A seasoned, dynamic healthcare professional with overall 10 years of experience amongst which the initial 6 years are into pure health care and health insurance and the recent 4 years are into healthcare IT.
Skills: Medical claims adjudication, end-to-end revenue cycle management, claim processing, adjustments, medical coding, medical review, appeals management, denial management, reconciliations, escalations, underwriting, auditing, medical analysis, business analysis, medical and process related training, provider relations, client relations, team correspondence etc.
Pega tool, Business requirements gathering, requirements elicitation, Epic grooming, use case creation, user story creation, agile, scrum, SDLC, Testing, product demoes, liaising with stakeholders, conducting DCO sessions etc.