Intake Care Associate Analyst at Cigna in Bloomfield, Connecticut

Job Description:

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

• 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

• 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


• Convey information clearly to both medical providers, internal partners, and customers


• Medical Terminology Background

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


• Computer-literate: quick to learn International in-house systems and use current office applications

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 21 - 32 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna .

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, 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 us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.