Business Analyst Position for Healthcare Services

2 weeks ago


Pune, Maharashtra, India EVERSANA Full time

At EVERSANA, we're seeking a highly skilled Business Analyst to join our team in the healthcare services sector.

Job Overview

The successful candidate will be responsible for verifying patient insurance coverage and benefits, communicating with insurance companies, and accurately documenting patient benefit information in our system.

Key Responsibilities
  1. Benefit Verification:
  • Verify patient insurance coverage and benefits
  • Communicate with insurance companies to obtain and confirm patient benefit information
  • Accurately document and update patient benefit information in the system
Reimbursement:
  • Assist patients with understanding their reimbursement options
  • Process reimbursement claims and ensure timely follow-up
Prior Authorization:
  • Obtain prior authorization for medications as required
  • Coordinate with healthcare providers and insurance companies
  • Maintain detailed records of all authorization requests and outcomes
Phone Calls:
  • Handle incoming and outgoing phone calls in a professional and courteous manner
  • Provide patients with accurate information regarding their benefits, authorizations, and reimbursements
  • Address patient inquiries and resolve issues promptly
Requirements
  • Minimum of 1 year of experience in a healthcare or insurance-related role, preferably in patient services, benefit verification, reimbursement, or prior authorization
  • Strong understanding of insurance policies, benefits, and reimbursement processes
  • Proficient in using healthcare information systems and other relevant software
  • Ready to work in night shift

Estimated salary: $60,000 - $80,000 per year.



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