Dynamic Business Analyst with 6+ years of IT experience in Business Process Modeling, involved in all Software Development Life Cycle (SDLC) phases of software applications in HealthCare domain. Extensively worked on SDLC methodologies such as Agile Scrum, Joint Application Development (JAD), Rational Unified Process (RUP) and Waterfall. Expertise in creating requirements to the Web Content Accessibility Guidelines (WCAG) standard. Proficiently organized various forms of Requirements gathering, ran large scale meetings with Subject Matter Experts (SMEs), internal and external business stakeholders. Excellent communication, presentation and Technical document writing skills.
Excellent knowledge of Health Insurance Portability and Accountability Act (HIPAA) transaction code set rules such as 837 – Institutional / Professional, *** Claim Payment / Remittance Advise, *** Eligibility Benefit Inquiry / Response, *** Claim Status Inquiry / Response Transactions.
Strong knowledge of data element definitions, fields, codes, loops, segments and specific changes from HIPAA 4010A to 5010.
Worked on HIPAA *** Project to convert EDI X12 HealthCare 4010 transactions into 5010 compliant transactions.
Extensively familiar with ANSI X12 guidelines, EDI mappings and EDI business requirements. Well versed with Inbo...