SUMMARY:

Analytical, process - driven, highly motivated EDI/HIPPA Specialist with 9+ years of leveraging expertise impacting operational initiatives in Healthcare. Demonstrates technical experience that include translating business requirements to technical specifications, creating test cases, performing data performance testing, and supporting the day-to-day operations of EDI, including identifying any technical problems with sending/receiving transactions..

TECHNICAL EXPERIENCE:

• Cisco Networking Academy Program
• Installed & Troubleshot Data Communications/LAN’s
• Computer Systems & Application
• Computer Systems Maintenance
• Introduction & Fundamentals of Network Security

PROFESSIONAL EXPERIENCE:

Production Analyst

Confidential, Swift Water, PA

• Performs production in accordance with volume fluctuation, business need, and effective procedures. Ensures all materials required for production are available prior to need.
• Ensures the completion of sampling and corresponding documentation as required. Ensures the completion of move tickets and picklists in an accurate and timely manner to ensure accurate inventory.
• Participates or leads in all aspects of production process (SAP, cycle counting, Lims, Track wise, ordering, Lab watch, Documentum, Medasys, DeltaV, etc.). Works to resolve all production issues.

Senior EDI Specialist

Confidential, New York City, NY

• Serves in senior technical role monitoring uploads and downloads of eligibility files from Medicare contractors; provides problem resolution for data transmission or specific content issues.
• Troubleshoots efforts to address cost report errors occurring on Mainframe/Mid-Tier Level; conducts regular audits of EDI transactions, determining accuracy and necessary improvements.
• Maintains EDI maps/business rules for HIPPA validation software and interfaces with lead management and technical application teams; collaborates with internal/external business partners to define project specifications, timelines and deliverables.
• Oversees maintenance of EDI Inquiry Problem database, including problem evaluations; performs various collateral duties to support Organization/EDI missions directed by Management.
• Performs user acceptance testing, running queries and finalize daily, weekly and monthly reports, along with creation of Micro-strategy reports; assists with IBM Mainframe-to-Mainframe connections.
• Participates in systems development efforts.
• Participates in testing, acceptance testing and implementation of information systems, modules and subsystems.
• Writes complex queries in SQL Server databases.
• Utilize SQL commands on IBM Mainframe Server Database to create, modify, and retrieve data.
• Apply SQL & ODBC to accomplish the task of data import functions.
• Involved in User Interface (UI) analysis with the business team to validate accuracy.
• Involved in special projects and provided ad hoc / special analysis as required
• Conducted stakeholder Joint Application Design (JAD) interviews and facilitated meetings with project teams.
• Knowledge of the system development life cycle and implementation methodologies.
• Knowledge of Agile and Scrum
• Provides user support during application software implementations.
• Analyzes HIPAA transactions to determine root cause of production support issues.
• Participates in training users on application software.
• Participates in Application Group and business unit meetings.
• Assist QA testing team
• Provide Project Management on small application development projects.
• Utilizes DB2 to run SQL commands to perform tasks and develops/implements PEGA platform, upgrading system through UAT for government program; processes open/close tickets in PEGA, as well as, EDI Transactions 834, 835, 837.

PC Support Technician

Confidential, New York City, NY

• Provided industry knowledge and resolution for issues with desktop set-ups, fax machines and printers; delivered thorough escalation efforts for help desk tickets ensuring expert solutions.
• Researched, resolved and responded to complex end-user questions; demonstrated technical proficiency to identify network issues and provide disaster recovery.
• Repaired/Upgraded PC‘s and Servers.
• Maintained accurate inventory and oversight of all territory equipment; participated in team projects to enhance the quality and efficiency, as well as, working toward operation and maintenance of Cisco IOS, Cisco routers and software and connectivity for LANs, Wireless LANs and Telecommunications.

Technical Support Analyst

Confidential, Allentown, PA

• Provided technical support to clients in analyst role based upon industry expertise and background; assisted with network connectivity and network security and server updates.
• Troubleshot, repaired server Hardware and provided end-user desktop support; built images/ghost laptops, PC and PDA repairs/configuration along with provision of support for VPN and resolution of networking issues.
• Ensured status service request data entered into Helpdesk tracking system; monitored operation of Cisco Routers 3800’s, Switches 4500’s, Cisco Pix Firewall, IDS tools, IDP for Security Configuration and Management of Servers based on Windows, Backups.

Tech Support

Confidential, Allentown, PA

• Delivered detailed technical support in call center environment to assist clients; repaired and addressed cell phones, MDA and PDA issues
• Worked web based tools, such as, Remedy and Primus to troubleshoot and provide solutions to routine hardware and software problems.

POS Maintenance Technician

Confidential, Stroudsburg, PA

• Worked in technical role responsible to configure, install and maintain network switches, routers and VPN’s at data center and various other customer sites; built new servers, performed application and OS upgrades, diagnosed issues with applications running on server.
• Provided problem resolution for routine hardware and software problems, as well as, applying expert processes for network printers, implementing Network Security Policies/Procedures.
• Demonstrated proficiency with TCP/IP suites, WINS, DNS, DHCP, SMTP and other network protocols; oversaw infrastructure performance and used IDS tools to maintain network integrity.
• Assisted with IT projects to continually improve network infrastructure and security; managed operations of all network devices for department, including Cisco Routers/Switches, VPN Concentrators and Nokia checkpoint firewalls.
• Ensured software and connectivity for LANs, Wireless LANs and telecommunications; handled WAN transports and protocols, including Frame Relay, ISDN, EIGRP, HSRP.