2

Remote Cigna Prior Authorization Jobs in Kansas (NOW HIRING)

next page

Showing results 1-20

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 the most commonly searched types of Cigna Prior Authorization jobs in Kansas?

The most popular types of Cigna Prior Authorization jobs in Kansas are:

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

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

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

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

Infographic showing various Remote Cigna Prior Authorization job openings in Kansas as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

*New - Prior Authorization Specialist (Experience)- Remote

Kansas City, KS โ€ข On-site, Remote

Nyx Health
Health Care and Social Assistanceย โ€ขย 11 - 50 employees

$21 - $23/hr

Full-time

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Prior Authorization Specialist - Remote
Position Summary
We're looking for a driven, detail-oriented individual to join our team as a Prior Authorization Specialist. You'll receive training and ongoing support to set you up for success. As part of this role, you'll complete accurate insurance verifications and prior authorizations to ensure timely reimbursement. You'll also collaborate with clinicians and insurance payors in a fast-paced environment to manage claims, documentation, and approvals. If you enjoy problem-solving, staying organized, and making a meaningful impact-both independently and as part of a team-we'd love to hear from you.
Key Responsibilities
  • Pharmacy Benefits PA Submissions
  • Navigating EMR/PM systems for demographic information, patient clinical notes, and labs.
  • Coordinate initial submission of prior authorization processes including preparation of PA, answering Prior Authorization clinical questions, submitting Pharmacy benefit PA's
  • Utilize covermymeds to complete submission of Prior Authorizations
  • Communicate with providers and insurance companies regarding authorization status.
  • Maintain HIPAA compliance and support daily revenue cycle operations.
  • Aprima experience+

Skills & Qualifications
  • 3-5 years rheumatology medication PA experience is Required
  • Specialty Pharmacy experience - Required
  • 5+ years of prior authorization experience -Required
  • Knowledge of rheumatology medications and biosimilars -Required
  • Proficient in EMR systems, Covermymeds, ECW, NextGen Emrs
  • Strong communication, problem-solving, and organizational skills.
  • Detail-oriented, analytical, and able to multitask in a fast-paced environment.

Education & Experience
  • High School Diploma required; additional education in business or healthcare preferred.
  • Experience in prior authorization, utilization review, insurance verification, and EMR systems. [preferred]

Work Environment & Physical Requirements
  • Remote position
  • Prolonged computer use; ability to lift up to 15 lbs.

Job Type, Schedule & Compensation
  • Full-time, Monday-Friday, 8-hour day shift.
  • Pay: $21-$23 per hour, [With additional pay available for exceptional experience.]