Top 298 Remote medical prior authorization Jobs in Georgia

Eligibility Representative - Accredo - Remote
The Cigna Group —Georgia
- Online Application
- Remote
- High school diploma or GED
- Fair chance
- 1 year
9d
Manager of Clinical Annotation - Remote
UnitedHealthcare —Atlanta, GA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
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
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
Remote Medical Assistant- Healthguide
Guidehealth —Atlanta, GA
- $21 - $24 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Primary Care
- Paid training
- Paid parental leave
Radiology Patient Scheduling Representative
T2 Group —Covington, GA
- $18 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- 401(k)
- Work from home
Quick Apply
Field Reimbursement & Payer Relations Manager - Remote
Avanos Medical —Georgia
- $135,000 - $157,000 a year
- Full-time
- Up to 50% travel
- HIPAA
- Bachelor's degree
- Health insurance
- 401(k) matching
Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote
Avanos Medical —Alpharetta, GA
- $160,000 - $185,000 a year
- Full-time
- Remote
- Windows
- Analysis skills
- Bachelor's degree
- Health insurance
- 401(k) matching
Remote Field Services Sales Executive
The CSI Companies —Atlanta, GA
- $55 - $75 an hour
- Contract
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Disability insurance
Quick Apply
2d
Building Engineer
Lincoln Property Company —Sandy Springs, GA
- On call
- Background check
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Senior Organizational Effectiveness Consultant
Delta Dental —Alpharetta, GA
- $80,500 - $174,300 a year
- Full-time
- Background check
- Master's degree
- Analysis skills
- Paid holidays
- Health insurance
5d
Building Engineer
Lincoln Property Company —Atlanta, GA
- On call
- Background check
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
9d
Building Engineer
Lincoln Property Company —Atlanta, GA
- Weekends as needed
- Background check
- Microsoft Outlook
- Computer literacy
- AD&D insurance
- Paid holidays
Quick Apply
Senior Specialist, Process Improvement
Oscar Health —Atlanta, GA
- $67,813.20 - $89,004.83 a year
- Overtime
- Remote
- Mid-level
- Presentation skills
- Leadership
- Paid parental leave
- Paid holidays
Quick Apply
12d
Care Concierge, US Remote
Carewell —Georgia
- Full-time
- Remote
- Spanish
- Google Workspace
- Adults
- Paid holidays
- 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
Healthguide - Community Resource
Guidehealth —Atlanta, GA
- $19.00 - $20.50 an hour
- Full-time
- Remote
- Bilingual
- HIPAA
- Mid-level
- Paid parental leave
- Disability insurance
Client Liaison
Open Mind Health —Atlanta, GA
- $17 - $20 an hour
- Full-time
- Remote
- Psychiatry
- Medical office experience
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
4d
Registered Nurse - GI
Oshi Health —Atlanta, GA
- $80,000 - $100,000 a year
- Weekends as needed
- Remote
- Nursing
- Patient monitoring
- RN License
- Paid holidays
- Health insurance
Quick Apply
4d
Claims Examiner - Commercial GL
Core Specialty —Atlanta, GA
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- 3 years
- Wellness program
- Health savings account

I want to receive the latest job alert for remote medical prior authorization in georgia

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

remote medical prior authorization jobs near georgia

Associate Director jobs in Alpharetta, GA

Building Engineer jobs in Atlanta, GA

Medical Assistant jobs in Atlanta, GA

Claims Examiner jobs in Dallas, TX

Director Of Process Improvement jobs in Atlanta, GA

Community Resource Specialist jobs in Atlanta, GA

Clinic Manager jobs in Atlanta, GA

Patient Services Coordinator jobs in Georgia

Eligibility Specialist jobs in Atlanta, GA

Call Center Representative jobs in Georgia

Registered Nurse Endoscopy jobs in Atlanta, GA

Liaison jobs in Atlanta, GA

Field Executive jobs in Atlanta, GA

Building Engineer jobs in Sandy Springs, GA

Associate Director jobs in Arizona State University, AZ

Associate Director jobs in Boise, ID

Safety Director jobs in Atlanta, GA

Associate Attorney jobs in Denver, CO

Research Associate jobs in Philadelphia, PA

Associate Director jobs in San Antonio, TX

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

remote medical prior authorization jobs in georgia

Eligibility Representative - Accredo - Remote

Manager of Clinical Annotation - Remote

Eligibility & Benefits Specialist

Patient Services Specialist

Remote Medical Assistant- Healthguide

Radiology Patient Scheduling Representative

Field Reimbursement & Payer Relations Manager - Remote

Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote

Remote Field Services Sales Executive

Building Engineer

Senior Organizational Effectiveness Consultant

Building Engineer

Building Engineer

Senior Specialist, Process Improvement

Care Concierge, US Remote

Sales Call Center Representative

Healthguide - Community Resource

Client Liaison

Registered Nurse - GI

Claims Examiner - Commercial GL

I want to receive the latest job alert for remote medical prior authorization in georgia

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected