Business Analysis & Requirement Management: Business Process Modeling (BPMN, UML) Requirement Gathering & Documentation (BRD, FRD, Use Cases, User Stories) Wireframing & Prototyping (Balsamiq, Figma, Azure, Lucidchart)
Data Analysis & Reporting:
SQL (Data Extraction, Queries, Joins) Excel (Pivot Tables, VLOOKUP, Data Analysis)
Power BI / Tableau (Dashboard & Report Creation)
Google Analytics (Data Interpretation & Business Insights)
Business & Market Research: SWOT & PESTEL Analysis, Competitor & Industry Analysis, Data Visualization & Reporting
Software Development & Testing Knowledge:
SDLC, STLC, and Understanding User Acceptance Testing (UAT)
API Testing & Postman (Basic API
Understanding)
Internship:
Project name: Ezovion (Healthcare) Oct 2024- March 2025
Roles and Responsibility:
Work with process owners to suggest improvements in provider credentialing and prior
authorization workflows.
Develop process flow diagrams using Visio and Lucidchart for current and future state workflows.
Create dashboards in Power BI and Tableau for tracking key healthcare metrics like claim rejection
rates and turnaround times.
Provide periodic updates in sprint meetings, ensuring business goals align with IT development.
Pull data from SQL databases to analyze claim denials, payment patterns, and revenue leakage.
Identify inefficiencies in the claim adjudication and payment posting process.
Collaborate with healthcare providers, insurance companies, and internal stakeholders to
gather business and system requirements.
Utilize SQL, Excel, Power BI and Tableau to analyze healthcare data and generate reports for
business insights.
Monitor key performance indicators (KPIs) related to claims processing, denials, and revenue
optimization.
Conduct regular meetings, presentations, and status updates for stakeholders.
Analyze industry trends, regulatory updates, and competitor healthcare solutions to provide
strategic recommendations.
Document Business Requirement Documents (BRD), Functional Requirement Documents
(FRD), and Use Cases.
Define workflows for patient registration, medical billing, claims processing, and reimbursement.
Analyze existing healthcare processes and identify gaps to improve efficiency in revenue cycle
management (RCM).
Utilize SQL, Excel, Power BI and Tableau to analyze patient data, billing trends, and claim status.
Generate reports on revenue cycle performance, payment trends, and denial patterns for decision
making.
Participate in Agile ceremonies (Sprint Planning, Standups, Backlog Grooming).
Ensure compliance with healthcare standards like HIPAA, ICD-10, CPT, and HL7.
I hereby declare that the information furnished above is true to the best of my knowledge
Date:
Place: CHENNAI SUSHMITHA VENUGOPAL