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Remote Cigna Prior Authorization Jobs in Ohio (NOW HIRING)

MCKESSON

Field Reimbursement Manager

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 ...

New

MCKESSON

Field Reimbursement Manager

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 ...

New

MCKESSON

Field Reimbursement Manager

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 ...

New

MCKESSON

Field Reimbursement Manager

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 ...

New

MCKESSON

Field Reimbursement Manager

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 ...

New

CareSource

Pharmacist I

Dayton, OH · Remote

$94K - $164K/yr

Supports and participates in Prior Authorization (PA) Reviews by documenting, implementing and ... General office or Remote work environment; may be required to sit or stand for extended periods of ...

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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 the most commonly searched types of Cigna Prior Authorization jobs in Ohio? The most popular types of Cigna Prior Authorization jobs in Ohio are:
What are popular job titles related to Remote Cigna Prior Authorization jobs in Ohio? For Remote Cigna Prior Authorization jobs in Ohio, the most frequently searched job titles are:
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What cities in Ohio are hiring for Remote Cigna Prior Authorization jobs? Cities in Ohio with the most Remote Cigna Prior Authorization job openings:
Remote Cigna Prior Authorization jobs near you
Infographic showing various Remote Cigna Prior Authorization job openings in Ohio 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.

Pharmacy Prior Authorization Specialist

Communicarehealth

Broadview Heights, OH • Remote

$17.50 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Job 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:

  • Work in cohesion with the Adjudication, Claim Intervention and Billing Departments
  • Submit prior authorizations in accordance with Insurance regulations
  • Ensure accurate and timely processing of prior authorizations
  • Work directly with insurance companies for prior authorization resolution
  • Communicate with facilities to gain additional information
  • Any other duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications and Requirements:

  • Prior Authorization experience (not required)
  • Previous Long-Term Care pharmacy experience a plus (not required)
  • Knowledge of Framework LTC a plus (not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

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