Intake Care Representative

hace 7 meses

Madrid, España The Cigna Group A tiempo completo

**Cigna Healthcare** is a health benefits provider that advocates for better health through every stage of life. We deliver quality health care through choice, predictability, affordability and through integrated capabilities and connected, personalised solutions that advance whole person health.

Access to care, getting healthy and staying healthy is easier with the support of a trusted partner. Our vision is to be the whole health partner of choice to the people we serve throughout their lives. With our whole health approach, we’re focused on addressing health concerns, improving resilience, reducing stress levels and emotional health issues. We are committed to creating better futures for our customers and clients and to help them achieve or maintain their physical, mental, financial and social health goals.

**Key Responsibilities**:
As an **Intake Care Representative**, you will handle inquiries regarding preauthorization of upcoming medical treatment. This role is part of the Provider Services Organization (PSO) and serves the Global Individual Health (GIH) book of business.
- Processes incoming requests for preauthorization and Guarantee of Payment (GOP), with special attention to sensitive or escalated cases
- Closely collaborates with healthcare providers to gather required information, negotiate discounts, and answer any questions about the GOP process
- Accurately verifies the benefits of the policy, ensuring that each request complies with the product’s terms and conditions
- Maintains strict confidentiality of protected health information (PHI) and Special Category Data in compliance with relevant law
- Follows established departmental policies and procedures, and offers thoughtful feedback on opportunities for process improvement
- Translates and interprets medical and other relevant documents when needed

**Key Skills**:

- ** Advanced or bilingual knowledge of English** (C1/C2). Advanced knowledge of one or more additional languages is a plus.
- ** Exceptional interpersonal skills**, communicating clearly, professionally, and compassionately
- ** Ability to organise and manage workload**, efficiently balancing multiple complex tasks at once to meet individual and team targets
- ** Excellent attention to detail** and a high level of accuracy
- ** Proactive and self-motivated mindset**, with the ability to independently solve problems and manage ambiguity
- ** Effective collaboration** with a diverse and international team
- ** Computer literacy** and ability to navigate multiple programs and systems
- Previous experience in customer service, claims processing, or the healthcare industry is a plus. A clinical background is not required for this role.

**Requirements**:

- You are able to commit to **39 working hours per week**.
- You are able to commit to **2 weeks of induction training in the office**, with additional training provided on a hybrid basis.
- You are available to work **Tuesday through Saturday, 12:15 PM - 8:00 PM CET**.

**What’s in it for you?**:
We recognise we wouldn’t be where we are today without our employees. That’s why we offer excellent benefits:

- ** Hybrid contract**:

- ** 24 days annual leave per year**:

- ** Private medical and dental insurance**:

- ** Life insurance**:

- ** Flexible dress code** - It’s not about what you wear, it’s about what you can do, so why not be comfortable doing it.

Plus much more

**About Cigna Healthcare**

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.
- 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._

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