What are the responsibilities and job description for the Healthcare Business Analyst - MN - Locals only - Onsite position at Cyber Sphere LLC?
Job Details
Title: Healthcare Business Analyst
Location: Minneapolis, MN --- Initial 2-3 months onsite and its goes to hybrid/remote.
Duration: Longterm
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.
Regards,
Vinay Ram (Direct) Desk: Suwanee, GA - 30024 An MBE & eVerify Company |
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