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Claims Representative at Cigna Healthcare
Nairobi, Nairobi County, Kenya - Full Time
Skills Needed
Claims Analysis, Medical Knowledge, Attention To Detail, Customer Centricity, Analytical Skills, Communication, Teamwork, Flexibility, Computer Applications, Problem Solving, Coding, Reimbursement Assessment, Training Participation, Time Management, Decision Making, Proactivity
Specialization
You should have active knowledge of English, with French as an added advantage, and a diploma or degree in a related field. Attention to detail, analytical skills, and the ability to work independently while maintaining customer focus are essential.
Registered Nurse (RN) - ICU at Tenet Healthcare
, , - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Monitoring, Teaching, Supervision, Critical Care, Acls, Bls, Nursing, Healthcare, Decision Making, Support Services
Specialization
Graduation from a school of nursing is required, with a BSN preferred. The candidate must be licensed to practice as a Registered Nurse in Michigan and have AHA BLS certification.
Director, CRM Marketing Auto & Analytics at Emory Healthcare
Atlanta, GA 30345, USA - Full Time
Skills Needed
Analytical Skills, Business Analytics, Information Technology, Data Analytics, Communication Skills, Marketing Automation, Tableau, Cloud Marketing, Data Science, Google Analytics
Specialization
Marketing information technology business analytics or a related field
Qualification
Graduate
Surgical ICU Charge Nurse / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Nursing, Critical Thinking, Patient Care, Teamwork, Communication, Leadership, Budget Planning, Conflict Resolution, Risk Management, Staff Supervision, Regulatory Compliance, Operational Management, Patient Advocacy, In Service Development, Mentorship, Evidence Based Practice
Specialization
Minimum of a Bachelor's degree in Nursing and two years of experience as an RN, including two years in the area of concentration. A valid, active unencumbered Nursing license is required, with BLS certification mandatory and ACLS preferred.
Experience Required
Minimum 2 year(s)
Speech Pathologist at Emory Healthcare
Lithonia, Georgia, United States - Full Time
Skills Needed
Speech Therapy, Patient Care, Interdisciplinary Collaboration, Treatment Planning, Patient Education, Communication, Quality Assurance, Mentoring, Clinical Instruction, Equipment Recommendation, Infection Control, Documentation, Professional Development, Research Participation, Peer Review, Inventory Management
Specialization
A master's degree in Speech-Language Pathology and at least one year of clinical experience are required. Candidates must hold a valid Speech-Language Pathology license in Georgia and a Certificate of Clinical Competence.
Experience Required
Minimum 2 year(s)
Imaging Control Assistant at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Office Administration, Patient Care, Coordination, Assisting Technologists, Patient Transport, Room Assignments
Specialization
A high school diploma or equivalent is required along with two years of office administration experience in a patient care setting. No additional specific qualifications are mentioned.
Experience Required
Minimum 2 year(s)
Business Services Coordinator at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Administrative Tasks, Vendor Invoice Management, Supply Ordering, Calendar Management, Data Analysis, Budget Management, Billing Accuracy, Office Equipment Maintenance, Project Management, Professional Development, Operational Reporting, Patient Satisfaction, Process Improvement, Team Coordination, Communication, Problem Solving
Specialization
Candidates must have six years of experience in office administration or a bachelor's degree in business administration with two years of related experience. Proficiency with various personal computer software applications is also required.
Experience Required
Minimum 5 year(s)
Occupational Therapist / PRN / Outpatient at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Occupational Therapy, Neuro Rehab, Patient Care, Team Collaboration, Patient Education, Treatment Planning, Quality Assurance, Clinical Management, In Service Training, Professional Development, Bls Certification, Interdisciplinary Communication, Equipment Maintenance, Documentation, Research Participation, Peer Review
Specialization
Candidates must have a Bachelor's degree in Occupational Therapy and current licensure in Georgia. One year of experience as an Occupational Therapist is preferred, along with Basic Life Support certification.
Allergy, Asthma, Immunolog NP / PA at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Allergy Treatment, Asthma Treatment, Patient Evaluation, Patient Management, Physical Examinations, Diagnostic Procedures, Therapeutic Procedures, Care Plans, Medical Documentation, Patient Interviews, Health Assessments, Wound Care, Suturing, Cast Application, Patient History, Bls Certification
Specialization
Candidates must have completed an accredited NP or PA program and be licensed in Georgia. They should have at least 2 years of experience in allergy and asthma treatment and hold relevant certifications.
Experience Required
Minimum 2 year(s)
Perfusionist at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Perfusion Technology, Equipment Management, Policy Development, Quality Assurance, Clinical Competence, Patient Care, Laboratory Testing, Staff Development, Regulatory Compliance, Extracorporeal Support, Mentorship, Training, Communication, Team Collaboration, Problem Solving
