Job Responsibilities:

Responsible for data collection and/or data entry for authorization cases from incoming calls

Complete authorization requests from providers, customer, or provider portal and distribute requests to appropriate clinician

Answer inquires, gather information, resolve routine matters, and respond to minor complaints or problems received through inbound phone queue

Maintain documentation for regulatory review, educate members / providers regarding our plan benefits, and make referrals to other departments

Support the daily operations and assign tasks to case manager for follow up

Work closely with internal and external stakeholders, including member services, clinician, case manager and external vendors

Work on additional assignments as requested

Job 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 The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.