Krupa Krishna
Business Analyst @Cigna Healthcare
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WORK HISTORY
Business Analyst @Cigna Healthcare
Facilitated Joint Application Development (JAD) sessions to gather detailed telehealth requirements, aligning solutions with patient care workflows and healthcare compliance standards, enhancing stakeholder engagement by 75%.•Developed Python scripts for ETL and predictive analytics on patient data, driving a 66% increase in actionable insights to optimize telehealth patient flow and engagement.•Authored and maintained FRD and BRD documents with 88% accuracy aligning project scope to stakeholder expectations for telehealth integration, reducing requirement ambiguities substantially• Followed up with insurance companies on unpaid and denied claims, verifying claim status through payer portals Epic and ensuring prompt resolution in compliance with CPT, ICD-9, and HCPCS coding standards, improving collection efficiency by 25%.• Analyzed healthcare claims data and revenue cycle performance metrics to identify payment delays, denials, and cash collection trends, driving improved reimbursement timeliness.• Conducted root cause analysis on denials and underpayments using SQL and EHR data, identifying billing errors, coding discrepancies, and payer policy issues—reducing denial rates by 20%.• Collaborated with billing and coding teams to ensure accurate claim submission and coding integrity, increasing clean claim rates by 30% and minimizing rework.• Designed and maintained Tableau and Excel dashboards to monitor AR aging, claim turnaround time, and reimbursement success, providing actionable insights for leadership.• Utilized EOBs, denial codes, and payer correspondence to validate payments, post adjustments, and resolve underpayments according to payer rules and contractual terms.• Developed and presented monthly AR and collection performance reports highlighting payment trends, denial patterns, and process improvement opportunities.
EDUCATION
Kent State University
Master's degree, Business analytics
ABOUT KRUPA KRISHNA
Business Analytics Expert | Experienced in Data Automation, Reporting, and Process Optimization | Power BI, SQL, Power Automate | Driving Insights & Efficiency in Business OperationsB
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