Specialization
A Bachelor's degree in Perfusion Technology is required, with a Master's degree preferred. Candidates must have a provisional license or be licensed as a Perfusionist in Georgia and obtain certification from the American Board of Cardiovascular Perfusion within the first year of employment.
Occupational Therapy Assistant / Licensed / Part Time at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Occupational Therapy, Patient Care, Therapy Procedures, Care Plans, Supervision, Administrative Duties, Treatment Planning, Patient Monitoring, Family Instruction, Professional Development, In Service Training, Documentation, Infection Control, Team Collaboration, Clinical Instruction, Equipment Maintenance
Specialization
Candidates must graduate from an Occupational Therapy Assistant School accredited by the AOTA and be certified as a COTA in Georgia. Basic Life Support (BLS) Certification is also required.
Food & Nutrition Associate at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Food Preparation, Customer Service, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Food Safety, Infection Control, Temperature Monitoring, Meal Assembly, Cash Register Operation, Ingredient Procurement, Presentation Skills, Portion Control, Documentation, Judgment Skills
Specialization
A high school diploma or equivalent is preferred, along with one year of food service experience. Candidates should possess skills in customer service, critical thinking, and basic computer tasks.
Registered Nurse Labor and Delivery Full Time Nights at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Registered Nurse, Labor And Delivery, Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Monitoring, Bls Certification, Efm Certification, Nrp Certification, Acls Certification, C Section Care, Patient Discharge, Team Management
Specialization
Graduation from a school of nursing is required, with a BSN preferred. Candidates must be licensed to practice as a Registered Nurse in Michigan and hold an AHA BLS certification.
Medical Biller Collector Full Time Days HealthLink at Tenet Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Medical Billing, Claim Processing, Documentation, Communication, Insurance Coordination, Faxing, Scanning, Mailing
Specialization
The position requires completion of established competencies within a designated introductory period. Other duties may be assigned as needed.
Patient Care Associate Cardiac Telemetry Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Analytical Skills, Observational Skills, Mathematical Ability, Interpersonal Skills, Verbal Skills, Teamwork, Reading Skills, Writing Skills, Comprehension Skills, Physical Ability, Visual Acuity, Manual Dexterity, Clerical Functions, Problem Solving Skills, Customer Service, Patient Care
Specialization
Candidates must have a high school diploma or GED and complete a relevant training program such as a PCA, CNA, or EMT program. Six months of direct patient care experience is preferred.
Catering to You Associate Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Food Preparation, Meal Service, Inventory Management, Record Keeping, Dietary Knowledge, Customer Service, Sanitization, Team Collaboration, Communication, Attention To Detail, Time Management, Problem Solving, Patient Interaction, Menu Review, Transport Logistics, Nutritional Monitoring
Specialization
Candidates must have a high school diploma or equivalent and prior hospital food service experience. Knowledge of modified diet restrictions and the ability to operate computer-based patient-care systems are also required.
Occupational Therapist Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Occupational Therapy, Patient Evaluation, Treatment Planning, Motor Skills, Neurological Capabilities, Documentation, Interdisciplinary Collaboration, Therapy Goals, Professional Judgment, Patient Independence, Cognitive Skills, Sensory Skills, Group Therapy, Individual Therapy, Clinical Expertise, Patient Care
Specialization
A Bachelor's or Master's degree in Occupational Therapy is required, along with a current license to practice in Michigan. One year of clinical experience is preferred, and initial certification or eligibility for certification with NBCOT is necessary for new graduates.
Cook at Healthcare Homes
AI4, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Life Care Specialist at Emory Healthcare
Tucker, Georgia, United States - Full Time
Skills Needed
Psychology, Mental Health, Mental Wellness, Social Work, Healthcare, Public Health, Microsoft Excel, Communication, Interpersonal Skills, Interdisciplinary Teamwork, Hospital Etiquette, Organizational Skills
Specialization
Candidates should have a background in psychology, mental health, or related fields, along with advanced knowledge of Microsoft Excel. Excellent communication skills and the ability to work on an interdisciplinary team are essential.
Experience Required
Minimum 2 year(s)
Physical Therapist / Outpatient / PRN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Physical Therapy, Patient Care, Treatment Planning, Communication, Teamwork, Patient Education, Evaluation, Interdisciplinary Collaboration, Bls Certification, Goal Setting, Specialized Treatments, Healthcare, Quality Of Life Improvement, Comprehensive Evaluations, Direct Patient Care, Healthcare Partnerships
Specialization
Graduation from an APTA accredited Physical Therapy school and licensure as a Physical Therapist in Georgia are required. Basic Life Support Certification is also necessary.
Claims Representative at Cigna Healthcare
Nairobi, Nairobi County, Kenya -
Full Time

