A competent professional with experience in the US Health care Technology, Consulting and Business Process with 3+ years of experience in U.S Health care Process.
Currently associated with Cognizant Technology Solutions, Hyderabad as Subject Matter Expert.
Strong communication skills with client and a deep understanding of the requirement of the client.
Good working experience on Microsoft Excel, Word, PowerPoint, Visio and Project management.
Good knowledge in Data Mining techniques, R programming, SAS visual analytics and all other tools currently in the industry.
Excellent analytical and problem solving skills and a innovative thinker.
Ability to quickly adapt/grasp and master new concepts/requirement and other related functional knowledge with strong zeal to learn new things.
Presentation of Innovative ideas/initiative for the improvement of work flow and a betterment of overall performance.
Worked closely with different Teams of the client and gather information about the requirement and did implement in the process flow which resulted in value add to the client.
Prepared several Macros using VBA and SQL which automated the process and saved the manual work and time, resulting in increase of production.
Expertise in gathering Business requirements, Domain documentation and complete understanding on SDLC.
Prepared tracker for RE(Reasonable Expectation) for the associates and calculating RE for daily basis, uploading on dash board every day.
Using SQL and creating VBA macros to pull the large amount of data from the system and perform various process and analysis.
Well versed knowledge in Six Sigma and ISO standards.
Processing & Adjudication of Health care insurance Medical, Hospital, Medicare and Medicaid claims in Mainframe based platforms such as NASCO, WGS and Facets.
UB04, Over-payment recovery, Quality Control Methods, e-mail etiquette, Provider function, Scheduling, Health care management systems, Enrollment and Billing, case installation.