SUMMARY

• A seasoned Business Analyst with 16+ years experience in healthcare, finance and retail industries. Expertise in analysis, design, development, testing and implementation of software applications with a strong focus in Electronic Data Interchange (EDI) and Electronic Commerce systems.
• Strengths include identifying file format and layout issues and inaccuracies, project management and resolving production issues.
• Instrumental in document development, communications and interaction with internal and external clients.
• Recognized by management and peers as an effective problem solver and collaborative team player.

TECHNICAL SKILLS

Databases: MSAccess, MS Outlook, Windows, SQL, TSOC, TSOA, Hogan, PEP++, MTEC Financial, SAP, TPRP, COBC, EDIFECTS, ERMA, COGNOS.

GUI/Tools: Mercator, MS Project, Visio, Access, Word, Excel, Crystal Reports, APM, Power Point

Industry Standards: HIPAA ANSI X - 12, XML, HTML

Platforms: UNIX, AS400, RS6000

Testing Tools: Mercator, Sterling Commerce, Gentran, TPRQ, COBCT

PROFESSIONAL EXPERIENCE

Confidential

Business analyst/EDI

Responsibilities:

• Responsibilities included requirement gathering and writing specifications for new conversion.
• Work directly with the customer to understand, assess and interpret business needs, understand current and future product offerings and be an active participant in the development of a solution
• Upgraded software system to enhance reporting.
• Create documentation for project planning upgrade.

Confidential

Business analyst

Responsibilities:

• Direct and participate in the creation of Business Requirements Documents (BRDs) and functional Specification Reports (FSR) by working closing with the business users and determining the business need for developing new or enhancing existing applications
• Used Microsoft Outlook and Sharepoint for discussion, project management and scheduling.
• Responsibilities included requirement gathering and writing specifications for new conversion.
• Upgraded Target software system from Rockport to IMS and MIB 8.1 and 8.2.
• Creating documentation for project planning,

Confidential

Business/EDI Analyst

Responsibilities:

• Microsoft Outlook and Sharepoint used for discussion and project management.
• Performed User acceptance, regression and UAT testing for all divisions..
• Runs daily and weekly reports production reports.
• Created RACI and Project plan for daily processes.
• Created hyperlinks keeping global research current.
• Reformatted special projects using Access and excel to allow global project for accurracy.
• Production Support and problem resolution keeping errors below 10%
• Worked project to convert 4010 to 5010 translation.

Confidential

EDI Business Analyst

Responsibilities:

• Provided Registration, Testing and Production support to outside providers, Billing Services and Clearing Houses; tested, approved and implemented new Providers, Billing Services and Clearinghouses into production for live transmission of electronic claims increasing departmental revenue 25%. .
• Created documentation for production support to assist with correcting errors and file failures; documentation used as learning tool for new employees and to assist current employees to resolve issue quicker and more efficiently eliminating down time.
• Set up new trading partners; reviewed and approved registration surveys from new providers, billing services and clearinghouses and set up for electronic transmission of claims.
• Analyzed and manually corrected time sensitive file failures; re-tested and reprocessed edited files in order to meet production deadlines, decreasing production downtime by 25%. Gathered all the specifications and requirements to ensure HIPAA/CMS compliance.
• Initiated new documentation program to assist in training new employees; drastically improved learning curve and improved departmental quality.
• Volunteered to take on additional production responsibilities due to low staffing.
• Chosen as Top Customer Service performer within department due to willingness to oversee high priority weekend calls; resolved all issues within 24 hour period.

Confidential

EDI Business Analyst

Responsibilities:

• Ensured timely EDI activities involving QA and E-commerce; led daily EDI and UCC-128 label development.
• Provided analysis and solutions across all ANSI X-12 versions 3060 and above.
• Technically test and provide initial data validations around key data elements for various EDI transportation documents (204, 990, 212, 214, 210)
• Month End Journal Entries, including all A/P reclasses and accruals.
• Set-up and maintained all new and existing trading partners and setup communication protocols.
• Decreased retail charge backs by 90% in the first year; suggested new software which allowed for all specifications, gathered requirements, tested and implemented software.
• Utilized analyzing tools to troubleshoot failed production files and resolve inbound and outbound shipping delays.
• Proactively verified website specification changes for retail clients; created parallel procedures and deactivated/activated on deadline dates. Allowed for zero delay into production with new formats.
• Saved significant dollars and increased productivity by bringing barcode creation in-house.

Confidential

Customer Service/Technical Support

Responsibilities:

• Provided phone support for National Hearing Aid products; troubleshot and assisted diagnosis of products, services and delivered quality customer service.
• Consistently turned around negative customer relationships by supplying requested deliverables within 24 hours.
• Led daily support of Hearing Aid dispensaries on West Coast.
• Ranked consistently in the top 10% of representatives; supervisors received multiple phone calls and letters from customers complimenting customer service skills.
• Discovered faster way to navigate through computer system; presented management with solution which was approved and implemented.

Confidential

EDI Computer Analyst

Responsibilities:

• Coordinated and managed implementation of electronic data interchange with vendors and customers.
• Conducted new mapping, testing and implementation into production; utilized Mercator 1.4.1-2.1 for mapping.
• Managed EDI projects, internal and external training and developed 850, 810 and 855 maps in ANSI X-12 formats.
• Instrumental in communication setups on IBM Global VAN and documentation development.
• Set up new customers for retail banking increasing customer base by 10%

Confidential

EDI Analyst

Responsibilities:

• Decreased modem transmission failure rate 40% by identifying errors with scripting; reprogrammed modem strings.
• Conducted new and re-mapping using Sterling Commerce Gentran 5.1.1 server for UNIX.
• Tested new transactions and maps prior to production; monitored completion of production transactions.
• Developed open channels to trading partners assuring shipment schedules.

Confidential

Business Analyst/Production Analyst

Responsibilities:

• Wrote detailed technical requirements and mapping; mapped new financial transaction using Sterling Commerce Gentran Mainframe and Mercator.
• New business development and testing all applications prior to implementation into production.
• Developed and managed client applications from ground floor of all EDI/ACH products and services.
• Month End Journal Entries, including all A/P reclasses and accruals
• Prepared and analyzed applications in test regions prior to production; coordinated implementation and operational production changes. Monitored daily production EDI/ACH tasks for accuracy.
• Analyzed all raw EDI data files from clients for inaccuracies and assist in re-submission of transaction.
• Maintained and managed accounts and communications package for daily production and conducted weekly status meetings.
• Created project and problem log documentation and operational changes and procedures.
• Saved thousands of dollars in fines by creating manual backups for banking system.
• Developed new script based on feedback; allowed more thorough results with all ACH transactions.
• Utilized EDI to create a new process to deliver payroll transactions on-time.