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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.
Surgical ICU Registered / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Clinical Practice, Patient Care, Leadership, Team Collaboration, Quality Improvement, Professional Development, Communication, Conflict Resolution, Patient Assessment, Care Plans, Cultural Competence, Data Analysis, Policy Revision, Mentorship, Nursing Process, Documentation
Specialization
Candidates must have a BSN or ADN with relevant nursing experience. A valid Georgia RN license and BLS certification are required, with ACLS certification potentially needed post-hire.
Experience Required
Minimum 2 year(s)
Senior Infection Control Coordinator at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Infection Control, Data Analysis, Policy Management, Education, Communication, Research, Patient Counseling, Collaboration, Surveillance, Risk Management, Clinical Experience, Health Care, Standards Development, Environmental Rounds, Infection Prevention, Health Agencies Communication
Specialization
Candidates must have a Bachelor's degree and current RN licensure in Georgia, with two years of recent healthcare experience including one year in clinical infection control. Certification in Infection Control (CIC) is also required.
Experience Required
Minimum 2 year(s)
ICU Registered Nurse/ RN at Emory Healthcare
Lithonia, Georgia, United States - Full Time
Skills Needed
Patient Care, Clinical Practice, Nursing Process, Patient Assessments, Care Plans, Documentation, Cultural Competence, Team Collaboration, Leadership, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Evidence Based Research
Specialization
Candidates must have a Bachelor of Science in Nursing or an Associate Degree in Nursing with relevant experience. A valid Registered Nursing License and BLS certification are required, with ACLS certification possibly needed post-hire.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Rehab at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Evaluation, Teaching, Supervision, Monitoring, Discharge Planning
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.
Registered Nurse (RN) - Rehab at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Evaluation, Teaching, Supervision, Monitoring, Discharge Planning
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.
Clinical SLP Specialist Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Speech Therapy, Language Assessment, Cognitive Communication, Swallowing Disorders, Patient Counseling, Treatment Planning, Interdisciplinary Collaboration, Clinical Documentation, Mentoring, Educational Presentations, Professional Development, Diagnostic Testing, Patient Education, Rehabilitation, Pediatric Care, Clinical Competence
Specialization
A Master's degree in Speech and Language Pathology and a current license to practice in Michigan are required. Candidates must also have a Certificate of Clinical Competence and three years of clinical experience.
Experience Required
Minimum 5 year(s)
Critical Care Stepdown Registered Nurse / RN at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Patient Care, Nursing Process, Communication, Documentation, Patient Advocacy, Cultural Competence, Clinical Evaluation, Team Collaboration
Specialization
Candidates must be graduates of an accredited nursing program with a valid Registered Nursing License approved by the Georgia Board of Nursing. BLS certification is required, and ACLS may be necessary for certain departments.
Experience Required
Minimum 2 year(s)
Care Assistant - Bank at Avery Healthcare
RW5, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Wellbeing and Activities Assistant at Avery Healthcare
Barnet EN5 4BS, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Dining Services Associate at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Customer Service, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Food Service, Dietary Knowledge, Time Management, Attention To Detail, Teamwork, Adaptability, Computer Skills, Food Presentation, Judgment, Physical Stamina, Safety Awareness
Specialization
Candidates should have a high school diploma or equivalent, with at least two years of college preferred. Previous hospitality experience and strong customer service skills are also desired.
Kitchen Assistant at Healthcare Homes
GYN5, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Oncology Medical Assistant Proceduralist / MA at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Aseptic Technique, Patient Care, Vital Signs, Medication Administration, Diagnostic Tests, Specimen Collection, Blood Drawing, Sterilization, Infection Control, Equipment Preparation, Patient Positioning, Poc Testing, Chaperoning, Computer Skills, Communication, Teamwork
Specialization
High School Diploma or GED is required along with current Medical Assistant Certification. AHA BLS certification is also required, and one year of work experience is preferred.
Critical Care Stepdown LTAC Registered Nurse / RN at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Patient Care, Nursing Process, Patient Assessments, Care Plans, Documentation, Patient Advocacy, Leadership, Data Analysis, Policy Revision, Mentorship
Specialization
Candidates must be graduates of an accredited nursing program with specific experience requirements. A valid Registered Nursing License and BLS certification are also necessary.
Experience Required
Minimum 2 year(s)
Winship Oncology Clinic Registered Nurse / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Patient Care, Clinical Knowledge, Assessment, Care Plans, Documentation, Cultural Competence, Leadership, Team Collaboration, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Policy Revision, Bls Certification, Acls Certification
Specialization
Candidates must have a BSN or ADN with relevant nursing experience. A valid Georgia RN license and BLS certification are required, with additional certifications based on department needs.
Experience Required
Minimum 2 year(s)
Medical Telemetry Registered Nurse /RN / WEO at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Nursing Care, Patient Assessments, Patient Care Plans, Documentation, Cultural Competence, Team Collaboration, Leadership, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Policy Revision, Evidence Based Research, Mentorship, Patient Education
Specialization
Candidates must be graduates of an accredited nursing program with specific experience requirements. A valid Registered Nursing License and BLS certification are also necessary.
