Nishanth Jaykumar

Results-oriented Certified Business Analysis Professional (CBAP) with Simplilearn Endorsed Education Provider - IIBA certification. Experienced in analyzing business processes, identifying improvement areas, and implementing data-driven solutions. Proficient in gathering and documenting business requirements, translating them into actionable insights, and collaborating with stakeholders to drive operational efficiency. Skilled in using tools like Microsoft Excel, Tableau, and JIRA to analyze data, create reports, and optimize processes. Adept at managing cross-functional teams and facilitating communication between technical and non-technical stakeholders for project success. Committed to continuous learning and staying updated with industry trends to provide innovative solutions for business growth.

CBAP - Certified Business Analysis Professional by Simplilearn (Endorsed Education provider IIBA)

• Products: Revenue Cycle Management, Wellpoint Group System, Allscripts.
• Methodology: Agile-Scrum, SAFe.
• Role: Business Analyst.
• Tools & Technologies: Microsoft Office Suite, Microsoft Project, Visual Studio, Figma, Jira.
• Geography: India.

As a Business Analyst, contributed to the design, implementation, and analysis of the following real-time projects to enhance customer interaction and improve engagement as part of Simplilearn initiatives:

• WhatsApp Pay Integration | Hospital Management System | Restaurant Management System
• Healthcare Claims Processing: Expertise in reviewing and managing healthcare insurance claims and reimbursements.
• Auditing and Compliance: Strong knowledge of compliance standards, EMR regulations, and reimbursement laws.
• Data Management: Skilled in handling sensitive patient information and maintaining secure records.
• Problem-Solving: Proficient in resolving issues related to billing, EMR systems, and claim denials.
• Performance monitoring: Experience in tracking performance metrics like turnaround time and quality control measures
• Data collection: Sending clinical requests and follow-up letters for missing information.
• Documentations: Unique knowledge in crafting BRD, FRD, Requirement Traceability
• Matrix, Product backlog, acceptance criteria, market research documents ensuring product development processes are aligned with business objectives.
• Reporting: Proven ability in the preparation of product performance reports, Backlog Health reports, user engagement, conversion rates, NPS, customer retention rates enabling strategic decision-making
• Insurance Verification: Verifying insurance coverage and eligibility for provided services.
• Medical Records Review: Conducting reviews to ensure compliance with payer requirements