Remote Senior Pharmacy PA Specialist - Bonus Eligible

Cigna Healthcare; Oregon; Hybrid; USD 26,000 - 40,000; Full time

Benefits offered by this job

Health, vision, dental benefits

401(k)

Life insurance

Tuition reimbursement

Paid time off (min 18 days/yr)

Paid holidays

Job summary

The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to join a high-touch, patient-focused team. You will research benefits, obtain prior authorizations, process orders, and coordinate with sales teams, patients, and providers.

You will work with a clinic-specific EMR, submitting and appealing prior authorizations, and resolving benefit inquiries with accuracy and care. A detail-oriented mindset and teamwork are essential.

Qualifications

• High School Diploma or GED required.
• 2+ years of Pharmacy Technician experience.
• Valid National Pharmacy Technician certification required.
• Valid AZ MA IL Pharmacy Technician licenses required.
• Microsoft Office proficiency and data entry skills.
• Strong mathematical skills for prescription calculations.
• Exceptional attention to detail and accuracy.
• Excellent verbal and written communication skills.
• Ability to multitask in PC/Phone tasks.
• 1+ year experience with prior authorization submission using CoverMyMeds or similar tools.
• Experience with prior authorization appeals/denials.
• EMR systems experience; infertility experience a plus.
• Demonstrated ownership of projects and teamwork; ability to meet deadlines.

Responsibilities

• Enter prescriptions accurately and adjudicate claims; process rejections.
• Use clinic EMR to obtain information for prior authorizations.
• Submit, follow up, and appeal prior authorizations.
• Handle insurance inquiries and benefit checks.
• Respond to inquiries from internal sales, patients and providers.
• Participate in training sessions and program meetings.
• Balance multiple tasks without sacrificing accuracy.
• Support patients and providers in understanding pharmacy benefits.

Skills

Pharmacy technician experience

Certification: National Pharmacy Tech

State licenses: AZ MA IL

Microsoft Office proficiency

Data entry

Math for prescriptions

Attention to detail

Verbal and written communication

Multitasking

CoverMyMeds knowledge

Prior authorization appeals/denials

EMR systems experience

Infertility experience a plus

Teamwork and ownership

Education

High School Diploma or GED

Tools

CoverMyMeds

EMR systems

Job description

The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to join a high-touch, patient-focused team. You will research benefits, obtain prior authorizations, process orders, and coordinate with sales teams, patients, and providers.

You will work with a clinic-specific EMR, submitting and appealing prior authorizations, and resolving benefit inquiries with accuracy and care. A detail-oriented mindset and teamwork are essential.