Experience Required
Minimum 2 year(s)
Medical Reconciliation Assistant at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Medication Reconciliation, Patient Interviewing, Documentation, Pharmacy Knowledge, Quality Improvement, Data Analysis, Training, Teamwork, Communication, Time Management, Problem Solving, Patient Safety, Electronic Medical Records, Medication Allergy Information, Interdisciplinary Communication, Customer Service
Specialization
Candidates must have two years of college education and experience as a Pharmacy Technician, along with current certification. Registration with the Georgia Board of Pharmacy is also required.
Experience Required
Minimum 2 year(s)
Surgical ICU Registered / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Nursing Care, Patient Assessments, Patient Care Plans, Documentation, Cultural Competence, Team Collaboration, Leadership, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Evidence Based Research, Policy Revision, Mentorship, Charge Nurse Responsibilities
Specialization
Candidates must be graduates of an accredited nursing program with specific experience requirements. A valid Registered Nursing License and BLS certification are mandatory, with additional certifications potentially required based on department needs.
Experience Required
Minimum 2 year(s)
Critical Care Stepdown Registered Nurse / RN at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Patient Care, Nursing Process, Patient Assessments, Care Plans, Documentation, Patient Advocacy, Leadership, Data Analysis, Policy Revision, Mentorship
Specialization
Candidates must have a BSN or ADN with relevant nursing experience and a valid RN license. BLS certification is required, and ACLS may be necessary for certain departments.
Experience Required
Minimum 2 year(s)
Cardiovascular Operating Room Registered Nurse at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Cardiovascular Care, Patient Advocacy, Evidence Based Practice, Charge Nurse, Clinical Situations, Cost Containment, Patient Family Focus, Synergy Model, Nursing Experience, Bls Certification, Acls Certification, Operating Room Experience, Team Collaboration, Patient Care, Mentorship, Leadership
Specialization
Candidates must be graduates of an accredited nursing program with a valid Registered Nursing License and at least 2 years of recent nursing experience. Additional certifications such as BLS and ACLS may be required based on department needs.
Experience Required
Minimum 2 year(s)
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.
Surgical ICU Registered / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Clinical Practice, Patient Care, Leadership, Team Collaboration, Quality Improvement, Professional Development, Communication, Conflict Resolution, Patient Assessment, Care Plans, Cultural Competence, Data Analysis, Policy Revision, Mentorship, Nursing Process, Documentation
Specialization
Candidates must have a BSN or ADN with relevant nursing experience. A valid Georgia RN license and BLS certification are required, with ACLS certification potentially needed post-hire.
Experience Required
Minimum 2 year(s)
Senior Infection Control Coordinator at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Infection Control, Data Analysis, Policy Management, Education, Communication, Research, Patient Counseling, Collaboration, Surveillance, Risk Management, Clinical Experience, Health Care, Standards Development, Environmental Rounds, Infection Prevention, Health Agencies Communication
Specialization
Candidates must have a Bachelor's degree and current RN licensure in Georgia, with two years of recent healthcare experience including one year in clinical infection control. Certification in Infection Control (CIC) is also required.
Experience Required
Minimum 2 year(s)
ICU Registered Nurse/ RN at Emory Healthcare
Lithonia, Georgia, United States - Full Time
Skills Needed
Patient Care, Clinical Practice, Nursing Process, Patient Assessments, Care Plans, Documentation, Cultural Competence, Team Collaboration, Leadership, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Evidence Based Research
Specialization
Candidates must have a Bachelor of Science in Nursing or an Associate Degree in Nursing with relevant experience. A valid Registered Nursing License and BLS certification are required, with ACLS certification possibly needed post-hire.
Experience Required
Minimum 2 year(s)
Registered Nurse (RN) - Rehab at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Evaluation, Teaching, Supervision, Monitoring, Discharge Planning
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.
Registered Nurse (RN) - Rehab at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Patient Care, Collaboration, Communication, Leadership, Assessment, Delegation, Evaluation, Teaching, Supervision, Monitoring, Discharge Planning
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.
Clinical SLP Specialist Full Time Days at Tenet Healthcare
Detroit, Michigan, United States - Full Time
Skills Needed
Speech Therapy, Language Assessment, Cognitive Communication, Swallowing Disorders, Patient Counseling, Treatment Planning, Interdisciplinary Collaboration, Clinical Documentation, Mentoring, Educational Presentations, Professional Development, Diagnostic Testing, Patient Education, Rehabilitation, Pediatric Care, Clinical Competence
Specialization
A Master's degree in Speech and Language Pathology and a current license to practice in Michigan are required. Candidates must also have a Certificate of Clinical Competence and three years of clinical experience.
