Bhavin A.

Bhavin A.

Project Management

Pune , India

Experience: 6 Years

Bhavin

Pune , India

Project Management

28800 USD / Year

  • Immediate: Available

6 Years

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About Me

SQL, Project Management, Team management, Project Delivery Manager

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Portfolio Projects

Create industrial clearing house to exchange ANSI X12 transactions through EDI.

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Team Management, Adviser, Project Management, Report to Leadership

Description

AdvancedMD provides healthcare software solutions. Client base has increased to more than 35000 providers across United States. With large client base and proven/tested technology for doing transactions with payer electronically, they are marching towards establishing themselves as clearing house.Build industrial clearing house to process more than 60 million claims annually for 35000+ AdvancedMD providers. Developed direct trading partnership with 300+ government (Medicare, Medicaid, BCBS) and commercial payers and for various transactions such as ANSI 837, 835, 999, 277CA, Real-time 270/271, 276/277, etc. It also provides software services such as claim scrubbing, electronic patient statement, patient reminder using phone, text or email as per schedule automatically.

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Create fully automated enrollment center for which can help 35000+ clients.

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Adviser, Project Management, Team Management, Architecture, Business Logics

Description

Automation of payer/provider enrollments by creating automated enrollment center to process thousands of enrollments on behalf of 35000+ providers and 2000+ payers easily.

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Establish direct trading partnership with more than 2000 payers for EDI.

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Business Development, Project Management, Report to Leadership

Description

Gathering technical information from Payer (Insurance Companies), establish TPA/BAA agreement with the help of legal team, perform connectivity testing such as FTP/SFTP, SOPA + WSDL, HTTPS + MIME, Web portal, etc., enroll clearing house/provider, test different EDI transactions (837P, 837I, 270/271, 276/277,835, 275) with a motive of direct trading partnership, perform database setup, mapping requirements and developing scripts.

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