S

Saman Baghpatee

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Virginia, United States

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Jobs verified_user 0% verified
  • S
    Business Analyst
    Signify Health-
    Dec 2022 - Current (3 years 5 months)
    Worked on the claim adjudication process, and I have worked on the integrations with document management system, central database. Scope of my project is to improvise the automatic reviews, which included the removal of the irrelevant appeal process, incorrect information, duplicate records
  • Munson Healthcare
    Business Analyst
    Munson Healthcare
    Jul 2019 - Nov 2022 (3 years 5 months)
    • Interacted with business heads to finalize the Business Requirements for the application. • Performed the requirement analysis and documented the requirements using Rational Requisite Pro. • Involved in the design, development, implementation, and production activities associated with claims processing module involved Receipt and Verification of Claim Forms (837) and Claims Attachments (275), Claims Enquiry and Response (276/277), Adjudication, Healthcare Claim Payment/Advice (835) as per HIPAA guidelines. • Analyzed transactions 837 (Claim for Institutional, Professional and Dental Claims), 835 (Claim Payment), 276- 277 (Claim status), 834 (Enrolment), 270/271 (Member eligibility). • Worked for Dental, Professional and Institutional
  • Zelis
    Associate Business Analyst
    Zelis
    Apr 2018 - Jun 2019 (1 year 3 months)
    • Led design sessions with external vendors and internal resources that allowed the team to come to an agreement on a new overall design for the Investment Choice experience. • Finalized and documented the business requirements based on the requirements of the clients, documenting the need of the alerts and processes built in the User Interface. • Collaborated with development team in creating MS Visio diagrams describing the architecture and design of the system. Also created and reviewed the wireframes and screen mock-ups with the users. • Assisted in creation of test deliverables like the test plans and test cases and assisted the Quality Assurance team in testing of the product. • Involved in the User Acceptance Testing phase and c
Education verified_user 0% verified
  • University of Texas at Austin
    Bachelor of Science and Arts
    University of Texas at Austin