Prior Authorization Technician Senior Rep

Cigna; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a Pharmacy Prior Authorization Senior Representative to enhance pharmacy patient care through effective communication and processing of prior authorizations. The role requires attention to detail, excellent communication skills, and experience as a Pharmacy Technician. This position offers a competitive pay rate starting at $19 per hour and includes a comprehensive benefits package, ensuring a supportive work environment.

Benefits

Health coverage

401(k) match

Tuition reimbursement

Paid time off

Life insurance

Holidays

Qualifications

• 2+ years of Pharmacy Technician experience required.
• Experience with prior authorization tools is a plus.
• Proficiency in data entry and strong organizational skills needed.

Responsibilities

• Research benefits and process pharmacy orders.
• Manage prior authorization submissions and follow-ups.
• Assist patients and providers with pharmacy benefits.

Skills

Attention to detail

Strong math skills

Excellent communication skills

Teamwork

Education

High School Diploma or GED

Valid National Pharmacy Technician certification

State pharmacy technician license for AZ, MA, or IL

Tools

CoverMyMeds

Microsoft Office

Job description

Pharmacy Prior Authorization Senior Representative - Remote AZ – Remote IL – Remote MA

Position Overview

The Pharmacy Prior Authorization Senior Representative is a Band 2 Professional Career Track Role focused on high-touch programs to assist patients. Responsibilities include researching benefits, obtaining prior authorizations, processing orders, and communicating with sales teams, patients, and providers to elevate pharmacy patient care.

Key Responsibilities

1. Enter prescriptions accurately, adjudicate claims, and handle rejections.
2. Use clinic-specific EMR systems to gather information for prior authorizations.
3. Follow contractual and company principles.
4. Investigate benefit inquiries and handle insurance questions.
5. Manage prior authorization submissions, follow-ups, and appeals.
6. Assist patients and providers in understanding pharmacy benefits.
7. Participate in meetings, training, and special projects.

Qualifications

• High School Diploma or GED.
• 2+ years of Pharmacy Technician experience.
• Valid National Pharmacy Technician certification.
• State pharmacy technician license for AZ, MA, or IL.
• Proficiency in Microsoft Office and data entry.
• Strong math skills for prescription calculations.
• Attention to detail and accuracy.
• Excellent communication skills.
• Experience with prior authorization tools like CoverMyMeds.
• Teamwork and ownership of projects.
• Ability to prioritize and meet deadlines.

Work Schedule & Requirements

• Monday-Friday, 9am-8pm EST, with weekends as needed.
• Home internet with minimum 10Mbps download and 5Mbps upload speeds.

Benefits & Additional Information

Starting at $19-$29/hour, plus eligibility for an annual bonus. Benefits include health coverage, 401(k) match, life insurance, tuition reimbursement, paid time off, and holidays. Visit Life at Cigna for more details.

We are an Equal Opportunity Employer and consider qualified applicants without regard to protected characteristics. Reasonable accommodations are available; contact [e-mail].

This position is subject to a tobacco-free policy in certain states. Criminal background considerations apply.