Prior Authorization Representative- Evernorth- Remote

The Cigna Group • Tallahassee, FL • 2d ago

If you are organized, patient focused, and ready to grow in healthcare, this role is a great place to start. As a Prior Authorization Representative, you will help patients get approval for Enteral Nutrition services by working with insurance companies, care teams, and providers. You build strong communication skills, and support a team that is focused on timely, compassionate service.

Job Summary

The Prior Authorization Representative supports the authorization process for enteral services. This includes submitting new and renewal requests, following up with insurance plans, helping collect medical documents, and sharing updates with patients, prescribers, and internal teams. This role is ideal for an early career candidate who enjoys details, teamwork, problem solving, and helping patients move through the care process with less delay.

Hours: 8:30am-5pm EST, Monday-Friday

Responsibilities

Submit initial and renewal prior authorization requests through payer portals, phone, fax, or other approved methods.

Track open requests and follow up on time to help reduce delays in care.

Review information for accuracy and completeness before sending requests to insurance plans.

Work with clinicians and internal teams to gather documents needed to support authorization requests.

Share clear updates with patients, prescribers, and team members about approvals, denials, or next steps.

Respond to email, chat, and other requests in a timely and professional way.

Manage daily tasks and priorities while meeting team quality and productivity goals.

Keep patient information private and document work accurately.

Qualifications

Required Qualifications

High school diploma or GED.

Minimum 1 year of experience in customer service, administrative support, healthcare support, insurance, call center, data entry, or a related role.

Basic knowledge of medical terminology

Comfort using computers and Microsoft Office applications, including Outlook, Word, and Excel.

Clear written and verbal communication skills.

Strong attention to detail and ability to stay organized while managing multiple tasks.

Customer-focused mindset and ability to work well with patients, providers, and internal teams.

Ability to handle confidential patient information with care.

Preferred Qualifications

Experience in healthcare, insurance verification, prior authorization, patient access, billing, pharmacy, home infusion, or durable medical equipment (DME).

Familiarity with payer websites, insurance eligibility, coordination of benefits, formularies, denials, or appeals.

Experience working in a fast-paced team environment where accuracy and follow-up are important.

As part of Evernorth Health Services, this role supports CarepathRx within

our Pharmacy and Care Delivery organization. Our team focuses on

specialty pharmacy and infusion services in partnership with hospitals and

health systems.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here (https://jobs.thecignagroup.com/us/en/benefits) .

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Similar Jobs

Lead Finance Analyst

Lumen • Tallahassee, FL • 19min ago

Finance, Accounting & Banking

Lumen is the trusted network for the AI-powered world, connecting people, data, and applications through our expansive fiber network and connected ecosystem. We enable secure, high-performance connectivity across cloud,...

19min ago

Go to Apply

SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41000181 1

MyFlorida • Tallahassee, FL • 46min ago

Legal & Paralegal

SENIOR ASSISTANT ATTORNEY GENERAL-DLA - 41000181 1 Date: Jul 8, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ( http://www.dms.myflorida.com/workforce\operati...

46min ago

Go to Apply

SENIOR ATTORNEY - 79001514

MyFlorida • Tallahassee, FL • 47min ago

Legal & Paralegal

SENIOR ATTORNEY - 79001514 Date: Jul 8, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ( http://www.dms.myflorida.com/workforce\operations/human\resource\manag...

47min ago

Go to Apply

Americas Technology and Data Risk Leader

EY • Tallahassee, FL • 1h ago

IT & Engineering

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better wor...

1h ago

Go to Apply

Committee Operations Manager

MAXIMUS • Tallahassee, FL • 1h ago

Management & Administrative

Are you energized by leading complex initiatives while improving how organizations operate day-to-day? We're seeking a Committee Operations Manager to drive the successful execution of key projects while optimizing opera...

1h ago

Go to Apply

Warehouse Clerk- Tallahassee

Home Depot • Tallahassee, FL • 2h ago

Management & Administrative

WAREHOUSE CLERK Temco Logistics is seeking a hardworking and detail-oriented Warehouse Clerk to join our team. As a Warehouse Clerk, you will play a key role in ensuring that customer orders are accurately prepared, chec...

2h ago

Go to Apply

Nurse Auditor

Humana • Tallahassee, FL • 2h ago

Hospital & Medical

Become a part of our caring community The Nurse Auditor 2 will perform Readmission or Short Stay clinical audits to ensure that medical record documentation and diagnosis coding for services rendered is complete, complia...

2h ago

Go to Apply

879511 - CHIEF OF LABOR MARKET STATISTICS - 40050000

MyFlorida • Tallahassee, FL • 5h ago

Management & Administrative

879511 - CHIEF OF LABOR MARKET STATISTICS - 40050000 Date: Jul 14, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ( http://www.dms.myflorida.com/workforce\oper...

5h ago

Go to Apply

[REMOTE] Senior Platform Software Engineer- Oracle Clinical Digital Assistant

Oracle • Tallahassee, FL • 5h ago

Hospital & Medical

Job Description As a Senior Platform Developer, you will be a key contributor to the development and success of our next-generation CDA platform, which leverages the power of generative AI and cloud-native technologies....

5h ago

Go to Apply

Technical Manager, Industrial Sales (Americas)

Avnet • Tallahassee, FL • 5h ago

Legal & Paralegal

Who We Are: At Avnet, relationships matter. We are a global, FORTUNE ® 500 technology distributor and solutions company that delivers design, supply chain and logistics expertise to customers at every stage of a product'...

5h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)