Atul Singh

Health Care Domain:-

This is a US-Based healthcare projects where I have worked on many processes like Patient's Payment posting ( Claims and Batches) according to their EOB's, Patient's Notes Posting , Patient's Eligibility Verification and Authorization. Portals worked on - Dessert ortho,Availity,Cigna,Tricare,Noredian,Nethealth,Bright tree and etc.

• Patient's Payment Posting :- BOT extracts the Patients Batches Appointment List from the Portal then Process batches one by one and downloads Batch EOB that has Patients claim amount details in which we have two scenarios:-

i) Denial Batches :- In Denial Batches Bot checks the Batch amount should be $0 if not then we need to check it from its EOB patients claim detail for reconciling it using PR rule ( Patient responsibility amount formula).

ii) Paid Batches :- In Denial Batches Bot checks the Batch amount should be greater than $0 if not then we need to check it from its EOB patients claim detail for reconciling it using PR rule ( Patient responsibility amount formula).

After processing Both the cases BOT will Post the Batches and Share the O/p report through email.

• Patient's Eligibility Verification and Authorization:- In this Process BOT gets the Patient list form the respective portal and then In performer part the Bot will process the Patients Verification one by one . In some of the processes we need to check its Plan status and need to edit its information in their respective Insurance Portal.

Health Care and Insurance Domain :-

This is a US-Based Health Care Project where I had worked on several processes such as Monthly Billing Process, Demographics Process, RPM-Process. Portals worked on – eCW(eClinical Works), APRICUS HEALTH, gGastro:- .

• Monthly Billing Process:- The clinics provide the number of patient records via a google excel spreadsheet for processing. Adding minutes of the patient, such as their visits and Tele visits, to the clinic of the current month from one EMR to another EMR. .
• Demographics:-Getting patients list through API, Extracting Demographics info (Patient information, Insurance, Vital, Medical History, Social History etc) from one EMR portal and send the data through API to the required EMR Portal. After finishing, the bot updates the status on the Database.

Marketplace Domain :-

• In this process bot gets the Input through google sheet (like its ProductID, ExpiryDate, ResourceName ). Bot filters those records whose expiry date is equal to the current date. After getting the ProductID, the bot hits an API to get the working App ID. By using that working App ID, the bot directly navigates to the Product edit resources page in the Marketplace. It deletes the respective resource and hits the Marketplace publish API to get the Products Publish App ID. At the end, the bot sets the status and writes the Publish App ID of the respective product in the same Google Sheet.

Real Estate Domain:

• We get the property address on a Google sheet, then search each address on different US-based property portals.
• Get all the property information from more than 4 portals and update them on.
• Also, search for the legal records or documents on other US government portal, download them, and upload them to the respective Google Drive folders.
• This project involves web automations, PDF parsing, email automation, and FTP automations.