This incumbent has to provide a variety of departmental support functions that contribute to the overall efficiency of the Health, Wellness and Clinical Services Department, including customer service, data entry, record retrieval and maintenance and other duties as assigned.
Job Responsbilities : + Responsible for data collection and / or data entry for pre-authorization cases from incoming calls or faxes+ Complete pre-authorization requests from providers via phone call, incoming fax or provider portal and distribute requests to appropriate nurses+ Answer inquires, gather information, resolve routine matters, and respond to minor complaints or problems received through inbound calls+ Maintain documentation for regulatory review, educate members / providers regarding our plan benefits, and make referrals to other departments+ Work closely with internal and external stakeholders, including member services, nursing staff, service coordination staff and management staff+ Work on additional assignments as requestedJob Requirements : + Diploma or equivalent+ At least 2 years of experiences in health services, call center and / or managed care environment+ Knowledge of managed care and / or medical management and medical terminology+ Intermediate level in word processing, data entry of medical information / terminology and telephone skills+ Willingness to learn and be a team player+ Working knowledge of Microsoft Office Programs+ Good communication skills in both written and spoken English and Chinese About Cigna Cigna Corporation (NYSE : CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve.
We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.
Together, with our 74,000 employees worldwide, 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 Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place.
What difference will you make? To see our culture in action, search #TeamCigna on Instagram.