Senior Pharmacy Prior Authorization Specialist

The Cigna Group; Phoenix (AZ); Híbrido; USD 26 000 - 40 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Dental and vision coverage

401(k) plan

Life insurance

Tuition reimbursement

Paid time off (PTO)

Resumo da oferta

The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to join a focused team delivering high-touch patient support. You will research benefits, process orders, and collaborate with internal sales, patients, and providers to ensure accurate prior authorizations.

You will navigate clinic EMRs, enter prescriptions, process claims, and handle benefit checks while maintaining meticulous attention to detail and strong communication.

Qualificações

• High School Diploma or GED required.
• 2+ years of Pharmacy Technician experience required.
• National Pharmacy Technician certification required.
• Arizona/Massachusetts/Illinois state license required.
• Microsoft Office proficiency and data entry skills.
• Strong math skills for prescription calculations.
• Excellent attention to detail and accuracy.
• Excellent verbal and written communication.
• Ability to multitask across PC/phone tasks.
• 1+ year of prior authorization submission using electronic tools.

Responsabilidades

• Enter prescriptions into system and adjudicate claims.
• Submit and follow up on prior authorizations and appeals.
• Use EMR to gather required information for prior authorizations.
• Respond to benefit inquiries from internal teams and providers.
• Assist patients and providers in understanding pharmacy benefits.
• Communicate clearly with internal and external stakeholders.

Conhecimentos

Pharmacy technician experience

Strong math skills

Verbal and written communication

Attention to detail

Multitasking

Prior authorization submission tools

Prior authorization appeals/denials

EMR systems experience

CoverMyMeds experience

Data entry

Formação académica

High School Diploma or GED

National Pharmacy Technician certification

Ferramentas

EMR systems

CoverMyMeds

Descrição da oferta de emprego

The Cigna Group is seeking a Pharmacy Prior Authorization Senior Representative to join a focused team delivering high-touch patient support. You will research benefits, process orders, and collaborate with internal sales, patients, and providers to ensure accurate prior authorizations.

You will navigate clinic EMRs, enter prescriptions, process claims, and handle benefit checks while maintaining meticulous attention to detail and strong communication.