Intake Care Associate Analyst At Cigna

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 amountAnalyze requests for hospitalization and evaluating treatments, as well as amount and the length of stay depending on policyAct as liaison between medical providers and insured individual, mainly by phone, to obtain all necessary informationReview and monitor cases to ensure files are cascaded to appropriate teams, depending on specific identified triggersAct as point of contact for hospitals regarding all questions related to the Guarantee of PaymentNegotiate discounts with providersMaintain all necessary information regarding the hospitalizations in an internal databaseTranslate and interpret medical and other relevant documents for case analysisWork independently and effectively to communicate to internal and external customers by telephone and e-mailMaintain accurate workflow and process documentation following outlined processesRequirementsQualificationsDiploma or Bachelors degree required1-2 years of experience in a customer service or claims environmentExperience in healthcare operations background preferredAbility to speak, write and read English, any other language a plusBusiness Application: Ability to initiate research, plan and coordinateProven ability to build relationships with matrix partnersAbility to work and problem solve independently but escalate when neededConvey information clearly to both medical providers, internal partners, and customersMedical Terminology BackgroundMust be comfortable to work permanently on night shift (working from home).CompetenciesCustomer-focused: works efficiently with internal partners to find best solutions for customersSkilled decision-maker: takes the right action on dedicated files based on available informationAccuracy: ensures concise and correct information is being deliveredDisciplined: follows procedures, agreements and document flows correctly.Efficiency: able to strike the right balance between quality and quantityTeam-player: enjoys working as part of a team and building internal networksComputer-literate: quick to learn International in-house systems and use current office applications