Intake Care Representative - Cigna Healthcare

Intake care representative

• The job profile for this position is Intake Care Representative, which is a Band 1 Professional Career Track Role.

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• Our people make all the difference in our success.
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• Job description
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• • You are responsible for the timely sending of all Guarantees of Payments together with your colleagues. 
  • The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment and insured amount.  To be able to provide this confirmation, the following steps are necessary:
  • You analyse requests for medical treatments and hospitalizations.  You verify the patient’s extent of cover, our relationship with the provider, the need for medical review and the costs. 
  • You monitor the file from an administrative perspective and work
  • You have frequent contacts with medical providers and individual insured, mainly by phone, to obtain all necessary information.
  • You are the focal point of contact for hospitals regarding all their questions related to the Guarantee of Payment.
  • All our clients and medical providers are internationally located.  Therefore, you manage the English language well, both spoken and written. 
  • 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

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• Competencies
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• • 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
  • Ready to work on weekends and 24x7 shifts
  • Computer-literate: quick to learn International in-house systems and use current office applications

Education*: Graduate (Any) - Any Preferably, medical, Paramedical, Pharmacy or Nursing.

Experience Range*: Minimum 1 year of experience in healthcare services or processing of healthcare insurance Pre-Authorization or claims

Foundational Skills* - Expertise in international insurance claims Pre-auth  processing

Work Timings*: 24/7

Job Location*: Bengaluru (Bangalore)

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