Subhash Ramakrishnan Email & Phone Number

A competent professional with experience in US Health Insurance Domain. A Subject matter expert with 7+ years extensive experience, I am successfully credited with a number of training sessions to process teams, part of transition team as domain analysts, all in a relatively short time span. I am dynamic and highly motivated, with comprehensive leadership and analytical skills. My core competencies :• Quality Analysis• Business Analysis• Process Training• Over 7 years of work experience in Healthcare Industry.• A well-known track record with Work experience in the US health insurance Domain as a Business Domain Analyst.• Expertise in gathering Business requirements and Domain documentation and complete understanding on SDLC.• Strong work experience with industry standards such as HIPAA, Healthcare Reforms and US compliance acts such as CMS, COBRA, ARRA, PPACA.• Well versed knowledge in Six Sigma and ISO standards.• A PAHM-250 certified professional by Academy for Healthcare management USA- a center for insurance education and professional development.• Processing & Adjudication of Health care insurance Medical, Hospital, Medicare and Medicaid claims in Mainframe and Facets Platform. • Worked on a High end process called Plan Installations which involves building, coding and maintenance of Health Insurance plans on the ACAS (Automatic Claims Adjudication System) Mainframe system• Hands on Experience in RUMBA, FACETS and NASCO Apps.• Exposure to the MS Excel, MS Visio and UML 10.0• Excellent knowledge in ICD 9 and 10 , HIPAA 5010 Transaction X12 (837,835 and 834)• Good work experience CPT, HCPCS, Dental codes, Provider contracts, Benefit Coding, Medical records, CMS 1500, UB04, Overpayment recovery, Quality Control Methods, e-mail etiquette, Provider function, EDI Transactions,HL7, EMR and EHR, Scheduling, Health care management systems, Enrollment and Billing, case installation.

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  Calicut University, Thenhipalem, Malapuram

  Bsc Mathematics