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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Job Description

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.

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.
• 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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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.