Job Description

ABOUT US

Cigna is a global health insurance company, dedicated to its mission of helping the people we serve improve their health, well-being and sense of security. We are a young and dynamic company that is constantly evolving to keep alive the highest concept of wellness and provide our customers the best service.

Our team is expanding, and we are looking for new members to join our International Clinical Team as Intake Care Analysts to operate on a global scale.

You will be a member of the Clinical Operations team and work closely with the Pre-Authorization team.

JOB DESCRIPTION

You will be responsible for the timely intake and processing of all incoming cases as well as Guarantee of Payments.

The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment, and insured amount.

Analyze requests for hospitalization and evaluating treatments, as well as amount and the length of stay depending on policy.

Act as liaison between medical providers and insured individual, mainly by phone, to obtain all necessary information.

Review and monitor cases to ensure files are cascaded to appropriate teams, depending on specific identified triggers.

Act as point of contact for hospitals regarding all questions related to the Guarantee of Payment

Negotiate discounts with providers.

Maintain all necessary information regarding the hospitalizations in an internal database.

Translate and interpret medical and other relevant documents for case analysis.

Work independently and effectively to communicate to internal and external customers by telephone and e-mail.

Maintain accurate workflow and process documentation following outlined processes.

Qualifications

High School Diploma required.

1-2 years of experience in a customer service or claims environment.

Experience in healthcare operations background preferred.

Ability to speak, write and read English, any other language a plus.

Business Application: Ability to initiate research, plan and coordinate.

Proven ability to build relationships with matrix partners.

Ability to work and problem solve independently but escalate when needed.

Convey information clearly to both medical providers, internal partners, and customers.

Medical Terminology Background

Competencies

Customer-focused: works efficiently with internal partners to find best solutions for customers.

Skilled decision-maker takes the right action on dedicated files based on available information

Accuracy: ensures concise and correct information is being delivered

Disciplined: follows procedures, agreements and document flows correctly.

Efficiency: able to strike the right balance between quality and quantity

Team-player enjoys working as part of a team and building internal networks.

Computer-literate: quick to learn International in-house systems and use current office applications

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Cigna