Priyal Doshi E-mail: ***********@*****.*** Cell: +1-937-***-****
Summary
●Over 9+ years of experience in Information Technology, Banking and Healthcare (insurance, billing, MT) domain.
●Experience with software testing (HP ALM, JIRA), Medical record management, Medical billing/coding (MD-IV, IMAGENOW, EXCEL), MS-Excel (Macro, Pivot tables/charts, VLOOKUP, filtering, formula)s, Business Analysis(Data reporting, CRM OBIEE, SQL, Sharepoint, MS-Teams, Power BI) . Knowledge of SQL Query that helped in troubleshooting and validating the data.
●Excellent knowledge of different phases of Software Testing and Software Development Life Cycle (SDLC) in Agile Methodology and Waterfall.
Education
●Certification in Software Testing– Foundation level (International Software Testing Qualification Board).
●Bachelor of Science (BSc) from Gujarat University, Ahmedabad, India – Year 2000
●Master of Business Administration (Operations Management) MBA from IGNOU, New Delhi, India – Year 2008 (Subject includes : Logistics & supply chain, OR, Operations and production Management, PM, MIS)
●Certification in Medical Billing and Coding from Sinclair Community College, Dayton, Ohio – Year 2012.
Technical Skills
Computer Languages: HTML C JAVA SQL Microsoft Visual Basics Excel Macro and Formulas
Automated Testing Tools: HP ALM Selenium IDE Selenium Web Driver Eclipse IDE JIRA Database: Oracle Operating System: Windows 2010/2016
Softwares: Microsoft Word Excel Power Point Cisco WebEx Microsoft Outlook Microsoft Project SharePoint Oracle Business Intelligence (OBIEE) Power BI Sibel CRM Healthcare Softwares : AdvancedMD, EPI
Work Experience
Software tester/ Unit Secretary at Sterling Hospital Pvt. Ltd. (Nov 2001 - Mar 2007)
Work with Business and technical team to gather Requirement.Develop test cases and work with technical team to execute. Validate the test results and record and troubleshoot the defects. Knowledge of Logging and Tracking Issues and Defects with major responsibilities. Write and execute SQL queries to troubleshoot and validate the data.
Conducted Black-Box Testing, Functionality, GUI and Regression Testing for the various build of application.
Understand Hospital end to end process (Registration, Charge Posting, discharge, record keeping) of patients and work with team to improve the process and overall patient experience.
Information Technology (IT) Professional / MT at GIC PVT. LTD. (Mar 2007 - Dec 2008)
Responsible for management (formation, storage, retrieval, maintain) of client Hospital employee, patients, doctors and equipment records. To computerize and automate the image and document management.
Assess and assist HR team to improve the employee documents management.
Payment Representative (Change Healthcare / McKesson) (Sep 2018 - Apr 2019)
Work with offshore team in area of Billing of EMS, Medicare, Medicaid, different insurance/claim and EOB for different clients. Manage payments/accounts of 40+ EMS clients. Analysis of denial, partial payment and rejected claims.
Extensive use of Excel (Reconciliation, duplication check, Macro, filtering, Vlookup and formula), SharePoint, Word, Power Point, MDIV, and Image transfer tool and insurance websites for EOB, Payment posting, Reconciliation and logging of lockboxes and EFTs.
Business Analyst at Fifth Third Bank. (Apr 2019 – Aug 2019)
Work closely with Line of Business (LOB) to establish business requirement, business review process and reporting.
Extract data using OBIEE(Oracle Business Intelligence)and SQL query and prepare business reports as per the requirement.
Extensive use of Oracle Siebel CRM, Business object reports, MS Excel / Macros, Formulas, filtering joining data set, import /export CSV files, VLOOKUP, Pivot tables and SharePoint to prepare business reports, data for staging and production and to creation files for decision making. Power BI dashboard creation for merger project .
SOP documentation of the processes.
Freelancer Software tester with uTest. (Since Jan 2018)
Gather and Analyze requirements, Setup of test environment and parameters to execute test cases.
Write test cases, execute and monitor test cases. Defect detection/reporting of bugs, Report analysis, Indicative suggestion documents (to improve software quality) if required.