Dear Associates,
My name is ROGER SMITH from ITTECHNICS.INC
We have Excellent Consultant for your Sr BUSINESS ANALYSIS for your DIRECT Client Requirements
Please send me your Requirement to roger@ittechnics.com or call me on 773-309-1667
Please Find below Attached Resume Details
Name : SYED HAQ
Location : Chicago IL
Visa: USC
Availability: Immediately
Relocation: Yes
Rate : Open
Details Summery:
· Sr. Business System Analyst with 7 Years experience in IT and software projects in web/windows application environment with various relational database systems. Involved in various projects like Reporting, Integration, Migration/Conversion and Configuration from legacy application. Worked extensively in Business Analysis (Enterprise Analysis, Requirements Elicitation, Requirements Analysis & Documentation, Communications, Solution Assessment and Validation).
· Experience with healthcare system, Medicaid and with prime focus on claims adjudication, provider, eligibility and prior authorization.
· Experience in configuration of claims adjudication systems, FACETS 4.51/4.71.
· Experience with testing various test cases for Facets interfaces and tracking/explaining bugs to development teams.
· Industry experience as a Business/Data Analyst with solid understanding of Business Requirements Gathering, Data warehousing, Data Modeling, Evaluating Data Sources, Translating Requirements into Specifications, Application Design.
· Extensive experience in conducting Market Research, Feasibility Studies, Data Analyses, Data Mapping, Data Profiling , Gap Analyses, Risk Identification, Risk Assessment, Risks Analyses, and Risk management.
· Experience in Software Development Life Cycle (SDLC)-Waterfall, V-Model, Prototype 89and Spiral model. Knowledge of reporting tools (Cognos, Crystal Reports & Microsoft Reporting Services).
· Good working knowledge of Claims processing, HIPAA Regulations and 270, 837P, 837I, 837D EDI Transactions for health care industries.
· Efficient in MS Project/MS Excel for planning/status reporting/writing test scenarios.
· Experience with HIPAA/EDI UB-82, UB-92 and HCFA 1500 claims, and HEDI information.
· HIPAA Business Workflow Analyst / EDI x12N Consultant for MMIS (Medicaid Managed Care System).
· Experience with developing HIPAA Companion Guides for 834 Enrollments, 270/271 Eligibility Inquiry/Response & 820 - Health Plan premium payments for MMIS (Texas, Maryland, Illinois and Virginia).
· Experience with Health Level Seven (HL 7) data exchange models.
Healthcare Domain specific experience:
· Experience with HIPAA compliance and CFR Part II electronic exchange guidelines.
· Experience in EDI automated first-pass claim adjudication, requiring thorough understanding of claim processing, both front and backend operations.
· Experience with Bluecross, Medicare, Medicaid, and commercial insurances in HIPAA ANSI X12 formats including 270/271, 276/277, 820, 834, 835, 837 to third part vendor applications including NEIC, SSI, ESI, Bluecross, Medicare, and several others using COBOL, Metafile, Visual Basic, Unix, DOS, Assembler, C, FTP, Windows, Novell, and various other communication packages.
Thanks and Regards,
ROGER SMITH | Account Manager
Email: roger@ittechnics.com|Call: 773-309-1667
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