Sr. Business Systems Analyst
Forward-thinking analyst with experience of 7+ years in the healthcare domain in client implementations, claims adjudication (837 I, P, D), client migrations, client data management, billing data, member data, provider data management, contracts management, quality incentive, utilization management. Extensive knowledge on Membership Enrollment, Billing, Claims Payment Processing (Medical/Pharmacy) in relation to HIPAA, EDI, 5010 X12, ICD-10 codes 837, 835 and 270, 271 transactions and creating process workflows and Swimlane diagrams for the new functionality for Medicare Advantage.
As a senior business analyst, i'm looking forward to gain more insight. An environment which helps me to grow and company.
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