Binaya Bhandari Email & Phone Number

Meridian, Idaho, United States

• Involved in all phases of Software development life cycle SDLC using Agile Scrum methodology.• Performed tool evaluation and feasibility to help in selecting Automation tool for RPA implementation• Worked with Business Teams to create PDD (Process Definition Document) and developed separate SDD (Solution Design Documents)• Proficient in implementing and configuring QNXT, a comprehensive healthcare management system, to streamline administrative and clinical processes.• Skilled in utilizing QNXT for claims processing, adjudication, and reimbursement, ensuring accuracy and compliance with regulatory requirements.• Involved in the designing solutions utilizing RPA (Robotic Process Automation) software, maintain technical responsibility for project delivery as the technical resource on a project• Developed ROBOTS using UiPath to automate and accelerate 80% of standard business process with minimum human intervention for remaining non-standard processes

St Louis, Missouri, United States

• Involved in preparing project plans and identifying major milestones for each stage as per the SDLC• Developed business process models in Agile (Scrum) to document existing and future business processes.• Created and maintained claims processing documentation, including business rules, requirements, and user manual• Created test plans and scripts to verify software functionality and adherence to business requirements.• Collaborate with stakeholders, SME, and development teams to ensure a shared understanding of the product requirements.• Conducted end-to-end testing of claims adjudication functionalities, ensuring accurate payment calculations, validation of eligibility and coverage, and adherence to contract terms.• Reviewed and worked in developing RPA Strategy defining scope.• Developed PDD, working with SME’s

Philadelphia, Pennsylvania, United States

• Working directly with the product owner and business partners for the implementation of Agile / Scrum techniques for the project.• Respond to inquiries from customers about EDI status and provides technical assistance.• Used flowcharts to identify bottlenecks, inefficiencies, and opportunities for process improvement• Tested the HIPPA EDI 834, 270/271, 276/277, 837/ 278 transactions according to test scenarios and verify the data on different modules• Worked on Integration applications like (Web Services, Mainframe, MS Office, GUI, Outlook etc.) using workflow, automation tools (Blue Prism)• Involved in communicating with Blue Prism on software related issues, suggested improvements and participating with other users in the Blue Prism community

Atlanta, Georgia, United States

• Facilitate Agile Ceremonies successfully to gather, incorporate and apply team feedback for upcoming sprints.• Performed data validation testing writing SQL queries.• Conducted walk through sessions for Business Requirement Document (BRD) and Use Cases to discuss certain issues with stakeholders, Architectures and Design & development teams.• Participated with test teams during the Product test and UAT phases to analyze and fix bugs.• Created acceptance criteria for functional and technical user stories in JIRA.• Ability to collaborate with stakeholders, including healthcare providers, insurance companies, and regulatory agencies, to ensure accurate and timely claims processing.