Intake care representative - Cigna Healthcare

IN1 Cigna Health Solutions India Private Limited; Bengaluru; On-site; INR 300,000 - 500,000; Full time

Job summary

The Cigna Group is seeking an Intake Care Representative in Bengaluru, India. This Band 1 Professional Career Track role involves analyzing medical treatment requests, verifying cover, and coordinating with providers and insured clients.

You will maintain hospitalisation records in our internal systems, translate medical documents for case analysis, and communicate effectively with hospitals and insured individuals by phone and email.

Qualifications

• Education: Graduate (Any) - Any. Preferably medical, paramedical, pharmacy or nursing.
• Experience: Minimum 1 year in healthcare services or processing of healthcare insurance Pre-Authorization or claims.
• Expertise: international insurance claims Pre-auth processing.
• Work Timings: 24/7.
• Job Location: Bengaluru (Bangalore).

Responsibilities

• Analyze requests for medical treatments and hospitalizations.
• Verify patient’s extent of cover, provider relationships, need for medical review and costs.
• Monitor file administratively and communicate with hospitals and insured by phone.
• Maintain information in an internal database.
• Translate and interpret medical documents for case analysis.
• Communicate with internal and external customers by telephone and e‑mail.

Skills

Healthcare background

Communication

English proficiency

Customer-focused

Decision making

Accuracy

Discipline

Team player

Willing to work weekends/24x7

Computer-literate

Education

Graduate (Any)

Tools

In-house systems

Office applications

Job description

Intake care representative The job profile for this position is Intake Care Representative, which is a Band 1 Professional Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions.

Our people make all the difference in our success.

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

Foundational Skills*

Education*: Graduate (Any) - Any Preferably, medical, Paramedical, Pharmacy or Nursing.

• - Expertise in international insurance claims Pre-auth processing
• Experience Range*: Minimum 1 year of experience in healthcare services or processing of healthcare insurance Pre-Authorization or claims
• Work Timings*: 24/7
• Job Location*: Bengaluru (Bangalore)

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. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.