Medical Claims Review Associate Analyst

Medical Claims Review Associate Analyst

Our client is a global health service company dedicated to helping people improve their health, well-being and sense of security.

YOUR JOB

Role summary

The clinical CARE team is looking for a Medical Claims Review Associate Analyst

As part of the claims review team you will be primarily responsible for the medical coding & cost review of all IO Inpatient Provider claims.

You will be:

Interpreting key information from medical reports/invoices and translating this into medical coding in our hospitalization database and/or Salesforce application Health cloud

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

Requirements

YOUR PROFILE

Proficient in English

Must have Active or passive knowledge of either French/German/Italian.

Experience with processing provider claims is a big plus

Clinical background is a plus

Communicative and not afraid to approach people

Proactive and driven

You can deal with integrity

Tech savvy, not afraid to work in/with different systems/applications at the same time

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

Attractive salary conditions with extra-legal benefits

Benefits