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raahul sahani

@raahulsahani

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Business Analyst at Elevate Services India Pvt Ltd, shaping requirements for MedLegal Review in U.S. healthcare.

India

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At Elevate Services India Pvt Ltd, I gather and analyze requirements, develop user stories, and support Agile delivery. On MedLegal Review, I work on streamlining the review of medical records, bills, provider reports, and expert assessments for medical-legal cases.

Earlier, I worked in accounts receivable at Savista Global Pvt Ltd, R1RCM, and Pacific Global Pvt Ltd, handling claims, denials, billing disputes, and revenue cycle processes. I’m a CBAP-certified business analyst with experience in U.S. healthcare, including Medicare, Medicaid, and commercial insurance.

Experience

Work history, roles, and key accomplishments

Current

Business Analyst

Current

Elevate Services India Pvt Ltd

Aug 2021 - Present (5 years 2 months)

Collaborate with stakeholders to elicit, document, and prioritize business and user requirements. Facilitate Agile ceremonies, manage product backlog, and create documentation such as process flows, wireframes, and functional specifications.

Requirements Gathering Elicitation Agile Scrum User Stories Jira Balsamiq Wireframing Stakeholder Management Documentation Backlog Management Process Improvement

Sr. AR Analyst

Savista Global Pvt Ltd

Aug 2018 - Aug 2021 (3 years)

Handled patient accounts, monitored aging reports, and ensured timely follow-up on unpaid or denied claims. Managed denials and appeals, using data analytics to identify root causes and implement corrective actions.

Accounts Receivable Revenue Cycle Management Denial Management Appeals Data Analysis Medicare Medicaid Commercial Insurance Billing Payment Reconciliation

AR Analyst

R1RCM

Dec 2017 - Aug 2018 (8 months)

Assessed and streamlined financial processes in AR and RCM. Identified opportunities to reduce claim denials and enhance reimbursement efficiency, including hospital and professional billing.

Accounts Receivable Revenue Cycle Management Denials Reimbursement Hospital Billing Professional Billing EOB Insurance Follow Up

AR Analyst

Pacic Global Pvt Ltd

Oct 2016 - Oct 2017 (1 year)

Worked closely with providers and health insurance providers to resolve billing issues. Managed AR processes for multiple departments to ensure timely payments from insurers and patients.

Accounts Receivable Billing Denials Documentation Coding HIPAA CMS Payer Specific Billing