Intake Care Representative

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

About The Cigna Group