Pujitha Bandi

 Specialized in healthcare EDI workflows (837 claims, 835 remittance, 270/271 eligibility, 276/277 claim status, 278 prior authorization) and HL7/FHIR interoperability.  Focused on claims processing, remittance automation, and clinical-to-financial data exchange.  Advanced into larger health systems working on Epic billing modules, payer-provider EDI integration, and compliance-driven data reporting.  Contributed to insurance projects at Globe Life, with responsibilities in policy administration, premium billing, and claims adjudication workflows.  Experienced in requirement elicitation and documentation (BRDs, FRDs, user stories, workflow diagrams).  Proficient in conducting gap analysis, process improvement, and system integration across billing, claims, and policy servicing workflows.  Strong collaborator with cross-functional teams including clinicians, revenue cycle managers, IT developers, QA analysts, and compliance officers.  Hands-on experience in test planning, SIT, UAT, and regression testing for EDI, HL7, and financial transactions.  Deep understanding of HIPAA, CMS, and Texas HHS compliance requirements, ensuring secure and compliant workflows.  Skilled at facilitating JAD sessions, Agile ceremonies, and stakeholder workshops to align technical and business goals.  Contributed to dashboard and reporting enhancements for leadership to track denial trends, claim cycle times, and reimbursement accuracy.  Career reflects a blend of healthcare specialization and cross-domain business analysis experience, showcasing ability to bridge technical solutions with operational needs.