Analyst / Sr Analyst

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! 

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.

Job Description

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.

Qualifications

• Any Graduate
• MS in Health Economics, Public Health, Pharmacy/Pharmaceutical Sciences, or Life Science

Additional Information

All your information will be kept confidential according to EEO guidelines.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

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