Reyhan .

Business Development Manager

Bengaluru, Karnataka, India11 yrs 10 mos experience

Highly Stable

Key Highlights

Expert in EDI transactions within healthcare.
Proficient in managing healthcare regulatory compliance.
Strong background in supply chain transaction management.

Stackforce AI infers this person is a Healthcare EDI Specialist with strong supply chain expertise.

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Skills

Core Skills

HealthcareEdi

Other Skills

Bug TrackingBugzillaBusiness AnalysisClaims ManagementConsultingCustomer ServiceEdifecs ProductsEnglishHIPAAHTMLHealthcare ManagementICD-10ManagementManual TestingMap Builder

About

1) Experienced in Healthcare Domain and health care services regulatory environment including HIPAA, Medicaid/Medicare, EDI and XML. Tested various application belonging to same (Health Care Domain). 2) Proficient with 834 and 837 transactions and familiarity with 270/271/276/277/278-13,278-11/834/835/837/820/812 transactions 3) Experienced in Supply Chain Domain. Have great knowledge of transaction 856 and familiarity with 850, 855,810 and 820 transactions. 4) Responsible for managing a team in order to provide end to end solution for Medicare. Handling transactions and reporting for enrollment and claims. 5) Define the business strategy based on input from internal stakeholders and provide a distinguishing long-term vision of the product with the Business Product Managers

Experience

Agilon health

Sr. EDI Business Analyst

Sep 2021 – Present · 4 yrs 6 mos · Bengaluru, Karnataka, India

EDIHealthcareHIPAAMedicareClaims Management

Infinite computer solutions

Senior Software Engineer

Jun 2021 – Aug 2021 · 2 mos · Bangalore Urban, Karnataka, India

Edifecs

2 roles

Senior Implementation Consultant

Apr 2018 – May 2021 · 3 yrs 1 mo

Implementation Cunsultant

Jan 2014 – Apr 2018 · 4 yrs 3 mos

A Healthcare solutions consultant with seven years of experience and rich knowledge of the healthcare industry. I am committed to improving outcomes, reducing costs and elevating the value of healthcare
for industry's premier IT partnership platform to providers, insurers, pharmacy benefit management companies.
I possess good knowledge to perform validation, transaction, routing, splitting, acknowledgment creation and reporting on healthcare transactions 270, 271, 834, 837(I,P,D) 276, 277 (on Edifecs products). This is an extremely valuable time- saving tool for Payer (Insurance companies) and Providers (Hospitals) in the healthcare industry as it cuts down the administrative costs of tracking and reporting healthcare transactions. Extensive knowledge of the petitioning organization's product, service, research, equipment, techniques, management or other interests and its application in the international markets. Add-on : effectively troubleshoots and resolves systemic issues, particularly those with configurations, data, reports, business processes, performances and profit implications.

HealthcareEDITransaction ManagementValidationReporting