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Remote Prior Authorization Representative Express Scripts Jobs in Minnesota

Cigna

$15.50 - $21/hr

The Call Center Customer Service Representative represents the company, and our people make all the ... prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas ...

Essentia Health

RN - Pre-Service Authorizations

Duluth, MN · On-site +1

$33.94 - $50.91/hr

... referral, prior authorization/precertification processes, using and revising Essentia Health ... Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: Varies Shift End ...

Adecco

Remote Pharmacy Technician

Minnetonka, MN · Remote

$19 - $21.42/hr

Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of ...

Adecco

Pharmacist Pipeline Minneapolis MN

Minneapolis, MN · On-site +1

$57 - $59.50/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Adecco

Pharmacist Pipeline Minnetonka MN

Minnetonka, MN · On-site +1

$57 - $59.50/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

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Remote Prior Authorization Representative Express Scripts information

What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?

AspectRemote Prior Authorization Representative Express ScriptsRemote Claims Processor
CredentialsHigh school diploma, healthcare certifications often preferredHigh school diploma, healthcare or insurance certifications
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Employer & IndustryExpress Scripts, healthcare/pharmacy industryVarious insurance companies, healthcare industry
Primary ResponsibilitiesReview and approve prior authorization requestsReview and process insurance claims

The Remote Prior Authorization Representative at Express Scripts focuses on evaluating and approving prior authorization requests for medications, ensuring timely patient access. In contrast, a Remote Claims Processor handles the review and processing of insurance claims after services are rendered. While both roles require healthcare knowledge and remote work skills, their core functions differ in the stages of the insurance process they manage.

What are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Minnesota? For Remote Prior Authorization Representative Express Scripts jobs in Minnesota, the most frequently searched job titles are:
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Remote Prior Authorization Representative Express Scripts jobs near you
Customer Service Representative - Express Scripts - Remote

Customer Service Representative - Express Scripts - Remote

Cigna

Remote

$15.50 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 236 frontline employees who took The Breakroom Quiz

28th of 886 rated healthcare providers

Job description

The Cigna Group is a global Health Service company dedicated to helping people improve their health and vitality. Our Pharmacy Benefit Management (PBM) team seek dedicated, compassionate, and empathetic Customer Service Representatives to join our team who are genuinely interested in helping people at some critical points of their lives. The Call Center Customer Service Representative represents the company, and our people make all the difference in our success.

RESPONSIBILITIES

Answer inbound calls from members, providers, and pharmacies with questions about Pharmacy Benefit Management (PBM) benefits and mail-order pharmacies.

An average of 70-80 calls are expected daily.

Take calls back-to-back while toggling through several applications on multiple screens.

Attend 100% of trainings, and the first 90 days of employment.

Regular and predictable attendance.

Resolve customer complaints through independent problem-solving skills and one-call resolution.

Understand and strive to meet or exceed call center metrics while providing excellent consistent customer service.

QUALIFICATIONS

High School diploma or equivalent

1 year of call center experience is required

A dedicated workspace with no distractions is required

Intermediate proficiency in Microsoft Outlook

Strong organization skills, written, and verbal communication skills

Ability to remain calm and helpful even when dealing with difficult situations

Foster teamwork and partnership with cross-functional departments to resolve issues and improve customer experience

Computer literacy and ability to manage multiple applications simultaneously.

Please Note: This position is being posted externally for administrative purposes; however, only active employees of The Cigna Group are eligible for consideration. Applications from external candidates will not be reviewed.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 19 USD / hourly, depending on relevant factors, including experience and geographic location.


This role is also anticipated to be eligible to participate in an annual bonus plan.


At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.


About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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