Domain Expertise in US Healthcare
Saurabh Srivastava
Lead Business Analyst
Noida
Summary
Experienced Business Analyst with 2 years of expertise and 10 years of overall expertise in Revenue Cycle Management (RCM) across all department of US Healthcare including AR, Provider Enrollment, Patient access, Coding, Billing and Collections. Proven ability to drive value through client engagement, stakeholder management, requirement gathering and cross-functional collaboration. Adept at transforming complex business problems into actionable insight and facilitating end -to-end solutions that improve efficiency and revenue outcomes.
Overview
11
11
years of professional experience
4
4
Certifications
Work History
Lead - Business Analyst
Arietis HealthTech International Pvt. Ltd.
09.2023 - Current
- Led end-to-end business analysis for multiple large-scale projects, including enterprise system implementations and digital transformation initiatives, resulting in a 30% improvement in project delivery timelines.
- Acted as the primary liaison between client stakeholders and internal RCM teams, ensuring alignment of business goals across payer, provider, and patient functions.
- Conducted weekly, daily client status calls, issue resolution sessions, and quarterly performance reviews.
- Partnered with cross-functional, onshore stakeholders to gather and document comprehensive business requirements, functional specifications, and use cases, ensuring strategic alignment with organizational goals.
- Mapped 'As-Is' and 'To-Be' workflows and SOPs for charge entry, payment posting, coding, AR, underpaid claims, appeals, and optimizing turnaround time.
- Supported agile development by maintaining product backlogs, facilitating sprint planning sessions, Daily Scrum, Sprint Review, and ensuring timely resolution of project issues in JIRA.
- Prepared comprehensive documentation, including Solution Design Document (SDD), Business Requirement Document (BRD), Business Scope Document (BSD), User Stories, and other process-related artifacts.
- Designed and executed UAT, test cases for product validation using a custom-developed bot, ensuring thorough coverage, and accurate documentation of test results.
Team Lead
Rsystems International Pvt. Ltd.
07.2016 - 09.2023
- Partnered with U.S. clients for the Accounts Receivable department and external stakeholders to implement custom dashboards for AR aging and denial trends, reducing manual reporting time by 30%.
- Collaborated with client-side revenue integrity teams to resolve high-value claim denials, increasing the recovery rate.
- Created weekly revenue dashboards and variance reports for senior leadership.
- Supported end-user documentation, process improvements, and query handling for multi-specialty clients.
- Acted as the single point of contact for onshore stakeholders, conducted weekly status calls, and provided timely updates via emails for the client, Medac and NorthStar, regarding claim status.
- Successfully managed a team of 25+ analysts, drove daily performance reviews, and ensured achievement of SLAs.
- Handled claims for Medicare, Medicaid, Workers' Comp, auto insurance, and private payers.
- Successfully recovered high-dollar claims from complex payers, including Workers' Comp, and Auto Insurance.
Sr. Associate
Dell International Pvt. Ltd.
05.2014 - 05.2016
- Supported medical billing and accounts receivable teams in resolving complex claims for provider groups.
- Engaged in daily email communications and periodic conference calls and meetings with U.S. clients.
- Managed end-to-end AR follow-up on 120+ and 365+ aging claims from commercial and government payers.
- Investigated claim status via payer portals and phone calls; documented outcomes and actions in the system.
- Maintained a daily productivity of 40 claims and quality benchmarks of 98%, and escalated complex denials/rejections to onshore.
Education
MBA - Project Management
Sikkim Manipal University (SMU)
New Delhi 04.2001 -
Bachelor of Technology - Applied Electronics & Instrumentation
BBS College of Engineering & Technology (UPTU)
Prayagraj, UP05.2012
Intermediate - PCM
Bishop Johnson's School & College
Prayagraj, UP03.2006
High School - Science
Bishop Johnson's School & College
Prayagraj, UP03.2004
Skills
Project Management
Accomplishments
Provider Enrollment Application Automation
Automating provider enrollment form filling, streamlining data entry across payer portals for Medicaid provider across multiple US states. Defined requirements, supported bot development, and validated test cases
Claim Status Automation
Led business analysis for claim status automation, streamlining payer inquiries and reducing manual effort by 80%. Defined requirements, supported bot development, and validated test results to improve turnaround time and accuracy.
Appeals Automation
Appeals letter automation, streamlining manual drafting processes and integrating payer-specific templates. Defined requirements, supported bot development, and validated test cases, resulting in a 60% reduction in turnaround time and improved accuracy in appeal submissions.
HIM Chart Pull Automation
HIM chart pull automation, collaborating with cross-functional teams to streamline EMR workflows. Defined requirements, supported bot development, and validated test cases.
Certification
Tableau Certification Program
Interests
Requirement Gathering & Documentation
Problem Solving & Decision Making
Stakeholder Management
Timeline
JIRA Project Management Certification
08-2025
Agile Methodologies Certification
08-2025
Business Analytics Certification
08-2025
Tableau Certification Program
04-2025
Lead - Business Analyst
Arietis HealthTech International Pvt. Ltd.
09.2023 - Current
Team Lead
Rsystems International Pvt. Ltd.
07.2016 - 09.2023
Sr. Associate
Dell International Pvt. Ltd.
05.2014 - 05.2016
MBA - Project Management
Sikkim Manipal University (SMU)
04.2001 -
Bachelor of Technology - Applied Electronics & Instrumentation
BBS College of Engineering & Technology (UPTU)
Intermediate - PCM
Bishop Johnson's School & College
High School - Science
Bishop Johnson's School & College
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