Muthyala Sai Kumar (Msk) Email & Phone Number

Hyderabad, Telangana, India

Hyderabad, Telangana, India

Hyderabad, Telangana, India

Project: Independence Blue Cross, Minnesota, Wyoming & Highmark Billing – Run  Analyzing the client requirements and creating the documents like Test cases and user stories to implement and collaborate with development team  Processing the additional requirements and requests from the client through the INSINQ application with the help of IT team Involved in review meeting of project team to understand the functionality. Involved in developing UAT functional scenarios. Closely working with IT team, providing the root cause analysis and suggest in improvingthe functionality. Checking the backend data files and billing transactions by using the SQL queries in Oracle application and reporting to the account raceable team for any corrections Involved in training classes of upstream and downstream systems to understand thebusiness flow.  Updating the transition files by using the Billing application and reviewing the requirements and implementation. Work closely with onshore team in making sure that deliverables are completed in time. Run the testing process before bill run by using Putty, Controllers, Mainframe and test environment applications  Providing the automation scenarios to simplify the work environment Environment: windows 10, Toad Oracle

Hyderabad Area, India

Project: MICROSOFT BING Managing, reporting and documenting business and functional requirements, communicating effectively with upper management, developers and QA engineers. Elicit requirements and business analysis: Involved in business requirement, solution design, acceptance criteria, user stories and use cases for the business requirement. Prepare Persona and process mapping in order to simplify the requirements. Responsible for creating documentation including requirement user stories, Acceptance criteria, Feature description, Release notes, Wireframes and user guides. Prepare documentation like FRD and case study for development team to make them understand the clear requirement. Prepare business process models, used Visio/Balsamic to create use case diagram and business process flow. To ensure the changes in the world is correctly and vastly reflecting in the Microsoft Bing as per the functionality and requirement.

Hyderabad Area, India

Project: Claims Validation Testing (CVT)-UHG Claims Tracked the progress of all outstanding insurance claims. Reported policy changes and company conditions affecting customer satisfaction. Implemented improvements in manual and electronic billing procedures. Calculated quotes and educated potential clients on insurance options. Calculated premiums and established payment methods. Collected all premiums on or before effective date of coverage.  Checking the Benefits analysis of the claims by their Diagnosis and their Co-pays Checking the Different types policies like HMO,PPO and EPO plansEnvironment: Windows 7, U-net systems and UNIX Platform

Hyderabad Area, India

Project: Anthem Claims Processing of Medicare and Medicaid claims of Professional and institutional claims. Handling the adjudicated claims and creating the IQTs for payment initiation and recollecting of payments. Active participation in the daily Clint calls for the new scenarios and escalation claims for their resolutions. Met all deadlines including those for month-end reporting. Processed payments and applied to customer balances.  Prepared documents, reports and presentations using advanced software proficiency. Worked as internal auditor and conducting the team huddles Environment: Windows 7, Citrix and UNIX Platform

Hyderabad Area, India

Project: Randomized Parallel Double-blind Controlled Trial on Type II Diabetic Closely monitored acute conditions. Maintained all confidential personnel files, license and CPR compliance records.  Monitored Infection Control and Critical Incidents. Authorized drug refills and provided detailed prescription information to pharmacies. Provided patient diagnoses under strict time constraints. Enter data from CRF forms and documents into Clinical databases.  Filled the CRF forms as per the Sponsor specifications which is mentioned in the SOPs Environment: Windows 7, Oracle database (Clinical Database)