Medical Claims Review Senior Analyst at Cigna interpreting medical reports and analyzing provider claims for cost containment. Collaborating with colleagues and attending meetings for workflow improvements.
Responsibilities
Interpreting key information from medical reports/invoices
Analyzing invoices to identify cost containment opportunities
Reviewing claims from a clinical point of view directly with Providers
Collaborating with colleagues across the business
Attending meetings to discuss and improve workflows
Serving as a contact for expert advice on R&C calculations
Taking ownership of production and meeting outputs
Requirements
Clinical Background (Nurse/Clinical officer)
Passive knowledge of French/German/Italian, additional languages is a plus
Experience with processing provider claims is a plus
Affinity with medical terminology is a plus
ICD knowledge is a plus
Proactive and driven with integrity
Ability to approach people confidently
Tech-savvy, able to work with different systems/applications simultaneously
Attention to detail and accuracy
Flexible with ability to shift priorities when required
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