary intake information is completed before the patient's appointment. The ISC confirms all parties involved are notified of dates and times and resolves scheduling conflicts. The ISC will also be responsible for facilitating relations between QV's practice and outside counselors to ensure patients continuity of care by assisting with connecting and/or scheduling parties together. The ISC's administrative duties will include responding to medical record requests, referral processing, insurance authorizations, patient appointment scheduling, program communication to potential candidates, communication with referral sources and other tasks assigned. We are looking for an individual that has consistent availability to work Wednesdays from 8a-6p, as well as flexibility to work other days on occasion to cover vacations, sick time, or help with additional workload (approximately 10 hours per week).
JOB DUTIES:
  • Act as a key point of contact between patients and providers
  • Relay information, concerns, and feedback from both sides to ensure mutual understanding and collaboration
  • Contacts patients prior to appointment via verbal call for courtesy appointment reminder
  • Triage incoming phone calls to department
  • Ensure patient demographic and insurance information is accurate and updated. Collect patient copay over the phone.
  • Advocate for necessary resources, support, and improvements to enhance clinic performance
  • Reliable and punctual when reporting for scheduled work
  • Understanding of HIPPA requirements
  • Adheres to patient confidentiality policies
  • Responds to medical record requests
  • Responsible for the tracking, coordination and communication of patient referrals
  • Ensures complete and accurate patient registration, including demographics and current insurance information
  • Assembles information concerning patient's clinical background and referral needs
  • Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met
  • Reviews details and expectation of referral with the potential patient
  • Ensures that referrals are addressed in a timely manner
  • Completes prior authorizations as needed for referrals
  • Contacts patients regarding upcoming or missed appointments
  • Answers and triages phone calls from patients
  • Utilizes EMR functionality to address patient care duties
  • Acts with honesty and integrity in all business transactions, including, but not limited to, employment applications/resumes, patient records, time records, and financial transactions
  • All other duties as assigned

Requirements
ESSENTIAL JOB REQUIREMENTS
  • Reliable Internet: Required to have reliable internet for remote position. Download and upload speed must be at minimum 50mbp separately, not combined.
  • Phone: Ability to use Ring Central for wi-fi calling line on personal cell phone and/or stationary phone provided from company
  • Computer: Functioning computer, desktop, and/or laptop provided from company

EDUCATION
  • High School graduate or equivalent
  • Iowa Mandatory Reporting (Adult and Child)
  • College work preferred