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Pharmacy Prior Authorization Senior Representative

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The Cigna Group

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Location:
United States , Remote

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Category:
Pharmacy

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Contract Type:
Not provided

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Salary:

19.00 - 29.00 USD / Hour
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Job Description:

As a Pharmacy Prior Authorization Senior Representative, you will be working on a specialized team focused on high touch programs to assist our patients. This role is very detail oriented, and you'll spend the majority of your day researching benefits, obtaining prior authorizations, processing orders and talking to patients and/or providers. Our representatives are dedicated team members who excel at customer service, helping us elevate our pharmacy patient care to new heights.

Job Responsibility:

  • Accurately enter prescriptions into our system, adjudicate claims and work rejections, and support patients with their medication orders
  • Rapid and thorough investigation of processing/benefit inquiries from Freedom Inside Sales team
  • Insurance Inquiries/benefit checks
  • Cross trained in multiple areas while maintaining proficiency and accuracy
  • Juggle multiple tasks without sacrificing attention to detail
  • Help patients understand their pharmacy benefits better and answer patient calls effectively
  • Use empathy and strong communication skills to handle patient questions, payment method processing, and prior authorization follow up

Requirements:

  • High School Diploma, or GED required
  • 2+ years pharmacy technician experience
  • Valid National Pharmacy Technician certification is required
  • Valid Arizona State pharmacy technician license is required
  • Microsoft Office proficiency and data entry skills
  • Strong math skills related to prescription calculations
  • Exceptional attention to detail, accuracy, and quality
  • Excellent verbal and written communication skills
  • Ability to work a rotating work schedule
  • Internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload
What we offer:
  • Annual bonus plan eligibility
  • Health-related benefits including medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • Company paid life insurance
  • Tuition reimbursement
  • Minimum of 18 days of paid time off per year
  • Paid holidays

Additional Information:

Job Posted:
January 06, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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