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Remote Cigna Prior Authorization Jobs (NOW HIRING)

Brown University Health

Prior Authorization Coord

$19.03 - $31.39/hr

... and prior authorization processes for outpatient radiological services within Brown University ... Remote-Massachusetts - N/A Boston, Massachusetts 02108 Work Type: M-F 9:30am -6:00pm occassional ...

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How much do remote cigna prior authorization jobs pay per year?

As of Jun 9, 2026, the average yearly pay for remote 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 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.

More about Remote Cigna Prior Authorization jobs
What cities are hiring for Remote Cigna Prior Authorization jobs? Cities with the most Remote Cigna Prior Authorization job openings:
What are the most commonly searched types of Cigna Prior Authorization jobs? The most popular types of Cigna Prior Authorization jobs are:
What states have the most Remote Cigna Prior Authorization jobs? States with the most job openings for Remote Cigna Prior Authorization jobs include:
What job categories do people searching Remote Cigna Prior Authorization jobs look for? The top searched job categories for Remote Cigna Prior Authorization jobs are:
Remote Cigna Prior Authorization jobs near you
Infographic showing various Remote Cigna Prior Authorization job openings in the United States as of May 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 100% Remote job distribution, with an average salary of $71,292 per year, or $34.3 per hour.

Prior Authorization Coord

Brown University Health

Remote

$19.03 - $31.39/hr

Full-time

Posted 6 days ago

Brown University Health rating

6.8

Company rating: 6.8 out of 10

Based on 70 frontline employees who took The Breakroom Quiz

484th of 870 rated healthcare providers

Job description

SUMMARY:
Under supervision of the Manager Diagnostic Imaging Support
Services is responsible for the integrity of the pre-registration and prior
authorization processes for outpatient radiological services within
Brown University Health. Coordinates and arranges for
all outpatient radiology orders to ensure patients have received financial
clearance from insurance companies and troubleshoot as needed.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES:
PRINCIPAL DUTIES AND RESPONSIBILITIES:Registers patients prior to scheduled appointments to obtain
updated account information for accurate insurance billing. Confirms patient eligibility with insurance carriers/third
party payors and obtains pre-authorization requirements in accordance with
established medical policies.Coordinates and ensures appropriate insurance authorizations
are obtained and/or received in a timely manner.Reviews, recognizes and understands clinical documentation
from patient records pertinent to obtaining prior authorization as necessary. Analyzes orders, authorizations and records for
discrepancies that may affect insurance coverage and/or denial of claims.Notifies and coordinates with ordering physicians and
providers when peer-to-peer discussions are required to obtain prior
authorization of services being denied by patients' insurance.Professionally communicates with various Brown University Health personnel
to resolve billing issues, authorization denials and financial clearance of
patient appointments.Provides mature, quality customer service to patients, their
families and/or their representatives.Ensures all patients are financially cleared by insurance/
third party payor prior to their scheduled appointments.
Performs other duties as assigned.
MINIMUM QUALIFICATIONS:
BASIC KNOWLEDGE:High school diploma or equivalent required. Knowledge of
business systems, office procedures, computer skills, medical terminology and
health insurance processes/terminology including, but not limited to, CPT and
ICD-10 coding.Strong organizational skills, critical thinking and focus to
detail required to manage high volume of radiologic orders requiring prior
authorization and/or financial clearance.Analytical skills to evaluate effectiveness of work flow
with the ability to make recommendations, develop and adapt to changes as
necessary.Interpersonal skills necessary to provide effective
communication with patients and other healthcare professionals within and
outside of Brown University Health. EXPERIENCE:Two years of previous experience in health care environment
with emphasis in health insurance billing and reimbursement, healthcare
operations, database management and patient/ provider interaction. WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Normal office environment; may experience some visual
fatigue as result of extended periods of work on the computer.INDEPENDENT ACTION:Performs independently within the department's policies and
practices. Refers specific complex
problems to the supervisor when clarification of the departmental policies and
procedures are required.SUPERVISORY RESPONSIBILITY:None.
Pay Range:
$19.03-$31.39
EEO Statement:
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
Location:
Remote-Massachusetts - N/A Boston, Massachusetts 02108
Work Type:
M-F 9:30am -6:00pm occassional weekends
Work Shift:
Day
Daily Hours:
8 hours
Driving Required:
No

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