Bhavin A.

• Direct Payer Conversion: Gathering technical information from Payer (Insurance Companies), Enrolling Clearing House/Provider enrollment, testing for different EDI transaction (837P, 837I, 270/271, 276/277,835) with a motive of direct relationship/Trading Partner Enrollment. Mapping requirements and developing scripts. • Claim Supplemental Information: Initiated and completed the project of analyzing the supported formats for attachments and additional information to be sent to get approved denied claims due to lack of clarity. (ASC X12N 275) • Enrollment Center: Automation of payer/provider enrollments by creating new enrollment center to process thousands of enrollments on behalf of 33000+ providers and 2000+ payers easily. • Revenue Management: Analyze invoices of vendors to manage revenue. Research on new vendors, review costs, establishes business/partnership with new vendors, test transactions and move to production