Provider Advocacy Case Coordinator

Provider Advocacy Case Coordinator

Provider Advocacy Case Coordinator

Job Overview

Location
Sunny Isles Beach, Florida
Job Type
Full Time Job
Job ID
50358
Date Posted
3 months ago
Recruiter
Julia Hart
Job Views
264

Job Description

As a Provider Reconciliation Case Coordinator you will be part of a Global Provider Advocacy Team embedded into the Provider Services department, being responsible to manage the outcome of the reconciliation process with Health Care Providers in Asia Pacific. You will report directly into the Global Provider Reconciliation Supervisor, and work very closely with your peers in the same location and Global Provider Reconciliation Team across the globe. Key to the role will be managing the fulfilled reconciliation of the accounts between Cigna and the health providers, such as hospitals and clinics in the region. In addition to this you will be in charge of the communication of the outcome to the facilities, support them in interpreting the feedback received from Cigna and close follow up on the further actions needed.

Your role includes:

  • Responsible to enable an effective and efficient collaboration with health providers in the region through monitoring and analyzing the results of the reconciliation of the accounts fulfilled by the Global Provider Reconciliation team and other Operational KPIs;  
  • Comprehensive support on their interpretation and assurance of further follow up if needed;
  • Conduct regular root cause analysis and consolidated feedback of the data obtained out of the Reconciliation  outcome or other sources ,striving for continuous service delivery improvement through BAU collaboration with different teams;
  • Active communication and prompt follow up combined with regular meetings with your dedicated health care providers
  • Participation in coordination sessions with Network and Operations teams seeking for better practices in order to prevent service deficiencies and assure 5 star experience to health care providers;
  • Being a person of contact for your dedicated health providers and Provider Network  in regards of Operational issues / queries 
  • Support the Global Provider Reconciliation management Team to determine short and middle term solutions for smooth reconciliation process with Providers by continuously analyzing the intake of queries and complaints, as well as conducting reviews of the current processes for potential improvements;
  • Consolidated feedback to Global Provider Reconciliation management team striving for continuous service delivery improvement through BAU collaboration with different teams;
  • Deliver on operational KPI’s within the Global Provider reconciliation team in terms of production, quality, TAT, amongst others;

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?

Job ID: 50358

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