Experience in Healthcare. Expertise in HIPAA 5010 EDI 837, 835, 834, 270, 271 and 278 X12 transactions. Strong knowledge and working experience of industry standards such as HIPAA, HL7, Six Sigma. Strong knowledge in Affordable Care Act, ICD10, HIPAA and Managed care implementation. Proficiency in organizing and facilitating joint application development (JAD) sessions through interviews and workshops with user(s), subject matter experts (SMEs), and business stakeholders. Proficiency in analysis, requirement gathering and elicitation, solution assessment and validation. Experienced in handling Change Management and Release Management. Excellent communication and presentation skills Nice to have: Strong Knowledge of Health Rules Payor UI and Webservices Strong knowledge of Business Process Modeling, Business Intelligence and Business Architecture. Skilled in validation and testing complex scenarios for the maintenance of quality standards in projects.
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