SUMMARY:

• Master at providing analytical EDI - related, troubleshooting skills that coincide with maintaining many servers simultaneously containing thousands of x12 and EDIFACT data on a daily basis in the retail (vendor, retailers, logistics, & supply chain) industry. Vendor Onboarding, implementation and production processes are some aspects that help put the EDI puzzle pieces together from a professional, business-related standpoint.
• Served as leader of EDI Communications/Connections Team.
• Worked exclusively with top Vendors and Logistics clients who brought in EDI revenue over 15,000 monthly.
• Worked exclusively with various retailers as their main point of contact and EDI-Onboarding Specialist.
• Created department training documentation to assist other teams with learning processes and procedures throughout the company.
• Saved some vendors over $34,000 in EDI- related charge-backs by researching and providing detailed proof of discrepancies to various retailers.
• Streamlined business processes for the production support department.

AREAS OF EXPERTISE:

• Understanding of EDI/ANSI X12/EDIFACT EDI Mapping of Labels and Packing Slips
• Documents Managerial Experience: Train and Supervise 4-12
• Server Maintenance/ Troubleshooting/ Archiving/ Team Members
• Upgrades Call Center: Medical Claims Billing & Coding
• Vendor, Retailer, Logistics and Warehouse EDI Sales/Lead Generation
• Configuration Customer Service
• Vendor & Logistics EDI Onboarding
• (Implementation)
• EDI Data Production Support

TECHNICAL SKILLS:

• HTML/CSS/J-Script/JavaScript Intermediate 3 2016
• Confidential /SSL/FTP/Van/X400 Communication Advanced 5 2018
• Protocols
• Windows Server Advanced 5 2018
• BTRADE Legacy System Advanced 5 2018
• DiConnect R11 Advanced 5 2018
• CRM Advanced 5 2018
• Salesforce Intermediate 1 2016
• EPIC Systems Intermediate 1 2015
• Microsoft Excel/Power Point/Word Intermediate 9 2018/Outlook
• Share Point Advanced 3 2018

SOFT SKILLS:

• Work mostly on Time-Sensitive and Deadline-Driven assignments independently with little or no supervision.
• Analytical, detail oriented with strong programming skills; work diligently on long, tedious assignments, independently and collaboratively.
• Maintain excellent interpersonal communication; time management and problem resolution skills.

WORK EXPERIENCE:

PRODUCTION COMMUNICATION SPECIALIST

Confidential, Houston, TX

Responsibilities:

• Analytically research, correct and reprocess any document errors generated within 2 hours of initial transmission time.
• Add new trading partnerships to existing retailer Confidential setups on any of the nine servers to ensure data is successfully transmitted to and from various retailers as well as other Confidential offices (Canada offices).
• Correct internal database(s) with server routing as needed.
• Update expiring Confidential setups for various retailers and x12 vendors listed in any of the 9 monitored servers on designated dates/times provided.
• Manually migrate retailers' and third-party van communication providers' (Descartes, GXS, Ecom Systems, Kleinschmidt, Commerce Vans, etc.) Confidential setups from one internal server to another, depending on the retailer's system algorithm requirements (SHA1, SHA2, HTTP, HTTPS, SSL, TLS, etc.).
• Work collaboratively with the Software Engineers during system outages to resolve server issues while manually reprocessing any failed documents that occurred during system downtime.
• Inform internal departments of system outages by providing a detailed description of the issue and steps taken to resolve each issue.
• Train National and International Teams (4-12 Vietnam members) to effectively troubleshoot 2 of the 9

ELECTRONIC DATA ENTERCHANGE- EDI ANALYST

Confidential

Responsibilities:

• Create training and how-to troubleshooting materials/documentation needed to effectively train the Production Communication Department.
• Monitor team by providing Supervisory Support for escalated issues during working and after hours.
• Monitor 7 out of 9 servers nightly to ensure all data is processed in a timely manner (This is considered being on-call).
• Setup any van-related customers (internal and external) using proprietary software TMP Van services.
• Contact external van and Confidential communication providers, such as Descartes and GXS, to ensure our van interconnects are in place for Confidential 's external TMP van server customers.
• Assist internal departments with tracking missing documents as needed.
• Provide x12 and EDIFACT to internal departments for charge-back discrepancies purposes as needed.
• Assist Internal Project Managers with various Communication migration projects as needed.
• Access Windows Server to troubleshoot servers as needed.
• Log/notate each request (internal and external) and error using the CRM software to ensure tasks are documented.

