Business Analyst Resume

SUMMARY:

As a Business oriented professional, me am self - motivated, reliable and welcome challenges.
My Healthcare IT experience consists of over 20 years in the healthcare/clearinghouse industries, healthcare electronic claims processing and ASC-X12 transactions.
My experience includes customer service skills, supervising an EDI Help Desk and managed concurrent health plan implementations, issue resolution, and work flow process improvements.
me am searching for opportunities dat will allow me to apply my skillset to provide solutions while ensuring client satisfaction.

TECHNICAL SKILLS:

Quick Learner Excellent Organizational Skills: Teamwork Leadership Management Customer Service Technical Support/Documentation Healthcare / Clearinghouse Insurance Electronic Data Interchange (EDI) U.S. Health Insurance Portability (HIPAA) Business Development Business Analysis Project Management

SFTP, HTTPS, VPN, SQL, BusinessTo: Business (B2B), Direct EDI, WEB EDI and real-time connection protocols ANSI X12 transactions specifically 837P, 837I, 999, 834, 277CA, 835, 270/271, 276/277 and 278 transaction sets Claim Management (Medicare, Medicaid and Regular Business, Group Medicare Advantage (MAPD), and Agile/Scrum Metho dology MS Excel, Word, PowerPoint, SQL, FileZilla, Notepad ++, Ultra Edit JIRA, Salesforce, Confluence Agile/Scrum Methodology

PROFESSIONAL EXPERIENCE:

Confidential

Business Analyst

Responsibilities:

Communicated TEMPeffectively with stakeholders and customers to establish project requirements
Successfully gatheird requirements from stakeholders, vendors and users for product initiatives.
Excellent written and verbal communication skills
TEMPEffectively prioritize bug and enhancements in a timely manner
Create and execute efficient test plans
Successfully assisted Development Team’s communications with project stakeholders
Participate efficiently in project planning for multiple projects
TEMPEffectively identify, model and document project requirements
Work under pressure and independently with minimal guidance

Confidential

Implementation Analyst

Responsibilities:

Manage moderate to complex implementation task and responsibilities
Create and execute efficient test plans
Successfully executed end-to-end testing
Successfully gatheird requirements from stakeholders, vendors and users for product initiatives.
Excellent written and verbal communication skills
Work under pressure and independently with minimal guidance
Efficiently assess, analyze and implement solutions in a timely and efficient manner
Communicate TEMPeffectively with technology, executive, and the business audiences
Managed internal and external relations with Partners, providers, and vendors to meet objectives
Create appropriate documented deliverables, managing deliverables to gain agreement from internal and external partners, as requested by Product Management and production issues as requested by internal teams.
Successfully interacted closely with other technology teams and development staff to ensure requirements are able to be met accurately and executed within the expected timeline for the implementations
Executed in a timely matter had to ensure production issues were resolved
Create and monitor customer communications (submitter, payer, trading partners, etc.) to be apprised of any changes dat may impact business operations (new edits, connectivity updates, system downtime)
Create and initiate standard processes (such as standard testing procedures) as necessary for continuous practice improvement
Document all information related to assigned implementations
Design and execute transaction activities to support quality and accuracy of data exchange between stakeholder systems and applications.
Successfully support and maintain implementations by execution of customer maintenance requests including but not limited to change requests, connectivity changes, and edit and enrichment enhancements.

Confidential

Trading Partner Analyst

Responsibilities:

Managed internal and external relations to successfully meet the business needs.
Excellent verbal and written communications
Successfully demonstrated extensive understanding of HIPAA rules and THIN standards and options
Developed and facilitated cohesive alternative solutions with internal/external customers to resolve challenges TEMPeffectively
Managed internal and external relations with Partners, providers, and vendors to meet objectives

Confidential

Supervisor, EDI Help Desk

Responsibilities:

Instructed and coached other EDI Help Desk Operator how to improve their EDI knowledge and call volume stats
Identified new procedures to improve efficiency of job-related processes and procedures.
Successfully performed technical and administrative goals dat include the following: receive, research and respond to telephone and correspondence inquiries from medical providers, system vendors, system programmers, billing agents and various claims processing departments regarding Electronic Media Claims acceptance and rejection data via various software applications

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