Job Title:
Analyst / Sr Analyst
Company:
EVERSANA
Location: Pune, Maharashtra, India
Department: Patient Services – Analytics
Job Type: Full-Time
About the Company:
EVERSANA is a global leader in commercialization services for the life sciences industry. With a workforce of over 7,000 and partnerships with more than 650 clients, the company is dedicated to improving patient outcomes by delivering innovative therapies through integrated services, data, and technology solutions.
Job Summary:
The Analyst / Sr Analyst supports the Patient Services team by conducting insurance benefit verification, reimbursement assistance, and prior authorization processing for medications. The role involves communicating with patients, payers, and healthcare providers to ensure smooth access to prescribed therapies.
Key Responsibilities:
Benefit Verification
Confirm insurance coverage and benefits for patients
Interact with insurance providers for benefit details
Record and update benefit information accurately in internal systems
Reimbursement Support
Explain reimbursement options to patients
Process and follow up on reimbursement claims
Prior Authorization
Coordinate prior authorizations for medications
Work with healthcare providers and insurance companies
Maintain comprehensive records of all authorization outcomes
Phone Communication
Handle incoming/outgoing calls courteously and professionally
Provide accurate information regarding insurance, reimbursement, and authorizations
Resolve patient inquiries efficiently
Minimum Qualifications:
Any graduate
Minimum 1 year of experience in healthcare, insurance, or patient services
Strong knowledge of insurance benefits, reimbursement, and prior authorization
Proficiency in healthcare software and systems
Excellent verbal and written communication skills
Ability to multitask in a high-volume environment
Strong attention to detail and organization
Comfortable working night shifts
Preferred Education:
MS in Health Economics, Public Health, Pharmacy/Pharmaceutical Sciences, or Life Sciences
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