Summary
Overview
Work History
Education
Skills
Certification
Softskills
Training
Technicalskills
Timeline
Generic
KOSHAN G WIJDAN

KOSHAN G WIJDAN

Fairfax,VA

Summary

Business Analyst and Consultant with a proven track record in business solutions, and project assurance. with extensive experience in requirements gathering, stakeholder engagement, and process optimization. Adept at facilitating interviews and workshops with SMEs, documenting user stories, acceptance criteria, and detailed business requirements. Demonstrated ability to identify and propose innovative solutions, create mockups, and present findings to teams and stakeholders. Skilled at mentoring teams on best practices, managing project documentation, and ensuring deliverables align with business goals. Known for quickly becoming a SME on projects, driving collaboration across teams, and delivering results within tight deadlines.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Business Analyst

Inova Health System
04.2019 - 10.2024
  • Analyzed business operations to identify inefficiencies and recommend solutions to optimize workflows
  • Conducted cost/benefit studies to evaluate existing and proposed systems for feasibility and effectiveness
  • Defined problems and information processing requirements, proposing actionable improvements
  • Recommended procedural and operational improvements to enhance productivity and system efficiency
  • Identified needed automation support to streamline processes and reduce manual efforts
  • Represented the organization during new system implementations to ensure successful deployment
  • Participated in the evaluation of design elements, ensuring compliance with requirements and best practices
  • Assisted technical teams in developing and preparing system design documents for accurate documentation
  • Advised technical staff on designing system outputs and formats tailored to user needs
  • Diagnosed system problems and worked collaboratively with technical staff to implement corrective actions
  • Made precise mathematical computations to calculate client benefits and program eligibility
  • Worked effectively under stress with individuals from various socioeconomic and cultural backgrounds
  • Maintained professional ethics and ensured confidentiality of sensitive client information
  • Provided excellent customer service by addressing client concerns promptly and empathetically
  • Collaborated within a team environment, demonstrating flexibility to adapt to changing priorities
  • Managed a complex caseload, ensuring timely and accurate assessments and benefit determinations
  • Conducted assessments of client needs by collecting and analyzing employment history, family dynamics, and cultural information to recommend appropriate services
  • Demonstrated the ability to read, interpret, and apply complex program policies and procedures accurately and effectively

Insurance/Claim Analyst

Inova Health System
03.2017 - 04.2019
  • Analyzed business operations related to medical claims and billing processes to identify inefficiencies and recommend improvements
  • Submitted claims to government payors such as Medicaid, Medicare and followed up with processing and payments
  • Scheduled, organized, and managed workload to meet multiple deadlines efficiently
  • Used automated technology to establish and maintain detailed case records and generate reports
  • Handled high caseloads, multiple deadlines, and competing priorities in a fast-paced environment with a high volume of client contact
  • Utilized knowledge of basic human behavior and social problems to support diverse client populations
  • Worked closely with IT staff to customize training content based on user needs and technical system capabilities
  • Applied, explained, and interpreted complex federal, state, and local policies to clients, service providers, and other stakeholders
  • Assisted clients in gathering necessary information and made appropriate referrals based on client needs
  • Utilized complex state and local IT systems, as well as Microsoft Outlook, Excel, and Word, to document, verify, and report information and authorize benefits
  • Maintained up-to-date knowledge of public assistance and employment policies, ensuring timely and accurate processing of applications
  • Compiled and maintained case data and documentation, preparing written narratives to support eligibility determinations
  • Built effective relationships with clients, co-workers, and human service providers while maintaining professional ethics, confidentiality, and a commitment to excellent customer service
  • Designed and developed a data-driven reporting system that enabled real-time monitoring of key performance indicators, leading to a 15% increase in operational efficiency
  • Collaborated with cross-functional teams to identify and implement process improvements that reduced billing errors by 25% and improved revenue cycle performance

Cash Application & Refund Specialist

Inova Health System
04.2014 - 03.2017
  • Analyzed insurance claim data to identify trends and opportunities for improvement, leading to a 15% reduction in claim denials
  • Developed and implemented a new claims processing workflow that increased efficiency by 20%
  • Processed hospital and professional billing using EpicCare and nThrive, ensuring a 98% successful submission rate
  • Improved payment accuracy by reducing payment posting errors by 15%
  • Streamlined refund processing to reduce turnaround time by 20%
  • Coordinated multiple client-facing and internal events, including agenda development, material preparation, and logistics
  • Facilitated communication with stakeholders, ensuring smooth operation and success of these events
  • Successfully migrated legacy systems to a new, cloud-based platform, resulting in a 10% reduction in IT costs

Financial Associate

Citibank, Citi Group
05.2013 - 04.2014
  • Provided excellent customer service and assisted clients with various banking transactions
  • Assisted clients in opening, maintaining, and closing accounts, including checking, savings, loans, and investment accounts
  • Served as the primary point of contact for clients, providing personalized service to meet their banking and financial needs
  • Successfully marketed bank products to increase new account openings and product cross-selling
  • Supported branch operations by assisting with administrative tasks and ensuring compliance with regulations

Education

MBA - Business Analytics

Radford University
01.2023

Bachelor of Law - LLB (5 Years Integrated Degree Program)

Osmania University
08.2011

Postgraduate Diploma - Human Rights

University of Hyderabad
04.2011

Skills

  • System Analysis
  • System Design
  • Data Analysis & Reporting
  • Program Evaluation & Resource Management
  • Advanced Microsoft Office Suite
  • Customer Service & Client Relations
  • Problem-Solving
  • Communication
  • Collaboration
  • Analytical Thinking
  • Adaptability

Certification

  • Certified Revenue Cycle Specialist-Professional, AAHAM, VA, 05/01/18
  • Certified Paralegal, George Mason University, VA, 05/01/17

Softskills

Customer Service & Client Relations, Demonstrated ability to identify and resolve complex issues., Effective communication skills, both written and verbal, for interacting with stakeholders at all levels., Experience working in cross-functional teams to achieve shared goals., Ability to analyze complex data and draw meaningful conclusions., Proven ability to adapt to changing requirements and work environments.

Training

  • Certificate in Training of Trainers, United Nations Logistics Base, Italy, 05/01/04
  • Diploma in United Nations & International Understanding, United Nations, India, 05/01/09

Technicalskills

Demonstrated ability to elicit, analyze, and document business requirements., Experience in developing and modeling system architectures, data structures, and interfaces., Proficiency in using data to inform system design and measure performance., Expertise in assessing program effectiveness and optimizing resource allocation., Advanced Microsoft Office Suite (Word, PowerPoint, Excel, Outlook)

Timeline

Business Analyst

Inova Health System
04.2019 - 10.2024

Insurance/Claim Analyst

Inova Health System
03.2017 - 04.2019

Cash Application & Refund Specialist

Inova Health System
04.2014 - 03.2017

Financial Associate

Citibank, Citi Group
05.2013 - 04.2014

Bachelor of Law - LLB (5 Years Integrated Degree Program)

Osmania University

Postgraduate Diploma - Human Rights

University of Hyderabad
  • Certified Revenue Cycle Specialist-Professional, AAHAM, VA, 05/01/18
  • Certified Paralegal, George Mason University, VA, 05/01/17

MBA - Business Analytics

Radford University
KOSHAN G WIJDAN