Summary
Overview
Work History
Education
Skills
Timeline
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Prince Jochim

Chennai

Summary

Profile Summary - Business Analyst - Technical Operations Senior Analyst|| with 8 years of experience in US Healthcare domain with demonstrated history of working experience in the healthcare services industry. Focused Business Analyst with 3+ years experience. Proven ability to design and deliver analytical projects to customers within timeframe. Specializing in providing clear explanations of complex processes to a nontechnical audience.

Overview

8
8
years of professional experience

Work History

Billing Rules Client Solutions- Business Associate

athenahealth
01.2023 - Current
  • Analyze business requirements and feedback from end-users, creating technical, action-based solutions
  • Testing the code by Btest application to analyze the rule execution(ADD,UPDATE,DELETE,BUGFIX,QUERY, TROUBLESHOOT).
  • additional expertise in technical implementation and technical review to verify the diffs and code level change
  • Identifying the code diffs and validating expected behaviors and move cases for regression and patching

Billing Rules Client Solutions Business Analyst

athenahealth
07.2021 - 12.2022
  • Analyze business requirements and feedback from end-users, creating technical, action-based solutions
  • Testing the code by Btest application to analyze the rule execution(ADD,UPDATE,DELETE,BUGFIX,QUERY, TROUBLESHOOT).
  • Code-fix using different test cases using rule tracker application
  • Hands on experience in Agile methodology and scrum Framework and defect life cycle
  • Hospital management system and hospital information system, Electronic medical record and health record

Quality Analyst

AGS Health
05.2019 - 07.2021
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Developed and maintained quality assurance procedure documentation.
  • Regularly conducted RCA sessions to improve quality and effecicency

Ar Analyst

AGS Health
05.2016 - 05.2019
  • Identified, recommended and executed opportunities to enhance accounts receivable and billing processes to meet finance requirements.
  • Worked closely in appeal and high dollar claim resolutions and to reduce the denial rate, also worked closely with coders to reduce coding related denial.
  • Provided few key techniques to overcome clearing house rejections and to increase clean claim percentage

Education

B.Sc - Computers -

SRM university (SRMU)
01.2016

Skills

  • US Healthcare
  • Billing and Enrollment
  • Payer and Provider
  • JIRA
  • Scrum
  • Agile Methodology
  • Testing Tools(Btest Ptest Rules Engine Rule Tracker)
  • RCM HIPAA
  • BRDFRD
  • HISHMS(Hospital Management And Information System)

Timeline

Billing Rules Client Solutions- Business Associate

athenahealth
01.2023 - Current

Billing Rules Client Solutions Business Analyst

athenahealth
07.2021 - 12.2022

Quality Analyst

AGS Health
05.2019 - 07.2021

Ar Analyst

AGS Health
05.2016 - 05.2019

B.Sc - Computers -

SRM university (SRMU)

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Prince Jochim