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Consultant Associate Resume

Teaneck, NJ

SUMMARY:

  • Highly motivated and focused professional with advanced data analysis skills and extensive experience in customer service, CRM and tech support.
  • Proficient in developing and executing policies, programs and procedures related to healthcare.
  • Performs exceptionally well in fast - paced, high-pressure, cross-functional environments.
  • Tech-savvy specialist highly skilled in improving the efficiency of operating information systems and databases.
  • Dynamic leader adept at providing guidance to teams in order to meet customer needs and business goals.
  • Excellent communicator able to achieve collaboration at all levels and with all stakeholders.
  • Well versed with medical terminology and ICD-10; in-depth knowledge of HIPPA and various X12 formats.
  • Regarded for high attention to detail, work ethic, and the ability to complete projects within schedules.
  • Seeking a challenging position within a progressive organization to contribute acquired skills and knowledge to its smooth and successful operation while being of value to its clients.

CORE SKILLS AND COMPETENCIES:

  • Data Analysis & Management
  • Project Management
  • Complex Problem Solving
  • Customer Service
  • Program/Policy Implementation
  • Conflict Resolution
  • Account Management
  • System Vendors & Billing Services
  • Process Documentation
  • Benefit Administration
  • Staff Training / Supervision
  • Adaptability & Multitasking

TECHNICAL SKILLS:

Applications: TriZetto Facets, Microsoft BizTalk Server, Word, Excel, PowerPoint, Access, Outlook, Visio

Operating Systems: Windows XP/7/10. Apple IOS 11 and Mac OS 10.13

Other: SQL, Tableau (basics), Agile development processes and methodologies (familiarity)

PROFESSIONAL EXPERIENCE:

Confidential, Teaneck, NJ

Consultant Associate

Responsibilities:

  • Create dashboards of daily operations, also providing assistance to management as needed.
  • Train and mentor new team members on EDI Analysis, making recommendations and helping with workflow.
  • Effectively maintain the QA processes, procedures and methodologies. Timely prepare relevant documentation.

Confidential, New York, NY

EDI Data Analyst

Responsibilities:

  • Demonstrated strong leadership skills in supervising day-to-day operations and training new employees.
  • Tracked daily transmission and processing of Eligibility and Claims files from BizTalk.
  • Regularly analyzed 5010 EDI transactions to identify the changes in the segments and data elements.
  • Engaged in data fix/recovery/replay operations for reporting cleanup of HIPAA Compliant EDI transactions.
  • Customized, reported, analyzed and enhanced EDI transaction, keeping spreadsheet reports and statistics.
  • Served as a liaison between external Business Stakeholders and internal operations.
  • Provided end user feedback in Agile development for new software transition.

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