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- N/ATamamlanmış İş
- N/ABütçe Dahilinde
- N/ATekrar İşe Alınma Oranı
Business AnaylstSep 2013
I am in a part of UAT (User Acceptance Testing) team, I am aligned to multiple projects. 1. Facets - BIC: Here I validate healthcare benefits on facets, Creating high level scenarios and Testing (executing) test case as per the Scenarios. 2. Linx (Puma): Executing Test scripts on PUMA application 3. Facets - HPHC, Duncan: Creating claims for Test Scenarios for EOB, ECK, PRAand PRC
Configuration AnalystOct 2012 - Sep 2013 (11 months)
Department/Process: Configuration Services/Business Rules Configuration (BRC) Role and Responsibility: The job mainly deals with the configuration of Benefit & pricing along with Unit Testing for Medicare, Medicaid and Commercial Plans. This includes client interaction. Worked on below applications of FACETS: Claim Processing: Medical Claim Processing Hospital Claim Processing Medical Plan: Product, Service payment, Service/Procedure Conversion, Service/Revenue Conversion, Supplemental/Procedure conversion, Supplemental/Revenue Conversion, Service Rule Definition, Deductible Rule and Limit Rule. NetworX: NetworX Qualifier groups, ASC maintenance, APC maintenance, Medical agreement Configurator, Source Maintenance, RBRVS Maintenance. Workflow configuration: Routing rules, Qualifier group, Routing reasons Also Worked on Providers, User warning message. Worked on both Frontend and Backend on Facets 4.71. Application Used: Facets 4.71 and SQL.
Subject Matter ExpertJul 2007 - Oct 2012 (5 years)
Department/Process: Claims processing/Healthcare, UBH facets (P3) Skills used: Knowledge of US Healthcare & Insurance Role: • Data entry, Processing and Auditing high dollar Physician and Inpatient claims • Working on fresh, adjustments and Escalation (appeals) claims • Preparing reports on Exccell
AssociateDec 2006 - Jul 2007 (7 months)
Processing Claims for US healthcare: Medical, Pharmacy, Vision, Dental, Hospital as per the mambers benefit.