Confidential, Houston, TX

Responsibilities:

• Assist customers with the implementation, testing and support of inbound and outbound data connections for insurance eligibility files .
• Build 834 documents, enrollment and eligibility files using J-Script coding while meeting strict deadlines.
• Support external customers and internal processing areas by trouble shooting data issues Act as a liaison between the business and IT.
• Oversee the technical efforts associated with implementing EDI trading partners.
• Provide HIPAA-compliant guidance to third party administrators and ensure compliance with HIPAA regulations and requirements.
• Participate in implementation meetings with clients committed to establishing an EDI partnership.
• Ensure proper setup conduct necessary testing and in-depth analysis to resolve any potential issues prior to release into the production environment.
• Oversee the production support of existing EDI clients.
• Support the business with EDI issues and promptly triage and resolve EDI issues.
• Implement process improvements to enhance the efficiency of the EDI processes.
• Prepare and maintain documentation that defines operational procedures and describes client requirements.
• Build and maintain positive working relationships with internal colleagues and external contacts.
• Perform manual auditing of health benefit information by generating many reports created in (csv) format.

COMMUNICATION SYSTEMS ADMINISTRATOR

Confidential, Houston, TX

Responsibilities:

• Connects vendors to retailers via EDI (Electronic Data Interchange) by collecting, researching, analyzing and implementing data; coordinating with external Value Added Networks, vendors, and retailers; internally coordinating with Mapping, Confidential, FTP, Integration teams, etc.; testing EDI documents internally and with external testing entities; examining and interpreting EDI X12 language (uniform structure, format, and content standards for EDI industry)
• Hold a dual role in the communications and mapping teams - building, updating, and troubleshooting labels/packing slips, as well as setting up, updating, and troubleshooting Confidential connections on BTrade and DiConnect, FTP server.
• Use EDI/HTML/CSS/JavaScript to build and update packing slips, labels, and bill of lading documents for the DiWeb software.
• Troubleshoot issues with ASN container IDs, barcodes, and HTML/EDI coding.
• Renew certificates, troubleshoot problems, and maintain the current Confidential server and FTP server tasks.
• Perform communications tasks for DiConnect/DiConnect Lite, FTP/SFTP, and TMPVAN.
• Participate in Confidential server monitoring rotation with team members.
• Setting up, troubleshooting and maintaining communications protocol to new and current customers to trade documents via Confidential solutions such as DiWeb, DiConnect, DiTMP, CIP and Legacy system.
• Work with multiple trade partners to resolve any technical communications and operational issues.
• Excellent communication skills and be able to discuss technical issues with non-technical clients.
• Coordinate, test and resolve all EDI implementations and system errors with new EDI partners.
• Analyze current implementation in order to make recommendations for improvements.
• Acting as a liaison between trade partners, and other groups to gather information and perform tasks that is required to complete the setup process.
• Establish an EDI communication, including migrations between various routing platforms such as Confidential, FTP and VAN.
• Assisting and coordinating with multiple department and branches on DiConnect, CIP, DiWeb and DiTMP platform.
• Perform daily maintenance, log and reporting on system issues through CRM.
• Perform additional duties that are outside the scope of the current duties that relates to implementations and set up.
• Including specific build out and troubleshooting of Labels and Cross references.
• Perform semi-annual audits on current software.

CUSTOMER SERVICE SPECIALIST

Confidential, Houston, TX

Responsibilities:

• Provide needed information for inquiries from members, brokers, and providers by administering health related claims, billing and coding information.
• Handle Incoming 50-75 calls daily while adhering to quality assurance standards.
• Make necessary outbound calls and transfers to appropriate departments in order to excel with member satisfaction.
• Learn the current policies of Medicare and its guidelines in the healthcare industry.
• Provide excellent customer service to customers while bridging the gap between customer awareness and
• Medicare's policy and procedures.
• Adhere to different forms of Call back Resolution by following up with members and providers on issues that cannot be addressed on a single call.
• Educate callers on updated information pertaining to their insurance coverage while filing necessary appeals, grievances and other forms of customer support.
• Understand claim information, billing codes, diagnosis codes, enrollment processes, accounts receivable procedures along with properly executing customer service.
• Work with various departments and third-party vendors to provide resolutions for expedited authorization and referral processes.

LEAD GENERATOR/SALES ASSOCIATE

Confidential, Houston, TX

Responsibilities:

• Make sure every customer and associate in the store leaves knowing the different programs and services we offer the community as a whole.
• Maintain the relationship between consumer and company for the sole purpose of building rapport for future purchases, programs and In-Home Service the company offers.
• Assist customers by walking around the store, informing each one about the many Home Services, its procedure, lead time, and general description while signing up qualified consumers for the appropriate programs.
• Teach each associate how to enter potential appointments for various leads, how to explain the key points and updated information to each customer, and how to meet sales goal per hour on a daily basis by attending weekly meetings with the specialty team.
• Create the interest between the customer and the store by actively reciting each program's specifications, procedures, and lead time while showing associates how to enter a sales lead for each program/service.
• Qualify the customer for the appropriate programs, how to follow up with the customer to provide excellent customer service.