6 часов назад
Provider Reconciliation Agent
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Provider Reconciliation Agent (Medical Claims): Reviewing and investigating provider reconciliation requests for paid medical claims using payment systems, with an accent on case intake, claims research, and coordination with internal departments. Focus on resolving complex provider inquiries, managing global communications, identifying process improvements, and meeting operational quality and turnaround-time standards.
Location: Kuala Lumpur, Malaysia
Company
Healthcare services are provided through Cigna Healthcare, a division of , focused on helping customers navigate the healthcare system and improve their health.
What you will do
- Review provider reconciliation requests for paid medical claims using relevant payment and supporting systems.
- Investigate complex cases and coordinate with internal departments to resolve them within established standards.
- Follow up with medical facilities, explain feedback, and support the completion of required actions.
- Manage incoming and outgoing communications with providers globally and respond to internal provider-claims inquiries.
- Process case intake, including uploads, priority setting, and follow-up through completion.
- Identify process improvements, escalate urgent cases, support GPR colleagues, and deliver operational KPIs for production, quality, and turnaround time.
Requirements
- At least 1 year of experience in a customer service role.
- Good English language skills are required; additional languages are a plus.
- Ability to work with colleagues, partners, and providers across the globe.
- Strong customer focus, problem-solving ability, interpersonal skills, and written and verbal communication.
- Detail-oriented, accurate, organized, and able to manage multiple tasks and deadlines.
- Working knowledge of SharePoint and Microsoft Office, with the ability to work independently and collaboratively.
Nice to have
- Additional language skills.
- Experience identifying process improvements and supporting change initiatives.
Culture & Benefits
- Work with globally distributed medical facilities and international colleagues.
- Contribute to shared team goals while taking ownership of individual results.
- Support a growth mindset and active participation in change initiatives.
- Work is guided by service quality, accuracy, accountability, and operational performance.
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