Richa T Email & Phone Number

Cypress, Tx, Us

Pennington, New Jersey, United States

Worked on preparing Business requirement Document BRD and functional requirement document FRD fr the enhancement of the existing services.Organized JAD sessions with the business units and stakeholders to define project scope ,to identify the business flows and determine whether any current and proposed systems are impacted by the new development efforts.Followed Agile with scrum Methodology for gathering and analyzing the requirements . Involved developing and enhancing a component for MUE,DME, and DSNP for MCARE and MCAID.Ensured all artifacts compiled with HIPAA 5010 policies and guidelines .Involved in preparing Defect Reports.Developed requirements traceability matrix (RTM) to map the test cases with the requirement.Developed use cases and use case Diagrams using MS visio and MS Excel.Created change request form for changing the data dictionary for MCARE_MUE practitioner and MCARE_MUE facility.Developed rules for durable medical equipment (DME) and dual special needs plan (DSNP).Developed test cases and test scripts for FACETS claim validation.Worked with FACETS configuration team.Worked on claims processing using FACETS PROD and FACETS UAT.Involved in working on McKesson claims testing /validation using CXT UI and CXT PROD.Worked on claims processing, claims enquiry, payments and reductions, eligibility, accounts for subscribers, providers, members ,payers and claims editing .Involved in preparing UAT test plan and testing status reports based on functional requirements .Used JIRA for issue tracking and defect tracking.Created Documentation and training materials for end users.Validated the letters using Facets prod on daily basis for checking the billed amount ,provider address,project number,payee ID and updated the address. _

Hartford County, Connecticut, United States

part of the initial discovery phase of the project to determine what functionalities are in scope ,time estimates ,risk and resources. Strategize the priority ,planning and scheduling of functionality release.Analyzed the project charter and business case to ensure that the proposed solution met the business requirements.Gathered requirements by conducting meetings, interviews and JAD sessions with SMEs , business users and stakeholders.Conducted thorough market analysis & research to advice recommendations for adding new functionalities ,enhancements to existing provider portal.Involved in enhancing the billing and order management using the BSS (business support system) application and MMIS.Worked with the team on FACETS claims processing system and gathered Functional requirements to comply with HIPAA .Involved in testing all the features of EMR after the upgrades are performed.Responsible for providing documentation to team for troubleshooting and resolving issues reported by system users.Involved in User Acceptance Test (UAT) for the final testing of the application in the deployment environment.Defined Test cases ,creating test scripts ,analyzing bugs by interacting with QA teams in fixing errors.Used JIRA for issue tracking defect tracking ,facilitating and monitoring the process.Created progress and completion reports,which were then submitted to project management on a weekly basis.Played a key role in assisting end users and technical staff in the use of data to satisfy informational and reporting requirements and implementing and using SQL and DBMS.Extensively involved with capitation and Medicare - free for service claims for PPO and POS members.Followed UML based methods to develop use cases diagrams and activity diagrams .Participated in design review to ensure the integration of all requirements.

Spring Field Il

Conducted JAD session with stakeholders to gather requirements.Facilitated and managed meetings sessions with users and SMEs to review and capture Business requirement.Involved in translating the requirements into functional and business requirements using AGILE.Supported training development for internal staff tasked with delivery of training programs to facilitate an understanding of correct claim coding , use of CPT4 and ICD-10.Involved in working with business support system.Worked with business users and technical team to monitor the deployment of the application.Participated in preparing requirement traceability matrix using top team.Assisted in development of training materials for new technology and process improvements. provide training to users and user managers .Conducted project status meetings on a weekly basis with development and testing teams.Worked hand in hand with the project managers ,business owners and vendors on regular basis.Created child support service document using Adobe acrobat.Implemented RUP methodology through software development life cycle(SDLC)Involved in drafting Business requirements document(BRD) and functional requirements specifications (FRS) using MS word, MS ExcelCo-ordinated design reviews to ensure the integration of the requirements.

Tampa, Florida, United States

Acted as a liaison between the stakeholders , system users, clients and managers , who have a business problem and software development team for requirement gathering.Performed the requirements gathering activity in a structured ways by applying context free questions , interview business area experts asking detailed questions and surveys.Worked extensively On ICD- 10 Procedural and diagnosis codes.Worked on refining the functional requirements by facilitating JAD sessions with management ,development teams , users and other stakeholders.Developed business workflows on the claims module for the better understanding of the application and prepared a detailed BRD with all functional and non- functional requirements.Created user help documentation complying with clients documentation guidelines .created an issue log to track and resolve the issues in a timely manner.reviewed integration test plan for integration between modules.Efficiently interacted with development team to understand application functionality and navigational flow and keep them updated about specifications of the business users.Identified all risks associated with the project and proposed suggestions for mitigating the risks related to the business.

Maryland

created SQL queries for backend testing.involved in user acceptance testing (UAT) and test execution.Developed training documents using Adobe Acrobat for online account services.Involved in performing Gap analysis of client requirements by communicating with business users.Involved in gathering functional and non- functional requirements.Extensively involved in the analysis phase for understanding the scope of the project , feasibility of the implementation, and defining risk factors involved in the project.