Senior Pharmacy Prior Authorization Specialist

The Cigna Group; Chicago (IL); Híbrido; USD 26 000 - 40 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health benefits

401(k)

Life insurance

Tuition reimbursement

Paid time off

Resumo da oferta

The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to join a high-touch team focused on patients. You will enter prescriptions, adjudicate claims, process orders and coordinate with internal sales, patients and providers to ensure accurate prior authorizations.

The role requires a Pharmacy Technician credential, strong attention to detail, and excellent communication. Schedule options include training shifts and posted shifts; remote work possible; benefits include

Qualificações

• 2+ years of Pharmacy Technician experience.
• National Pharmacy Technician certification is required.
• Valid Illinois State Pharmacy Technician license is required.

Responsabilidades

• Accurately enter prescriptions into our system, adjudicate claims and work rejections.
• Accurately use the clinic specific EMR to gain additional information needed to submit prior authorizations.
• Adhere to program-specific contractual agreements and company practices.
• Investigate processing/benefit inquiries from Fertility Inside Sales team.
• Perform prior authorization submission, follow up and appeals as needed.
• Help patients and providers understand their pharmacy benefits and answer questions effectively.
• Use strong communication skills to handle inquiries regarding prior authorizations.
• Participate in program-specific customer meetings and training sessions.

Conhecimentos

Pharmacy Technician

Customer service

Data entry

Formação académica

High School Diploma or GED

Ferramentas

CoverMyMeds

EMR systems

Descrição da oferta de emprego

The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to join a high-touch team focused on patients. You will enter prescriptions, adjudicate claims, process orders and coordinate with internal sales, patients and providers to ensure accurate prior authorizations.

The role requires a Pharmacy Technician credential, strong attention to detail, and excellent communication. Schedule options include training shifts and posted shifts; remote work possible; benefits include