Healthcare Business Analyst

Position: Healthcare Business Analyst (Claims and Pre-Authorization)Location: Parsippany-Troy Hills, NJ, USA(On-Site) Job Description Overview: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.  Regards, ManojDerex Technologies INCContact : 973-834-5005 Ext 206