If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Verification/Authorization Specialist (Epic experience required)
Garden City, NY · On-site
$24 - $26/hr
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Verification/Authorization Specialist (Epic experience required)
Garden City, NY · On-site
$24 - $26/hr
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
Expected to last 2-6 months , with the potential to convert from Temp-to-Perm Job Summary: The role responsible will be responsible for all aspects of the prior authorization process.
AUTHORIZATION AND ELIGIBILITY SPECIALIST - OPEN IN-HOUSE THROUGH WEDNESDAY, JULY 15TH, 2026
Plummer, ID · On-site
$17 - $22.50/hr
A minimum of one-year prior experience working with a claims management system, clinical electronic ... Cigna, etc.) and by phone when required (Dental). * Document all eligibility and benefit ...
AUTHORIZATION AND ELIGIBILITY SPECIALIST - OPEN IN-HOUSE THROUGH WEDNESDAY, JULY 15TH, 2026
Plummer, ID · On-site
$17 - $22.50/hr
A minimum of one-year prior experience working with a claims management system, clinical electronic ... Cigna, etc.) and by phone when required (Dental). * Document all eligibility and benefit ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click ... Adhere and perform timely prospective review for services requiring prior authorization as well as ...
... services, prior authorization assistance, and therapy-specific workflows. * Develop strategic ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
... services, prior authorization assistance, and therapy-specific workflows. * Develop strategic ... At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Time
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Time
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Ti...
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Full Ti...
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Work Shift: 08.0 - 08:30 - 17:00 ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Ti...
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
TEMPORARY - Ambulatory Care - Medication Access Specialist - OSC Pharmacotherapy Clinic - Part Ti...
Walnut Creek, CA · On-site
$38.04 - $51.35/hr
The position is responsible for providing support to prior authorization (PA) and financial ... TEMPORARY and expected to last at least until December 31st 2026. Shift: 8am-4:30pm - 8:30am-5pm ...
Insurance Authorization Specialist - NYC
Manhattan, NY · On-site
$23/hr
Handle insurance verification, benefits review, and prior authorizations. * Track approvals and ... hire, temp to hire, temporary and payrolling services. We have multiple highly specialized ...
Insurance Authorization Specialist - NYC
Manhattan, NY · On-site
$23/hr
Handle insurance verification, benefits review, and prior authorizations. * Track approvals and ... hire, temp to hire, temporary and payrolling services. We have multiple highly specialized ...
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Quick apply
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
Quick apply
Insurance Verification & Authorizations Specialist
Dallas, TX · On-site
$18 - $20/hr
Perform authorization follow-up to ensure approvals are received prior to date of service * Navigate and manage all major payer online portals (Medicare MACs, Medicaid, BCBS, UHC, Aetna, Cigna ...
... prior authorization, and medical policy implementation. This role translates complex regulatory, legal, and policy requirements into disciplined execution, bringing structure to ambiguity and driving ...
New
... prior authorization, and medical policy implementation. This role translates complex regulatory, legal, and policy requirements into disciplined execution, bringing structure to ambiguity and driving ...
New
Temporary Cigna Prior Authorization information
What is the difference between Temporary Cigna Prior Authorization vs Medical Billing Specialist?
| Aspect | Temporary Cigna Prior Authorization | Medical Billing Specialist |
|---|---|---|
| Primary Role | Reviewing and approving insurance prior authorization requests | Processing and submitting medical claims for payment |
| Credentials | Knowledge of insurance policies, healthcare regulations | Medical coding, billing certifications |
| Work Environment | Healthcare insurance companies, administrative offices | Hospitals, clinics, billing companies |
| Industry Usage | Insurance and healthcare industry | Healthcare providers and billing services |
Temporary Cigna Prior Authorization specialists focus on evaluating insurance requests for coverage approval, while Medical Billing Specialists handle claims processing and reimbursement. Both roles require healthcare industry knowledge but serve different functions within the healthcare payment process.
Why is Cigna laying people off?
What are the key skills and qualifications needed to thrive as a Temporary Cigna Prior Authorization Specialist, and why are they important?
What is a Temporary Cigna Prior Authorization specialist?
What are the main challenges faced by someone in a Temporary Cigna Prior Authorization role, and how can they be managed?
Does Cigna offer temporary staffing?
Does Cigna offer remote jobs?
How many PTO days does Cigna give?

Oncology Prior Authorization Case Manager, Non-RN - Remote
Miami, FL • On-site, Remote
Full-time
Medical, Dental
Re-posted 4 days ago
University Of Miami rating
7.7
Based on 52 frontline employees who took The Breakroom Quiz
228th of 555 rated colleges and universities
Job description
Current Employees:
If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.
The University of Miami Health System Department of UMHC SCCC Business Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials. They are accountable for a designated patient caseload and provide intervention and coordination to decrease avoidable delays, at all times they provide communication of progress and or determination to the clinical team and or the patient. He/she monitors care and acts as a liaison between patient/family, healthcare personnel, and insurers. Evaluates the needs of the patient, the resources available, and recommends and facilitates for the best outcome to meet ongoing patient needs that encourages compliance with medical advice.
CORE FUNCTIONS:
Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of care services
Follows the authorization process using established criteria as set forth by the payer or clinical guidelines
Accurate review of coverage benefits and payer policy limitations to determine appropriateness of requested services
Refers to the treatment plan for clinical reviews in accordance with established criteria and guidelines
Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare team
Identifies potential delays in treatment or inappropriate utilization by reviewing the treatment plan, serves as a resource to provide education regarding payer policies and assists with coordination of alternative treatment options
Ensures and Maintains effective communication regarding authorization status and determination to the clinical team and on occasion the patient.
Proactive communication with leadership regarding barriers and or potential delays in care Identifies opportunities for expedited requests and prioritizes caseload accordingly
Maintains knowledge regarding payer reimbursement policies and clinical guidelines.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS:
Education:
Bachelor's degree in relevant field; or equivalent
Experience:
Minimum of 2 years of relevant experience
Oncology - Preferred
Any relevant education, certifications and/or work experience may be considered
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.
Job Status:
Full timeEmployee Type:
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About University of Miami
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The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.
Industry
Colleges, universities, and professional schools
Company size
10,000+ Employees
Headquarters location
Coral Gables, FL, US
Year founded
1925