Broadview Heights, OH · Remote
$17.50 - $23.25/hr
Pharmacy Prior Authorization Manager Job Type : Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview : The Prior Authorization Specialist will maintain the ...
Broadview Heights, OH · Remote
$17.50 - $23.25/hr
Pharmacy Prior Authorization Manager Job Type : Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland Position Overview : The Prior Authorization Specialist will maintain the ...
Rocky River, OH · Remote
$18 - $21/hr
Insurance Specialist - Prior Authorization Schedule: 8am to 4:30pm Eastern Time Zone, Monday - Friday Location: Remote Paid Training: 3 weeks Compensation: $18 - $21 per hour base Key ...
Rocky River, OH · Remote
$18 - $21/hr
Insurance Specialist - Prior Authorization Schedule: 8am to 4:30pm Eastern Time Zone, Monday - Friday Location: Remote Paid Training: 3 weeks Compensation: $18 - $21 per hour base Key ...
Director of Managed Care Remote Position Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization ...
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Director of Managed Care Remote Position Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization ...
Cleveland, OH · Remote
This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...
Cleveland, OH · Remote
This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...
This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...
This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...
Springfield, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Springfield, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Middletown, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Middletown, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Cleveland, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Cleveland, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Amherst, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Amherst, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Columbus, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Columbus, OH · On-site +1
... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...
Toledo, OH · On-site +1
$53K - $71K/yr
Complete ASAM assessments and level-of-care determinations to support admissions, prior authorization requests, continued stay reviews, discharge planning, and coordination of care with insurance ...
Toledo, OH · On-site +1
$53K - $71K/yr
Complete ASAM assessments and level-of-care determinations to support admissions, prior authorization requests, continued stay reviews, discharge planning, and coordination of care with insurance ...
Blue Ash, OH · Remote
$16.75 - $20.50/hr
Familiarity with pharmacy benefit structures, prior authorization processes, and third-party ... Remote
Blue Ash, OH · Remote
$16.75 - $20.50/hr
Familiarity with pharmacy benefit structures, prior authorization processes, and third-party ... Remote
Cleveland, OH · On-site +1
$104K - $135K/yr
For candidates outside this area, a remote arrangement may be considered, with required travel to ... Any resumes submitted without prior authorization or a current agreement will not be eligible for ...
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Cleveland, OH · On-site +1
$104K - $135K/yr
For candidates outside this area, a remote arrangement may be considered, with required travel to ... Any resumes submitted without prior authorization or a current agreement will not be eligible for ...
Norwood, OH · On-site +1
This is a remote position that does require onsite attendance quarterly or as needed for training ... Documents the cost estimate in the EHR so that it can be collected prior to or on the date of ...
Norwood, OH · On-site +1
This is a remote position that does require onsite attendance quarterly or as needed for training ... Documents the cost estimate in the EHR so that it can be collected prior to or on the date of ...
$50K - $150K/yr
... verification, billing, prior authorizations, pharmacy coordination, etc. * Commitment to ... Fully remote within the United States. * Schedule: Part-time * Compensation: $50K-150K per year ...
$50K - $150K/yr
... verification, billing, prior authorizations, pharmacy coordination, etc. * Commitment to ... Fully remote within the United States. * Schedule: Part-time * Compensation: $50K-150K per year ...
Columbus, OH · Remote
$154K - $200K/yr
... benefits verifications, prior authorizations, and reimbursement and access logistics ... Remote Applicants must be currently authorized to work in the United States on a full-time basis.
Columbus, OH · Remote
$154K - $200K/yr
... benefits verifications, prior authorizations, and reimbursement and access logistics ... Remote Applicants must be currently authorized to work in the United States on a full-time basis.
Green, OH · Remote
$18.50 - $25.25/hr
Saturdays 1 every 3 -4 weeks 9am-5:30pm remote Qualifications * State registration required ... Initiate and follow up on prior authorizations * Review and respond to insurance audit requests
Green, OH · Remote
$18.50 - $25.25/hr
Saturdays 1 every 3 -4 weeks 9am-5:30pm remote Qualifications * State registration required ... Initiate and follow up on prior authorizations * Review and respond to insurance audit requests
North Canton, OH · Remote
$17.25 - $23.50/hr
Saturdays 1 every 3 -4 weeks 9am-5:30pm remote Qualifications * State registration required ... Initiate and follow up on prior authorizations * Review and respond to insurance audit requests
North Canton, OH · Remote
$17.25 - $23.50/hr
Saturdays 1 every 3 -4 weeks 9am-5:30pm remote Qualifications * State registration required ... Initiate and follow up on prior authorizations * Review and respond to insurance audit requests
This is a remote role supporting the Columbus, OH territory . The position also ensures that the ... Collaborate with partners, internally and externally, on prior authorization, payor restrictions ...
This is a remote role supporting the Columbus, OH territory . The position also ensures that the ... Collaborate with partners, internally and externally, on prior authorization, payor restrictions ...
... Remote Field Based). In this role, a typical day will include: * Build disease awareness with key ... Collaborate with partners, internally and externally, on prior authorization, payor restrictions ...
... Remote Field Based). In this role, a typical day will include: * Build disease awareness with key ... Collaborate with partners, internally and externally, on prior authorization, payor restrictions ...
| Aspect | Remote Cigna Prior Authorization | Remote Cigna Claims Specialist |
|---|---|---|
| Primary Role | Reviewing and approving prior authorization requests for medical services | Processing and reviewing insurance claims for reimbursement |
| Required Credentials | Healthcare knowledge, insurance policies, possibly medical background | Insurance knowledge, claims processing experience, attention to detail |
| Work Environment | Remote, healthcare insurance setting | Remote, insurance claims processing environment |
| Industry Usage | Healthcare insurance companies, providers | Insurance 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.
The most popular types of Cigna Prior Authorization jobs in Ohio are:
For Remote Cigna Prior Authorization jobs in Ohio, the most frequently searched job titles are:
The top searched job categories for Remote Cigna Prior Authorization jobs in Ohio are:
Cities in Ohio with the most Remote Cigna Prior Authorization job openings:
$17.50 - $23.25/hr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 16 days ago
6.1
Based on 158 frontline employees who took The Breakroom Quiz
730th of 896 rated healthcare providers
Job Address:
9299 Market Place Broadview Heights, OH 44147Job Description: Prior Authorization Specialist
Reports to: Pharmacy Prior Authorization Manager
Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland
Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.
Key Responsibilities Include but are not limited to:
Qualifications and Requirements:
Salary and Benefits:
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Health care and social assistance
10,000+ Employees
Cincinnati, OH, US
