Business Analyst Resume Profile

Summary of Qualifications

Knowledgeable Network and Security Certified IT professional with strong skills in Windows, troubleshooting, HTML and Microsoft FrontPage seeking a position as an IT Professional.

IT Training and Skills

Almost 5 years experience in business analysis, excellent communication and problem solving skills, strong understanding of computer networking, ability to learn new tasks and skills very quickly, some experience in desktop support.

Employment and Experience

Contractor Business Analyst

Confidential

Review insurance enrollment verifications for correct member information
Work on any additional tasks as assigned by supervisor
Update member information from any and all new files that come in

Confidential

Troubleshoot layer 2 and layer 3 network issues such as connectivity and network latency and program static IP information in customers' modems
Work with network equipment from Cisco, Adtran, Calix, and Lucent and build broadband connections on the various network equipment
Work trouble tickets for customers' reported Internet problems and resolve those problems
Take calls from customer service technicians who work in the field on the network equipment and help them resolve customer network issues

Confidential

Troubleshot network problems such as connectivity issues and network latency and program static IP information in customers' modems
Built network connections for customers' Internet service
Worked trouble tickets for customers' reported Internet problems and resolved those problems, if possible

Confidential

Act as third party billing representative for Medicare Part B claims
Review Medicare Part B claim denials for payment
Utilize NextGen software to work claim denials
Bill Medicare secondary claims to Medicaid and other commercial insurance providers
Experience with billing Medicaid claims using the PES system

Confidential

Tested system changes to ensure smooth transition for end users
Worked with programmers to ensure proper understanding of coding operations
Utilized data sets to access mainframe information for interpretation and analysis
Reviewed Medicare claims sent in by service providers in both Arkansas and Missouri
Received and processed phone calls from providers regarding patient claims
Prepared letters for claim denials with comprehensive explanations for the denials
Utilized CPT, ICD-9, HCPC coding

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