Access to Care Specialist - Cigna Healthcare
Core
Coordinate care journeys, manage pre-authorisation and Guarantee of Payment requests, and deliver timely healthcare support to customers.
Role type
Access to Care Specialist (Healthcare Operations)
Builds
Customer care journeys and pre-authorisation/GOP outcomes
Domain
Healthcare / Insurance
Deliverable
client delivery
Required skills
Case management, Pre-authorisation processing, Guarantee of Payment administration, Healthcare benefit interpretation, Stakeholder management, Regulatory compliance
Preferred skills
International health insurance experience, Global healthcare provider management
Technologies
Case management systems, Pre-authorisation platforms
Responsibilities
Take ownership of healthcare cases from initial contact through resolution, Deliver positive customer experience by explaining benefits and coverage, Coordinate treatment arrangements with healthcare providers, Review and process pre-authorisation and GOP documentation, Promote use of in-network providers, Maintain accurate documentation and comply with regulations