1 Business Analyst with healthcare claims Job in Hills, NJ
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Business Analyst with healthcare claims
$93k-114k (estimate)
Full Time
2 Weeks Ago
Derex Technologies inc is Hiring a Business Analyst with healthcare claims Near Hills, NJ
Company DescriptionDerex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Job DescriptionHealthcare Business Analyst (Claims and Pre-Authorization)Parsippany-Troy Hills, NJ, USAJob DescriptionOverview:
As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Your expertise will contribute to efficient claims management, accurate pre-authorization decisions, and streamlined processes.
Responsibilities:
All your information will be kept confidential according to EEO guidelines.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Job DescriptionHealthcare Business Analyst (Claims and Pre-Authorization)Parsippany-Troy Hills, NJ, USAJob DescriptionOverview:
As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Your expertise will contribute to efficient claims management, accurate pre-authorization decisions, and streamlined processes.
Responsibilities:
- Analyze end-to-end 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 pre-authorization 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 pre-authorization.
- 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 cross-functional business units.
All your information will be kept confidential according to EEO guidelines.
Job Summary
JOB TYPE
Full Time
SALARY
$93k-114k (estimate)
POST DATE
06/08/2024
EXPIRATION DATE
07/03/2024
WEBSITE
derextech.com
HEADQUARTERS
Harrison, NJ
SIZE
100 - 200
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