Top 404 Authorization representative Jobs in South Carolina

Eligibility Representative - Accredo - Remote
The Cigna Group —South Carolina
- Online Application
- Remote
- High school diploma or GED
- Fair chance
- 1 year
Sales Call Center Representative
Oak Street Health —South Carolina
- $15.00 - $32.31 an hour
- Full-time
- Remote
- Computer literacy
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Funding Specialist II - North Region
National Seating & Mobility, Inc. —North, SC
- Microsoft Outlook
- Mid-level
- Office
- Disability insurance
- 401(k)
Quick Apply
Dispensing Optician
Family Vision of Anderson, PA —Anderson, SC
- $16 - $20 an hour
- Full-time
- Customer service
- HIPAA
- Computer skills
- Health savings account
- Health insurance
Quick Apply
FAMILY SERVICES COORDINATOR I
WE ARE SHARING HOPE SC —North Charleston, SC
- Rotating shift
- RN License
- Hospital
- Public speaking
Financial Advisor - Entrepreneurly minded - Business Development - Career Changers Encouraged
Northwestern Mutual —Columbia, SC
- $75,000 - $250,000 a year
- Full-time
- Hybrid work
- Military
- Mid-level
- Business development
- Health savings account
- Disability insurance
Quick Apply
Family Services Coordinator I
WE ARE SHARING HOPE SC —Greenville, SC
- Weekends as needed
- Sales
- Hospital
- Public speaking
- Flexible schedule
Engineer I, Process
Toray Composite Materials America, Inc. —Moore, SC
- Computer literacy
- English
- Mid-level
Quick Apply
Part-Time Administrative Assistant and Census Technician
Alpha Genesis, Inc. —Beaufort, SC
- From $20 an hour
- Part-time
- Background check
- Writing skills
- Basic math
Quick Apply
7d
Manager, Maintenance
Toray Composite Materials America, Inc. —Moore, SC
- Microsoft Word
- Computer literacy
- Basic math
Quick Apply
Patient Services Representative-Fertility Ctr MMOB, F/T Day
Prisma Health —Greenville, SC
- Full-time
- Hospital
- No experience needed
- Office
Customer Service / Healthcare Claims Rep (Remote)
Concentrix —South Carolina
- $15 - $18 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
1d
Medicaid Patient Support Representative
HCA Healthcare Trident Hospital —Charleston, SC
- Full-time
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
2d
Customer Service Representative (Remote)
Concentrix —South Carolina
- $15 an hour
- Urgently hiring
- Remote
- Microsoft Outlook
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
MIR Specialist
National Seating & Mobility, Inc. —North, SC
- Remote
- Microsoft Outlook
- Mid-level
- Disability insurance
- 401(k)
Quick Apply
11d
Customer Service Representative - Healthcare (Seasonal, Remote)
Concentrix —South Carolina
- $15 an hour
- Urgently hiring
- Remote
- Background check
- Computer literacy
- Residential
- Paid training
- Paid holidays
Patient Access Representative
Beaufort Memorial Hospital —Beaufort, SC
- Full-time
- Hospital
- Entry level
Business Office Representative, FT, Days
Prisma Health —Columbia, SC
- Full-time
- Hospital
- Mid-level
- Office
Patient Access Representative - Okatie
Beaufort Memorial Hospital —Okatie, SC
- Full-time
- Hospital
- Entry level
1d
Prior Authorization Specialist
iTrust Wellness Group, LLC —Greenville, SC
- From $20 an hour
- Full-time
- Background check
- Medical office experience
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
1d

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Eligibility Representative - Accredo - Remote

The Cigna Group -
South Carolina

Apply Now

Job Details

Full-time

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 south carolina

Eligibility Representative - Accredo - Remote

Sales Call Center Representative

Funding Specialist II - North Region

Dispensing Optician

FAMILY SERVICES COORDINATOR I

Financial Advisor - Entrepreneurly minded - Business Development - Career Changers Encouraged

Family Services Coordinator I

Engineer I, Process

Part-Time Administrative Assistant and Census Technician

Manager, Maintenance

Patient Services Representative-Fertility Ctr MMOB, F/T Day

Customer Service / Healthcare Claims Rep (Remote)

Medicaid Patient Support Representative

Customer Service Representative (Remote)

MIR Specialist

Customer Service Representative - Healthcare (Seasonal, Remote)

Patient Access Representative

Business Office Representative, FT, Days

Patient Access Representative - Okatie

Prior Authorization Specialist

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

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