Medical Claims Review Associate Analyst
hace 1 semana
Cigna is a global health service company dedicated to helping people improve their health, well-being and sense of security. Cigna has almost 47,000 employees who service 85 million customer relationships throughout the world. Within its international division, a dedicated unit focuses on the needs of International Organisations. This unit, headquartered in Belgium, has over 50 years of experience in designing, implementing and managing international group health insurance and employee benefits programs for international and locally recruited staff from Intergovernmental (IGO) and Nongovernmental (NGO) organisations. These programmes cover medical as well as incapacity, disability and life benefits, with a specific focus on keeping employees healthy and productive through a range of health and well-being services. The International Organisations unit is specialised in servicing customers in remote areas as well as central hubs with five service centres in each time zone (Miami, Antwerp, Madrid, Nairobi and Kuala Lumpur) and local representations on every continent.
YOUR JOB
The clinical CARE team is looking for 2 Medical Claims Review Associate Analysts (Band 2).
As part of the claims review team you will be primarily responsible for the medical coding of all IO Inpatient Provider claims.
**You will be**:
Analysing invoices from providers all over the world to identify cost containment opportunities and you will be taking appropriate actions in line with our procedures to avoid unnecessary costs for our clients ,members and Cigna
Collaborating with colleagues in different teams and roles (Claims Analysts, CSR’s, Doctors, Nurses etc) across the business while bridging cultural differences & backgrounds
Connecting with providers to obtain (additional) medical information
Attending weekly/Monthly/ad-hoc meetings with the team & supervisor to discuss and improve internal workflows and collaboration
Serving as a contact person for other teams within Clinical and the wider business for expert advice on R&C calculations
Taking ownership of your production making sure you meet the expected outputs
YOUR PROFILE
Proficient in English
Active or passive knowledge of French/German/Italian. Additional languages is a plus
Experience with processing provider claims
Clinical background is a plus
Communicative and not afraid to approach people
Proactive and driven
You can deal with integrity
Eye for detail and love for accurateness
Flexible with the ability to shift priorities when required
Not afraid of moving forward in the midst of ambiguity
OUR OFFER
A permanent job in an international and growing enterprise
A nice team of enthusiastic and diverse CARE team members in different work locations
A dynamic, young and entrepreneurial company culture that values and stimulates initiative
Flexible working hours with the opportunity to work from home
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.
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