Start Date

Immediate

Expiry Date

24 Dec, 25

Salary

0.0

Posted On

25 Sep, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Analysis, Medical Knowledge, Attention To Detail, Customer Centricity, Analytical Skills, Communication, Teamwork, Flexibility, Computer Applications, Problem Solving, Coding, Reimbursement Assessment, Training Participation, Time Management, Decision Making, Proactivity

Industry

Hospitals and Health Care

Description
YOUR JOB As Claims Representative you analyze claims in respect of client medical costs. You adjudicate medical/dental and vision claims in accordance with policy terms and conditions to meet personal and team productivity and quality goals. You analyze reimbursements according to the contract agreements and assess, code and calculate them using a computerized claims processing system. You pass communications to the communication team to solve or preempt any possible issues with your stakeholders. Monitor turnaround times to ensure your claims are settled within required time scales, highlighting to your supervisor when this is not achievable. You take responsibility/ownership of complex cases. You handle them accurately and with the personal attention that is required. You keep your knowledge up to date with respect to the medical information necessary for handling claims and you take part in trainings to ensure you are up to date with policies, processes and other required information. You are attentive to inaccuracies in the files and communicate them to your team leader/departmental head. Respond within the time commitment given to enquiries regarding plan design, eligibility, claims status and perform necessary action as required, with first call resolution where possible. Carry out other adhoc tasks as required in meeting business needs. YOUR PROFILE You have an active knowledge of English which you are not afraid to use in interactions with both internal and external parties. knowledge of French language is an added advantage. You are prompt, precise and good with numbers. A first experience in analytical work is a plus You have an eye for detail and you are known to work meticulously. You can work individually and make correct decisions, always keeping customer centricity as guiding principle through everyday work; You are flexible and quickly adapt to ever-changing work processes. You are aware of the sensitivity and delicacy of the information you handle. You are proactive, ensuring a smooth workflow and taking into account the needs of your client. You are a team-player, sharing best practices on processes and procedures with your colleagues. You can familiarize yourself quickly with computer applications. Diploma or degree in a related field. About Cigna Healthcare 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. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourselfEMEA@cigna.com for support. Do not email SeeYourselfEMEA@cigna.com for an update on your application or to provide your resume as you will not receive a response. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Responsibilities
As a Claims Representative, you will analyze and adjudicate medical, dental, and vision claims according to policy terms. You will also handle complex cases with personal attention and ensure claims are settled within required time scales.
Claims Representative at Cigna Healthcare
Nairobi, Nairobi County, Kenya - Full Time
Skills Needed
Claims Analysis, Medical Knowledge, Attention To Detail, Customer Centricity, Analytical Skills, Communication, Teamwork, Flexibility, Computer Applications, Problem Solving, Coding, Reimbursement Assessment, Training Participation, Time Management, Decision Making, Proactivity
Specialization
You should have active knowledge of English, with French as an added advantage, and a diploma or degree in a related field. Attention to detail, analytical skills, and the ability to work independently while maintaining customer focus are essential.
Registered Nurse (RN) - ICU at Tenet Healthcare
, , - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Monitoring, Teaching, Supervision, Critical Care, Acls, Bls, Nursing, Healthcare, Decision Making, Support Services
Specialization
Graduation from a school of nursing is required, with a BSN preferred. The candidate must be licensed to practice as a Registered Nurse in Michigan and have AHA BLS certification.
Director, CRM Marketing Auto & Analytics at Emory Healthcare
Atlanta, GA 30345, USA - Full Time
Skills Needed
Analytical Skills, Business Analytics, Information Technology, Data Analytics, Communication Skills, Marketing Automation, Tableau, Cloud Marketing, Data Science, Google Analytics
Specialization
Marketing information technology business analytics or a related field
Qualification
Graduate
