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Other, Full-time
Posted 13d ago
~40 hrs/week
Responsibilities
The Provider Reconciliation Agent is responsible for reviewing and investigating reconciliation requests for medical claims using internal payment systems. They also manage communications with global medical facilities and coordinate with internal departments to resolve claims-related queries.
Requirements
Candidates must have at least one year of experience in a customer service role and possess strong English language skills. Proficiency in Microsoft Office and SharePoint, along with excellent organizational and problem-solving abilities, is required.
Full job description
The job profile for this position is Customer Service Representative, which is a Band 1 Professional Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
YOUR JOB
As a Provider Reconciliation Agent you will be part of a Global Provider Reconciliation (GPR) Team embedded into the Provider Services department. Your main responsibilities will be related with review of the reconciliation requests from providers on the paid medical claims where you would need to investigate the status of a certain bill using Cigna relevant payment systems. For some specific cases you would be in contact with different departments within Cigna to take necessary steps in order to resolve the reconcialition cases according to the established timeframe. Apart from this you will be monitoring the incoming/outgoing communications with our globally distributed medical facilities as well as be a point of contact for other departments with any provider claims related queries.
Your role includes
You will be responsible for the initial review of the reconciliation requests received from providers using relevant supporting systems;
Performing deeper investigation on certain cases together with further coordination with other teams in order to solve the cases according to the established standards;
As part of the reconciliation review, you will be following up on the cases where additional support is needed to help the facility interprete our feedback and take necessary steps;
Managing the incoming and outgoing communications with our providers globally and handling the internal requests related to provider inquiries;
Performing the intake process of the reconciliation cases which will include upload, priority setting and close follow up on the completion;
Actively support other GPR team members and provide help to enable team goals to be achieved;
Being able to identify any process improvement and make recommendations for potential changes;
Provide feedback to the GPR team on urgent or critical cases that need special action or attention;
Deliver on operational KPI’s within the GPR team in terms of production, quality, TAT, amongst others;
YOUR PROFILE
At least 1 years of experience in a customer service role;
Good English language skills, additional language is a plus;
International mind-set able to work remotely with colleagues, partners and providers across the globe;
Striving for excellent service to our members, clients and providers is part of your DNA;
Detail oriented with high accuracy level and proven time management and organization skills (including the ability to engage in multiple tasks and meet deadlines/standards);
Act with a sense of urgency to research questions or issues brought by different teams. Identify the right parties or resources to resolve these issues;
Strong customer focus with ability to identify and solve problems;
Strong interpersonal skills with good verbal and written communication to internal and external parties;
Be a positive role model and have the ability to work independently and in conjunction with co-workers of all levels.
A growth mindset with a positive attitude towards change and the ability to play an active role in implementing change initiatives.
Accountability – to assume ownership for achieving personal results and to contribute for collective team goals;
Working knowledge of SharePoint & Microsoft office;
This role is reporting directly to the Global Provider Reconciliation Senior Supervisor, based in Madrid, Europe.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
The Cigna Group is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health.
The Cigna Group includes products and services marketed under Cigna Healthcare, Evernorth Health Services or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 countries and jurisdictions, and has more than 190 million customer relationships around the world.
Offices: 900 Cottage Grove Rd, Bloomfield, Connecticut 06002, US
How many Finance & Accounting jobs are open in Kuala Lumpur, Indonesia right now?
There are currently 48 open finance & accounting positions in Kuala Lumpur, Indonesia listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Finance & Accounting roles in Kuala Lumpur, Indonesia?
Companies currently hiring include EY, ZALORA Group, The Cigna Group, TradeQuo Global, Always Marketing (M) Sdn Bhd, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Finance & Accounting jobs in Kuala Lumpur, Indonesia?
Yes — 30 of the 48 open finance & accounting positions offer remote or hybrid work (0 remote, 30 hybrid).
How do I apply for Finance & Accounting jobs in Kuala Lumpur, Indonesia?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.