We provide IT Staff Augmentation Services!

Sr. Business Analyst Resume

Pontiac, MI

PROFILE

Innovative and competent business professional with over 7 years of experience and a strong background in Healthcare IT, Biotechnology and Pharmaceuticals. Consistently demonstrated the ability to acquire a diverse range of new skills and techniques, with strengths in analysis, presentation and project implementation. Seeking a Business Analyst/ implementation specialist position within healthcare industries to facilitate Physicians and Health Institutes in managing the flow of information and achieving comprehensive Clinical and Revenue cycle Healthcare IT solutions by the meaningful use of certified EHR technology.

SKILLS

Languages: Basics of C programming, C++, My SQL and Data Structure
Specific Konwledge:Microsoft (word, prowepoint, excel, visio), Sharepoint, Apache Tomcat 6.0, ASP.NET, SPSS, EHR, EMR, Practice Management, CPOE, PACS, Rx orders, first data bank, HL7 Interfaces engine integration, XML, TCP/IP and FTP, Regulations in Healthcare IT, Meaningful Use (MU) of EHR, Medicare audit, Medicaid audit, SDLC, HIPAA Provisions, Health Information Interoperability, clinical data migration

EXPERIENCE

Sr. Business Analyst/Project Manager at Confidential, Pontiac MI April 2011 - Current
Certified Meaningful Use EMR and Revenue cycle system implementation

  • Currently leading, coordinating EMR/EHR (iHelix Suite) implementation to achieve meaningful use stage 1.
  • Working with McKesson’s med series, 3M, Arrendale (dictation), Scheduler, Sun Quest, Pyxis, iDoc document management and Merge (PACS) applications and creating an interface engine model.
  • Key expertise in requirements analysis and business specification, development, enhancement, quality assurance, testing methodologies and implementations.
  • Conducting design sessions and documenting clinical workflows with the business users (like patient access, nursing, pharmacy, radiology, lab, psych, material management, revenue cycle management etc).
  • Designing and drawing application interface charts, formulating test scenarios as well as managing day-to-day operational aspect of the project from client site and reporting the same to the top management.
  • Performing business analysis, software validation and testing for client/server, multi-tier and web-based applications for EMR and commercial business for managed healthcare plans and Industries
  • Working knowledge of MediCare, MediCaid and Commercial Insurance benefits eligibility (834s), contracts set up, billing, claim (837s) processing includes remits (835s) and denials.
  • Assisting the transition from 3M to truCode and implementation of truCode- medical coding software to help the hospital in efficient navigation of ICD 9, ICD 10, CPT and HCPCS Level I, II and III codes.
  • Extensively working with HL7 messages like ADT, ORM and ORU during while integrating iHelix with the existing applications.
  • Creating policies& procedures and providing end users training.
  • Managing customer relationship and maintaining excellent client satisfaction level by holding regular feedback and progress report meetings with the executive staff of the Hospital.
  • Created 100 plus integration test scenarios (ER, OP, IP, SDS and treatment) series to test the application.
  • Testing the accuracy of iHelix inpatient EMR for Stage 1 meaningful use clinical quality measure calculation by using Cypress tool.
  • Testing the application functionalities& modules to meet end users demand so acting as a liaison b/w client& developer teams.
  • Managing multi-functional geographically dispersed teams to address client requirements, produce quality deliverables, and meet client expectations.
  • Participated in go live planning (command center) and post go live support.

