• Consulting with business owners and ITS business representatives to onboard their applications onto newly developed in house IAM system.• Functioned as the primary liaison between the business owner, operations and TSO throughout the migration project life cycle.• Facilitated meeting with stakeholders to elicit business and functional requirements and perform business process analysis.• Interacted with internal stockholders to share the findings from deep dive analysis. • Building and configuring application onboarding tasks like roles, groups, permissions, AD groups, SSO profiles, UER, Segregation of duties, business functions etc.• Translated massive datasets into actionable business results.• Implemented foundation for entitlement certification of users to address regulatory compliance and audit requirements.• Collaborated with technical resources to develop workable solutions that meet customer expectations.• Gathered and analyzed application data provided by application owner.• Translated business requirements into technical requirements and assist other team members in implementing the solution.• Provided direct technical evaluation of third-party products for inclusion of IAM solutions and define software development process.• Generated reports for each application for audit and migration propose.• Set up the workflow for requesting, granting and revocation of the user access.• Reviewed documentation on a regular basis to ensure accuracy and completeness.• Analyzed and communicated the viability of the solution to meet project timeline, budget and quality.• Designed, documented and explained the file formats for collecting the segregation of duties (SOD) data within the application and system.• Documented the process and set up for user to raise a request and associated workflow with it for each application in a standard format.

• Adhere to all company policies, procedures and guidelines in addition to insurance regulations at the federal and state level.• Examined medical treatment records, police reports, physical property damage and medical bills to gauge overall extent of liability.• Interviewed and communicated with claimants, police, witnesses, physicians and other necessary individuals to decide claim denial, settlement or review.• Ensured all claims information remains confidential.• Engaged in continuing education and training opportunities when possible.• Determined covered medical insurance losses by studying provisions of policy or certificate.• Established proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.• Accomplished organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.• Determined the amount of coverage a customer should receive according to the procedure done and the coverage on the account.• Stayed in constant contact with medical facilities providing service to determine accuracy of claims being made.• Researched current and new medical processing laws and regulations at both the state and federal level.• Made phone calls to confirm the accuracy of medical claims.• Trained new Medical Claims Processors in all aspects of the job.• Analyzed billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.

• Examine claims records and forms to determine whether the patient has medical insurance.• Review provisions of certificate or policy to determine the patient’s included medical coverage losses.• Negotiate claim settlements and make recommendations for legal action when settlements are deemed non-negotiable.• Complete logs, reports, forms, and records to properly document medical claims.• Reject or accept documentation, determine benefit due, and start the denial or payment process to resolve medical claims.• Maintained communication with providers for claim clarification.• Prepared and analyzed accounts receivable reports, and weekly and monthly financial reports in concert with the Practice Administrator and Business Manager.• Audited current procedures to monitor and improve efficiency of billing and collections operations.• Analyzed trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures.