Healthcare Business Analyst
Healthcare Business Analyst
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Salary Not Disclosed
1 Vacancy
Job Description
Position: Healthcare Business Analyst (Claims and PreAuthorization)
Location: ParsippanyTroy Hills NJ USA(OnSite)
Job Description
Overview:
As a Healthcare Business Analyst specializing in claims processing and preauthorization you will play a critical role in optimizing the development of our products. Your expertise will contribute to efficient claims management accurate preauthorization decisions and streamlined processes.
Responsibilities:
- Analyze endtoend claims workflows from submission to payment.
- Collaborate with stakeholders (insurers providers patients) to identify process improvements.
- Understand how to Ensure compliance with industry standards (e.g. HIPAA)
- Evaluate preauthorization requests for medical services or procedures.
- Verify medical necessity and adherence to guidelines.
- Facilitate timely approvals by working closely with providers and payers.
- Utilize tools like Excel SQL and data visualization platforms.
- Create reports dashboards and presentations to communicate insights.
- Monitor performance metrics related to claims and preauthorization.
- Collaborate with IT teams to enhance products and development of claims processing systems.
- Gather requirements for system upgrades and new features.
- Maintain strong communication with crossfunctional business units.
Regards
Manoj
Derex Technologies INC
Contact : Ext 206
Additional Information :
All your information will be kept confidential according to EEO guidelines.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