Sr. Business Analyst at Confidential Boston August 2010 - Mar 2011
Soarian Financial implementation

  • Full lifecycle implementation of Soarian financials v3.1 at multiple sites of partner healthcare
  • Analyzing and Modify existing policies and procedures.
  • Study of existing process and document process changes with new Soarian Financial v3.1 implementation
  • Performing GAP analysis between Meditech and Soarian application for the Data Migration and Conversion.
  • Prepared build plans, migration plans, Integration test scripts to migrate Meditech application to Soarian financials v3.1
  • Implemented the SF modules such as Patient Access, Reimbursements, Receivables, Claims and Guarantor Billing, Financial Transactions and Remittance Processing and Follow up.
  • Strong configuration knowledge in Service and Price catalog Masters, Payer/Health Plan Master, Contract Master, Operational Hierarchy, Receivables Groups, Billing periods and GL Master.
  • Patient Access configuration for Outpatient admission process, Labor and delivery, ED, Treatment Series, Enterprise Scheduling, Patient Check-in/Out and Encounter Automation etc.,
  • Worked on Master files such as Health professionals, Encounter Providers, Encounter locations, accommodation charge rules, manage Soarian Financials organizations
  • Create and manage reimbursement and payer contracts, Payer/Health Plan Master files, Reimbursement Expression, APC, DRG, and Fee Schedule/Modifier Discount master files referencing the in contract and Payer/Health Plan master files.
  • Guarantors & Insurance Information : Fiscal calendar and General ledger
  • Worked with ePrimis to manage the eligibility, Claims and revenue reconciliation.
  • Create and Maintain Service Catalog, Price List Catalog, Service Map files related to meet specific payer requirements.
  • Identifying the impacts and training the users on new policies /procedures changes.
  • Developed Use cases, Test Cases for the Business users and QA team.
  • Identifying the Security Risks in the application that being built and address them in the requirement document to avoid the security breaches.
  • Trained business users on worklists for Patient Access, charge posting errors and claims.
  • Prepared the cross walk file for MEDITECH Migration
  • Supporting the Business Users after go live.
  • Designed the flexible solution for patient treatment plan and patient care plan.

Business Analyst at Confidential August 2009 - July 2010

  • Receive SRQ related to BRDT, CDQR, payer rules from the clients.
  • Triaging based on priority, analysis, impact, resource planning, and communication between the clients, clarifications.
  • Coordinate with team members / user to assess Siemens client needs for the products like Soarian financial, Soarian clinical and Siemens pharmacy.
  • Review documentation release by internal software developers and to keep apprised of changes and upcoming developments in software applications.
  • Communicate software problems and issues to software development and support teams.
  • Develops, tests, and modifies internal application systems.
  • Designs systems, modules and/or approaches and required enhancements.
  • Performs coding, reviewing, preparing test data, testing and debugging and implementing of system building.
  • Performs program, system and user documentation for enhancements created.
  • Performs analysis and troubleshooting for various business applications.

Business Analyst at Confidential October 2007 - July 2009

  • Work in a large Health System supporting the Patient Management and Financial Organizations.
  • Collaborate with the hospital business community to interpret their business requirements.
  • Develop resulting specifications for technical staff.
  • Ensure final product meets stated/accepted business requirements.
  • Document corresponding workflows and business requirements.
  • Develop test plans.

EHR Implementation Analyst at Confidential June 2004 - September 2007

  • Participate as a key member of the core implementation team charged with successfully implementing and supporting an EHR system by becoming a Next Gen Certified Professional and subject matter expert in the functionality of the electronic practice management and electronic medical records software.
  • Serve as main point of contact and application subject matter expert for the physician offices during the implementation process; on site go-live support and post implementation phase, including optimization.
  • Analyze and document the requirements of a physician\'s office and clinical workflow as they pertain to the implementation of electronic practice management and electronic medical records software.
  • Prepare recommendations and/or alternatives that address existing and potential areas of improvements in physician offices operations.
  • Redesign existing workflows to leverage the Confidential application and document, review and train future state workflows.
  • Design and configure the electronic practice management and electronic medical records software in the most efficient manner to support the physicians\' office requirements and future state workflows.
  • Create, utilize and implement customized training curriculum to train and instruct the physician\'s office staff on the use the features of the electronic practice management and electronic medical records software effectively.
  • Document implementation decisions and configuration approach
  • Directly and remotely support the physicians and physician office staff in the use of the software.

EDUCATION

MA Master of Business Administration (MBA)
Bachelors of Technology Engineering

Hire Now