Surgical ICU Charge Nurse / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Nursing, Critical Thinking, Patient Care, Teamwork, Communication, Leadership, Budget Planning, Conflict Resolution, Risk Management, Staff Supervision, Regulatory Compliance, Operational Management, Patient Advocacy, In Service Development, Mentorship, Evidence Based Practice
Specialization
Minimum of a Bachelor's degree in Nursing and two years of experience as an RN, including two years in the area of concentration. A valid, active unencumbered Nursing license is required, with BLS certification mandatory and ACLS preferred.
Experience Required
Minimum 2 year(s)
Speech Pathologist at Emory Healthcare
Lithonia, Georgia, United States - Full Time
Skills Needed
Speech Therapy, Patient Care, Interdisciplinary Collaboration, Treatment Planning, Patient Education, Communication, Quality Assurance, Mentoring, Clinical Instruction, Equipment Recommendation, Infection Control, Documentation, Professional Development, Research Participation, Peer Review, Inventory Management
Specialization
A master's degree in Speech-Language Pathology and at least one year of clinical experience are required. Candidates must hold a valid Speech-Language Pathology license in Georgia and a Certificate of Clinical Competence.
Experience Required
Minimum 2 year(s)
Imaging Control Assistant at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Office Administration, Patient Care, Coordination, Assisting Technologists, Patient Transport, Room Assignments
Specialization
A high school diploma or equivalent is required along with two years of office administration experience in a patient care setting. No additional specific qualifications are mentioned.
Experience Required
Minimum 2 year(s)
Business Services Coordinator at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Administrative Tasks, Vendor Invoice Management, Supply Ordering, Calendar Management, Data Analysis, Budget Management, Billing Accuracy, Office Equipment Maintenance, Project Management, Professional Development, Operational Reporting, Patient Satisfaction, Process Improvement, Team Coordination, Communication, Problem Solving
Specialization
Candidates must have six years of experience in office administration or a bachelor's degree in business administration with two years of related experience. Proficiency with various personal computer software applications is also required.
Experience Required
Minimum 5 year(s)
Occupational Therapist / PRN / Outpatient at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Occupational Therapy, Neuro Rehab, Patient Care, Team Collaboration, Patient Education, Treatment Planning, Quality Assurance, Clinical Management, In Service Training, Professional Development, Bls Certification, Interdisciplinary Communication, Equipment Maintenance, Documentation, Research Participation, Peer Review
Specialization
Candidates must have a Bachelor's degree in Occupational Therapy and current licensure in Georgia. One year of experience as an Occupational Therapist is preferred, along with Basic Life Support certification.
Allergy, Asthma, Immunolog NP / PA at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Allergy Treatment, Asthma Treatment, Patient Evaluation, Patient Management, Physical Examinations, Diagnostic Procedures, Therapeutic Procedures, Care Plans, Medical Documentation, Patient Interviews, Health Assessments, Wound Care, Suturing, Cast Application, Patient History, Bls Certification
Specialization
Candidates must have completed an accredited NP or PA program and be licensed in Georgia. They should have at least 2 years of experience in allergy and asthma treatment and hold relevant certifications.
Experience Required
Minimum 2 year(s)
Perfusionist at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Perfusion Technology, Equipment Management, Policy Development, Quality Assurance, Clinical Competence, Patient Care, Laboratory Testing, Staff Development, Regulatory Compliance, Extracorporeal Support, Mentorship, Training, Communication, Team Collaboration, Problem Solving
Specialization
A Bachelor's degree in Perfusion Technology is required, with a Master's degree preferred. Candidates must have a provisional license or be licensed as a Perfusionist in Georgia and obtain certification from the American Board of Cardiovascular Perfusion within the first year of employment.
Occupational Therapy Assistant / Licensed / Part Time at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Occupational Therapy, Patient Care, Therapy Procedures, Care Plans, Supervision, Administrative Duties, Treatment Planning, Patient Monitoring, Family Instruction, Professional Development, In Service Training, Documentation, Infection Control, Team Collaboration, Clinical Instruction, Equipment Maintenance
Specialization
