Analyst / Sr Analyst

Job Details:

• 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.
• Excellent communication skills, both verbal and written.
• Proficient in using healthcare information systems and other relevant software.
• Ability to handle a high volume of phone calls and multitask effectively.
• Detail-oriented with strong organizational skills.
• Ability to work independently and as part of a team.
• Ready to work in night shift

Key Responsibilities:

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.