Business Analyst Resume

PROFESSIONAL SUMMARY:

A versatile analyst with in - depth business and financial experience. Demonstrated ability to make immediate improvements relating to internal and external reporting, cost reduction, efficiency, and internal controls. Strong troubleshooting, problem solving, and follow through qualifications with the ability to manage and prioritize a variety of projects.
Financial and general management strengths include:
Proficient Communication Skills Agile/Waterfall environment
Performance Analysis Database Management
Mapping / Model/UAT Testing / Business Requirement Documentation
Data Mining Forecasting Trend Projection Variance Analysis

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

Responsibilities:

Act as a liaison between client and technical solutions/support groups, using advanced communication skills to elicit, document, analyze and validate client requirements.
Document requirements and translate into proper system requirements specifications using high-maturity methods, processes and tools.
Develop visualization, user experience and configuration elements of solution design.
Execute and coordinate requirements management and change management processes.
Participate in proposals, feasibility studies, implementations, and new business development.
Analyze and transform data in a meaningful way based upon intended audience.
Develop, maintain, and distribute ad-hoc reports and financial reports as needed.
Provide daily and monthly status reporting to both internal and external leadership.
Analyze and transform data to facilitate easy and streamlined resolution of problems in the claims processing workflow.

Confidential

Claims Analyst

Responsibilities:

Act as a liaison between client and technical solutions/support groups, using advanced. communication skills to elicit, document, analyze and validate client requirements
Provide strategic solutions when errors arise.
Create and analyze complex ad-hoc reports for internal and external stakeholders.
Write development specifications for IT software and reporting enhancements.
Perform detailed analysis on claims and payment information.
Responsible for managing the extended business office’s inventory and receipts in the automated collection system as well as running and maintaining reports.
Compile and maintain payment and inventory spreadsheets from the hospital systems.
Work accounts with urgency as defined by department standards to bring them to closure expediently.
Ensure that all billing is sent/transmitted and that payments or reimbursements are received in a timely manner.
Review all payments/reimbursement reports for accuracy; identify errors and correct errors prior to re-submitting to the payer.

Confidential

Notification Coordinator

Responsibilities:

Responsible for drafting letters in accordance with Grier consent decree.
Responsible for reviewing documents for quality and accuracy, resolved minor discrepancies.
Coordinates internal reviews on denial letters to determine compliance with contractual and regulatory requirements of the State Medicaid programs, while reviewing for efficiencies and TEMPeffectiveness of procedures.
Interviewed patients for pertinent account information and verified insurance
Determined patient financial responsibility and responsible for collecting any amount owed
Followed up with insurance companies to determine patient eligibility and benefits

TECHNICAL SKILLS: