Top 710 Authorization representative Jobs in Georgia

Eligibility Representative - Accredo - Remote
The Cigna Group —Georgia
- Online Application
- Remote
- High school diploma or GED
- Fair chance
- 1 year
9d
Patient Services Specialist
Converge Medical Technology —Georgia
- $22 - $26 an hour
- Full-time
- Remote
- 1 year
- Entry level
- Health savings account
- Disability insurance
Quick Apply
Sales Call Center Representative
Oak Street Health —Georgia
- $15.00 - $32.31 an hour
- Full-time
- Remote
- Computer literacy
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Claims Representative - Atlanta, GA
Federated Mutual Insurance Company —Atlanta, GA
- $63,800 - $78,000 a year
- Full-time
- Customer service
- Office
- Analysis skills
- Health insurance
- 401(k)
Billing Representative- Remote
SPECIALTY RX OF GA LLC —Atlanta, GA
- Weekends as needed
- Remote
- Computer literacy
- Research
- Mid-level
Quick Apply
10d
Customer Service / Healthcare Claims Rep (Remote)
Concentrix —Georgia
- $15 - $18 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
3d
Radiology Patient Scheduling Representative
T2 Group —Conyers, GA
- $18 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- 401(k)
- Work from home
Quick Apply
Eligibility & Benefits Specialist
Oshi Health —Atlanta, GA
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
2d
Customer Service Representative - Healthcare (Seasonal, Remote)
Concentrix —Georgia
- $15 an hour
- Urgently hiring
- Remote
- Background check
- Computer literacy
- Residential
- Paid training
- Paid holidays
Registry Patient Access Representative
Emory Healthcare —Atlanta, GA
- $22.50 an hour
- PRN
- Customer service
- Mid-level
- Master's degree
- Wellness program
- Health insurance
Patient Access Representative
Emory Healthcare —Atlanta, GA
- $18.90 - $23.03 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
- Wellness program
- Health insurance
Customer Service Representative (Remote)
Concentrix —Georgia
- $15 an hour
- Urgently hiring
- Remote
- Microsoft Outlook
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
Registered Nurse (RN) Utilization Management - M-F (8a-4:30p) - North Fulton
3410 Wellstar North Fulton Hospital, Inc. —Roswell, GA
- Full-time
- Nursing
- RN License
- Computer literacy
3d
Registry Patient Access Rep
Emory Healthcare —Atlanta, GA
- $22.50 an hour
- PRN
- Customer service
- Mid-level
- Master's degree
- Wellness program
- Health insurance
Utilization Review Specialist
Positive Impact Health Centers INC —Decatur, GA
- Full-time
- LMFT
- Psychiatry
- RN License
Default Service Specialist II
Stellantis Financial Services US —Atlanta, GA
- Overtime
- Hybrid work
- Analysis skills
- Travel
- US work authorization
- Opportunities for advancement
Quick Apply
Customer Experience Representative (Advanced Support) - 1-Year Contract Weekend Availability Required - Remote Opportunity
Superior Plus Propane —Georgia
- $18.00 - $22.50 an hour
- Weekends as needed
- Remote
- Spanish
- Computer literacy
- US work authorization
- Employee assistance program
- Flexible schedule
Quick Apply
Professional Services Technical Consultant
Fiserv —Alpharetta, GA
- $100,000 - $162,000 a year
- Full-time
- Computer science
- Computer Science
- Office
- Paid parental leave
- Employee stock purchase plan
Patient Service Representative
American Health Imaging —Marietta, GA
- Full-time
- Outpatient
- Medical terminology
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Insurance Verifier
Proco LLC —Marietta, GA
- Extended hours
- Microsoft Outlook
- Medical office experience
- Mid-level
Quick Apply

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Eligibility Representative - Accredo - Remote

The Cigna Group -
Georgia

Apply Now

Job Details

Full-time
9 days ago

Benefits

Smoking cessation program

Qualifications

Medical insurance coverage verification
Health insurance customer support
Customer inquiry handling
Outbound calling

Full Job Description

As an Eligibility Representative, you’ll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions. This role handles each inquiry with care, detail, and most importantly, empathy.

Here’s a little more on how you’ll make a difference:

PRIMARY RESPONSIBILITIES:

Review and interpret insurance eligibility, coverage details, and benefit limitations to determine clearance requirements.
Initiate outbound communication with insurance plans and third‑party payers to obtain benefit details, resolve coverage questions, and confirm authorization requirements.
Navigate prior authorization processes by gathering required information and ensuring payer criteria are met accurately.
Document benefit findings, authorization outcomes, and clearance decisions thoroughly and consistently within internal systems.
Apply feedback and payer knowledge to continuously improve accuracy, efficiency, and overall clearance quality.

QUALIFICATIONS:

Minimum of 1 year of experience in a healthcare or health insurance setting performing eligibility verification, benefits investigation, prior authorizations, or patient access support.
Direct experience working with insurance plans or payers, including outbound calls to obtain or clarify coverage information.
Working knowledge of pharmacy (PBM) benefits and medical benefits, with the ability to interpret plan details accurately.
Experience documenting insurance and authorization information with a high level of accuracy and attention to detail.
Ability to manage detailed, repetitive work in a structured environment while maintaining consistency and quality.
Strong written and verbal communication skills appropriate for professional interactions with payer representatives.
High School Diploma or equivalent.
Must live and work remotely in one the following states: Alabama, Indiana, South Carolina, or Tennessee.

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.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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 [email protected] 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.

Apply Now

Refine Your Search

authorization representative jobs in georgia

Eligibility Representative - Accredo - Remote

Patient Services Specialist

Sales Call Center Representative

Claims Representative - Atlanta, GA

Billing Representative- Remote

Customer Service / Healthcare Claims Rep (Remote)

Radiology Patient Scheduling Representative

Eligibility & Benefits Specialist

Customer Service Representative - Healthcare (Seasonal, Remote)

Registry Patient Access Representative

Patient Access Representative

Customer Service Representative (Remote)

Registered Nurse (RN) Utilization Management - M-F (8a-4:30p) - North Fulton

Registry Patient Access Rep

Utilization Review Specialist

Default Service Specialist II

Customer Experience Representative (Advanced Support) - 1-Year Contract Weekend Availability Required - Remote Opportunity

Professional Services Technical Consultant

Patient Service Representative

Insurance Verifier

I want to receive the latest job alert for authorization representative in georgia

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