Job Information
The Cigna Group Intake Care Associate Analyst in Selangor, Malaysia
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
Working Schedule: Wednesday through Sunday: 4AM to 1PM EST US time – 4PM to 1AM Malaysia time.
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
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.