Candidates must graduate from an Occupational Therapy Assistant School accredited by the AOTA and be certified as a COTA in Georgia. Basic Life Support (BLS) Certification is also required.
Food & Nutrition Associate at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Food Preparation, Customer Service, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Food Safety, Infection Control, Temperature Monitoring, Meal Assembly, Cash Register Operation, Ingredient Procurement, Presentation Skills, Portion Control, Documentation, Judgment Skills
Specialization
A high school diploma or equivalent is preferred, along with one year of food service experience. Candidates should possess skills in customer service, critical thinking, and basic computer tasks.
Registered Nurse Labor and Delivery Full Time Nights at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Registered Nurse, Labor And Delivery, Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Monitoring, Bls Certification, Efm Certification, Nrp Certification, Acls Certification, C Section Care, Patient Discharge, Team Management
Specialization
Graduation from a school of nursing is required, with a BSN preferred. Candidates must be licensed to practice as a Registered Nurse in Michigan and hold an AHA BLS certification.
Medical Biller Collector Full Time Days HealthLink at Tenet Healthcare
San Antonio, Texas, United States - Full Time
Skills Needed
Medical Billing, Claim Processing, Documentation, Communication, Insurance Coordination, Faxing, Scanning, Mailing
Specialization
The position requires completion of established competencies within a designated introductory period. Other duties may be assigned as needed.
Patient Care Associate Cardiac Telemetry Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Analytical Skills, Observational Skills, Mathematical Ability, Interpersonal Skills, Verbal Skills, Teamwork, Reading Skills, Writing Skills, Comprehension Skills, Physical Ability, Visual Acuity, Manual Dexterity, Clerical Functions, Problem Solving Skills, Customer Service, Patient Care
Specialization
Candidates must have a high school diploma or GED and complete a relevant training program such as a PCA, CNA, or EMT program. Six months of direct patient care experience is preferred.
Catering to You Associate Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Food Preparation, Meal Service, Inventory Management, Record Keeping, Dietary Knowledge, Customer Service, Sanitization, Team Collaboration, Communication, Attention To Detail, Time Management, Problem Solving, Patient Interaction, Menu Review, Transport Logistics, Nutritional Monitoring
Specialization
Candidates must have a high school diploma or equivalent and prior hospital food service experience. Knowledge of modified diet restrictions and the ability to operate computer-based patient-care systems are also required.
Occupational Therapist Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Occupational Therapy, Patient Evaluation, Treatment Planning, Motor Skills, Neurological Capabilities, Documentation, Interdisciplinary Collaboration, Therapy Goals, Professional Judgment, Patient Independence, Cognitive Skills, Sensory Skills, Group Therapy, Individual Therapy, Clinical Expertise, Patient Care
Specialization
A Bachelor's or Master's degree in Occupational Therapy is required, along with a current license to practice in Michigan. One year of clinical experience is preferred, and initial certification or eligibility for certification with NBCOT is necessary for new graduates.
Cook at Healthcare Homes
AI4, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Life Care Specialist at Emory Healthcare
Tucker, Georgia, United States - Full Time
Skills Needed
Psychology, Mental Health, Mental Wellness, Social Work, Healthcare, Public Health, Microsoft Excel, Communication, Interpersonal Skills, Interdisciplinary Teamwork, Hospital Etiquette, Organizational Skills
Specialization
Candidates should have a background in psychology, mental health, or related fields, along with advanced knowledge of Microsoft Excel. Excellent communication skills and the ability to work on an interdisciplinary team are essential.
Experience Required
Minimum 2 year(s)
Physical Therapist / Outpatient / PRN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Physical Therapy, Patient Care, Treatment Planning, Communication, Teamwork, Patient Education, Evaluation, Interdisciplinary Collaboration, Bls Certification, Goal Setting, Specialized Treatments, Healthcare, Quality Of Life Improvement, Comprehensive Evaluations, Direct Patient Care, Healthcare Partnerships
Specialization
Graduation from an APTA accredited Physical Therapy school and licensure as a Physical Therapist in Georgia are required. Basic Life Support Certification is also necessary.