The Intake Care Representative is a member of the Clinical team and works close together with Ops team.
KEY AREAS :
Processes GOPS and takes ownership of cases as required.
Works on sensitive / escalated cases as required.
Follows established departmental policies and procedures to process & triage GOPs.
Liaises with hospitals in case additional info is needed.
Negotiates discounts with providers.
Steers member to alternative providers.
Liaises and ensures efficient coordinatio with the medical / case management teams.
Works independently and effectively communicate to internal and external customers by telephone and email.
Maintains accurate workflow and process documents.
Translates and interprets medical and other relevant documents when needed.
Convey messages in clear language, pay attention to specific circumstances and appropriate style.
Customer-focused : communicates empathically.
Skilled decision-maker : takes the right action on dedicated files based on the information available.
Accurate : works accurately by giving complete and correct answers. Good negotiation skills.
Responsible : ensures that assigned contracts are followed up in a diligent, timely and accurate manner.
Disciplined : follows procedures, agreements and document flows correctly.
Efficient : able to strike the right balance between quality and quantity.
Team-player : enjoys working as part of a team.
Computer-literate : quick to learn International in-house systems and use current office applications
Cigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.
Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions.
Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.
When you work with Cigna, you’ll enjoy meaningful career experiences that enrich people’s lives while working together to make the world healthier place.
What difference will you make? To see our culture in action, search #TeamCigna on Instagram.
Want to have your account deleted? Email Seeyourself cigna.com