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Trainee Cigna Prior Authorization Jobs (NOW HIRING)

Alpaca Health

Prior Authorization Manager

New York, NY · On-site +1

Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to ... Cigna * You are highly organized and relentless about follow-through, nothing falls through the ...

Alpaca Health

Prior Authorization Manager

New York, NY · On-site

Prior Authorizations Manager Responsibilities: * Work with our Prior Authorizations vendor to ... Cigna * You are highly organized and relentless about follow-through, nothing falls through the ...

Cigna

Product Owner Senior Advisor- Hybrid

Plano, TX · Hybrid

Cigna-Evernorth Services Inc. seeks a Product Owner Senior Advisor for the Plano, TX location to ... prior authorizations, and ID cards are identified, prioritized, documented, and successfully ...

Cigna

Product Owner Senior Advisor- Hybrid

Plano, TX · On-site

Cigna-Evernorth Services Inc. seeks a Product Owner Senior Advisor for the Plano, TX location to ... prior authorizations, and ID cards are identified, prioritized, documented, and successfully ...

Cigna

Software Engineering Advisor- Hybrid

Plano, TX · Hybrid

Cigna-Evernorth Services Inc. seeks a Software Engineering Advisor for the Plano, TX location ... role with healthcare prior authorization. All qualifying experience must include: creating ...

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Trainee Cigna Prior Authorization information

How many PTO days does Cigna give?

As a Trainee Cigna Prior Authorization employee, PTO policies typically align with company standards for new employees, often starting at around 10 to 15 days annually, including vacation and personal days. The exact amount may vary based on location, tenure, and employment status, and employees should refer to the company's employee handbook or HR for specific details.

What is the difference between Trainee Cigna Prior Authorization vs Medical Claims Processor?

AspectTrainee Cigna Prior AuthorizationMedical Claims Processor
CertificationsTypically none or entry-level certificationsCertification in medical billing or coding often preferred
Work EnvironmentHealthcare insurance, administrative officeHealthcare insurance, administrative office
Job FocusReviewing and approving prior authorization requestsProcessing and reviewing insurance claims
Employer/Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare providers

While both roles operate within healthcare insurance, Trainee Cigna Prior Authorization focuses on evaluating requests for medical services before approval, whereas Medical Claims Processors handle the billing and claims after services are rendered. Understanding these differences helps job seekers target the right position based on their skills and career goals.

Why is Cigna laying people off?

Cigna, including roles like Trainee Cigna Prior Authorization, may lay off employees due to organizational restructuring, cost management, or changes in business priorities. Such layoffs are typically part of broader corporate strategies to improve efficiency or adapt to market conditions.

Who handles prior authorization for Cigna?

For a Trainee Cigna Prior Authorization role, the responsibility typically falls to healthcare professionals, such as medical reviewers or authorization specialists, who review clinical information to approve or deny prior authorization requests. These professionals work within Cigna's healthcare team and use specific guidelines and tools to process requests efficiently.

Does Cigna offer remote jobs?

Cigna offers remote job opportunities for roles such as Trainee Cigna Prior Authorization, especially in positions that involve administrative tasks, customer service, or telehealth. Remote work availability can vary by position and location, and candidates should review specific job postings for remote options and requirements.
What cities are hiring for Trainee Cigna Prior Authorization jobs? Cities with the most Trainee 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 Trainee Cigna Prior Authorization jobs? States with the most job openings for Trainee Cigna Prior Authorization jobs include:
Trainee Cigna Prior Authorization jobs near you

Prior Authorization Manager

Alpaca Health

New York, NY • On-site, Remote

Full-time

Posted 6 days ago

Job description

About Alpaca Health
Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We've raised over $14M in funding from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership. More importantly, we're serving thousands of patients, while growing 30% - 50% MoM.
This role is full-time, remote, and based in the United States
Role: Prior Authorizations Manager
Responsibilities:
  • Work with our Prior Authorizations vendor to resolve complex authorization issues including coordinating with our providers, patients and payors
  • Be the inhouse expert for all prior authorizations and pre-certification requests and requirements for a region or set of payors
  • Support the team in chasing down documentation, resolving auth rejections, and navigating payer requirements
  • Work with the operations team to identify bottlenecks, inefficiencies, and opportunities across the intake workflow
  • Develop processes and training materials for offshore team members to resolve day-to-day prior authorization issues
  • Own Prior Authorization outcomes and KPIs for your region / payors

Who You Are
  • [REQUIRED] 5+ years of experience in ABA intake with a specific focus on Prior Authorizations or Insurance Certification
  • [REQUIRED] Strong understanding of the ABA pre-certification process for Tricare East, Medicaid MCOs, BCBS State plans, Aetna, and/or Cigna
  • You are highly organized and relentless about follow-through, nothing falls through the cracks on your watch
  • Extreme detail orientation and ability to read complex clinical documents, payor feedback, and EHR data with regards to prior authorization workflows
  • You communicate clearly and confidently with everyone from parents to clinicians to payor contacts
  • You are a problem-solver - you identify the issue and fix it
  • You are comfortable with ambiguity and can make good judgment calls in real time
  • You hold yourself to a high bar while remaining approachable and supportive

Why Join
  • The opportunity to materially impact the health outcomes of the most vulnerable populations
  • Opportunity for rapid career growth as we build out a net new function at Alpaca Health
  • Join one of the fastest growing healthcare startups in the world (between 30% - 50% monthly growth)
  • Join a team of rockstar performers who are taking a new tech first approach to building a scalable digital health platform

Apply