Muthyala Sai Kumar (Msk) Email & Phone Number

• Business analyst experience with key focus in Healthcare/insurance industry and excellent knowledge about health care industry and claims management. • Expertise in understanding business needs and defining creative and useful software solutions.• Excellent analytical and problem solving skills in designing, developing and implementing innovative business process using new opportunities and technology. • Experience in conducting Joint Application Development (JAD) sessions with end-users, SMEs and QA team for project meetings and customer interviews communicate with excellent communication skills.• Analyze and documenting in business requirements (BRD) & functional requirements (FRD).• Worked effectively with the QA (Quality Assurance) team for designing and evaluating User Stories, Test plan and Test data for the application.• Hands on experience in writing user stories in JIRA tool.• Expertise in Software Development Cycle (SDLC), project life cycle and in Software Development methodology including Agile.• Sound understanding of comprehensive Health Reform, the Patient Protection and Affordable Care Act (ACA) and medical claim policies and requirements including benefits, membership, enrolment and Implementation.• Expertise in ICD-9 to ICD-10 conversation.• Experience User Acceptance Testing (UAT) of systems.• Experience with the working of Medicare and Medicaid health insurance policies with the thorough understanding of CPT coding, CMS 1500 and UD-04 claim forms.• Experience in HIPPA compliance and Electronic Data Interchange (EDI) claim forms 834,835 and 837.• Basic knowledge of SQL Quires and reporting the results to the business team.• Analytical and resourceful approach to problem solving identifying root cause and corrective actions to meet short and long-term business, financial and system requirements.

Listed skills include Hippa, User Acceptance Testing, Uat, Jira, and 7 others.

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  Gyana Jyothi College Of Pharmacy

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