Experience Required
Minimum 5 year(s)
Critical Care Stepdown Registered Nurse / RN at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Patient Care, Nursing Process, Communication, Documentation, Patient Advocacy, Cultural Competence, Clinical Evaluation, Team Collaboration
Specialization
Candidates must be graduates of an accredited nursing program with a valid Registered Nursing License approved by the Georgia Board of Nursing. BLS certification is required, and ACLS may be necessary for certain departments.
Experience Required
Minimum 2 year(s)
Care Assistant - Bank at Avery Healthcare
RW5, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Wellbeing and Activities Assistant at Avery Healthcare
Barnet EN5 4BS, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Dining Services Associate at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Customer Service, Critical Thinking, Problem Solving, Written Communication, Verbal Communication, Food Service, Dietary Knowledge, Time Management, Attention To Detail, Teamwork, Adaptability, Computer Skills, Food Presentation, Judgment, Physical Stamina, Safety Awareness
Specialization
Candidates should have a high school diploma or equivalent, with at least two years of college preferred. Previous hospitality experience and strong customer service skills are also desired.
Kitchen Assistant at Healthcare Homes
GYN5, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Oncology Medical Assistant Proceduralist / MA at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Aseptic Technique, Patient Care, Vital Signs, Medication Administration, Diagnostic Tests, Specimen Collection, Blood Drawing, Sterilization, Infection Control, Equipment Preparation, Patient Positioning, Poc Testing, Chaperoning, Computer Skills, Communication, Teamwork
Specialization
High School Diploma or GED is required along with current Medical Assistant Certification. AHA BLS certification is also required, and one year of work experience is preferred.
Critical Care Stepdown LTAC Registered Nurse / RN at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Patient Care, Nursing Process, Patient Assessments, Care Plans, Documentation, Patient Advocacy, Leadership, Data Analysis, Policy Revision, Mentorship
Specialization
Candidates must be graduates of an accredited nursing program with specific experience requirements. A valid Registered Nursing License and BLS certification are also necessary.
Experience Required
Minimum 2 year(s)
Winship Oncology Clinic Registered Nurse / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Patient Care, Clinical Knowledge, Assessment, Care Plans, Documentation, Cultural Competence, Leadership, Team Collaboration, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Policy Revision, Bls Certification, Acls Certification
Specialization
Candidates must have a BSN or ADN with relevant nursing experience. A valid Georgia RN license and BLS certification are required, with additional certifications based on department needs.
Experience Required
Minimum 2 year(s)
Medical Telemetry Registered Nurse /RN / WEO at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Nursing Care, Patient Assessments, Patient Care Plans, Documentation, Cultural Competence, Team Collaboration, Leadership, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Policy Revision, Evidence Based Research, Mentorship, Patient Education
Specialization
Candidates must be graduates of an accredited nursing program with specific experience requirements. A valid Registered Nursing License and BLS certification are also necessary.
Experience Required
Minimum 2 year(s)
Medical Reconciliation Assistant at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Medication Reconciliation, Patient Interviewing, Documentation, Pharmacy Knowledge, Quality Improvement, Data Analysis, Training, Teamwork, Communication, Time Management, Problem Solving, Patient Safety, Electronic Medical Records, Medication Allergy Information, Interdisciplinary Communication, Customer Service
Specialization
Candidates must have two years of college education and experience as a Pharmacy Technician, along with current certification. Registration with the Georgia Board of Pharmacy is also required.
Experience Required
Minimum 2 year(s)
Surgical ICU Registered / RN at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Nursing Care, Patient Assessments, Patient Care Plans, Documentation, Cultural Competence, Team Collaboration, Leadership, Communication, Conflict Resolution, Quality Improvement, Professional Development, Data Analysis, Evidence Based Research, Policy Revision, Mentorship, Charge Nurse Responsibilities
Specialization
Candidates must be graduates of an accredited nursing program with specific experience requirements. A valid Registered Nursing License and BLS certification are mandatory, with additional certifications potentially required based on department needs.
Experience Required
Minimum 2 year(s)
Critical Care Stepdown Registered Nurse / RN at Emory Healthcare
Decatur, Georgia, United States - Full Time
Skills Needed
Patient Care, Nursing Process, Patient Assessments, Care Plans, Documentation, Patient Advocacy, Leadership, Data Analysis, Policy Revision, Mentorship
Specialization
Candidates must have a BSN or ADN with relevant nursing experience and a valid RN license. BLS certification is required, and ACLS may be necessary for certain departments.
Experience Required
Minimum 2 year(s)
Cardiovascular Operating Room Registered Nurse at Emory Healthcare
Atlanta, Georgia, United States - Full Time
Skills Needed
Cardiovascular Care, Patient Advocacy, Evidence Based Practice, Charge Nurse, Clinical Situations, Cost Containment, Patient Family Focus, Synergy Model, Nursing Experience, Bls Certification, Acls Certification, Operating Room Experience, Team Collaboration, Patient Care, Mentorship, Leadership
Specialization
Candidates must be graduates of an accredited nursing program with a valid Registered Nursing License and at least 2 years of recent nursing experience. Additional certifications such as BLS and ACLS may be required based on department needs.
Experience Required
Minimum 2 year(s)