SUMMARY:

• Excellent Customer Service - Self-motivated individual with extensive I.T. experience - Excellent verbal and written communications skills
• Pays close attention to detail - Constantly excited to try new things
• Strong interpersonal skills
• Strong ability to work in a highly dynamic and fast pace environment.

TECHNICAL SKILLS:

• Network Systems
• Modems
• Windows 7
• Microsoft Office Suite
• Network Topologies
• Network LAN Devices
• OSI Model
• Subnet Mask Procedures
• Cisco 2400 Routers
• Cisco 2911 Routers
• Cisco 3560 Switches
• Visio
• Cisco Routing and Switching

PROFESSIONAL EXPERIENCE:

Confidential, Tucker, GA

EDI Technical Solutions Analyst

• Reduced electronic claim rejects by 5% by resolving and educating the provider community on file rejection.
• Broad knowledge of Test plans, Test cases and test scripts from the Requirements Document.
• Successfully completed program-testing meeting 100% of both user and client requirements
• Establish beta-testing and production platform for clearinghouses (trading partners) Id’s for GA Medicaid for electronic and web transmission
• Diagnosed EDI/Web Portal issues at an efficient rate, reducing phone usage by 5%.
• Analyzed /Implemented EDI operational Manuals with Technical Writers for EDI services
• Performed inbound and outbound telephone support to resolve Medicaid Web Portal and EDI issues.
• Developing and executing project work plans to effectively increase system efficiencies.
• Experience with technical documentation and workflow process development
• Maintaining up-to-date knowledge of business area being worked upon and continually reviewing how that business function interacts with the other business functions that form the entire business process
• Experience with ANSI X12 transactions of 270/271, 276/277, 835, TA1, 999 and/or 837 Dental, Institutional and Professional files.
• Performs analysis of System Service Requests to determine if request is accurate, complete, reasonable and adheres to standards for processing
• Performs complex analysis of Production Support Tickets to determine if an issue exists and assignment of programming tasks as needed
• Virtual assistance for technical issues
• Familiar with transmission protocols VAN, FTP, SFTP, and NDM
• Worked with VAN to resolve problems and set up new Trading Partners
• Trouble shooting lockbox and 835 remittance advice
• Advise Medicaid client on how to update Web Portal LDAP database to reduce client password malfunctions.

Telecommunication Field Engineer

• Performed work on job sites under higher-level employees, who deal with more advanced telecommunications systems
• Technician operates convergence technologies which include IP protocols, voice-over convergence and other fundamentals of telecommunication
• Technicians conducts site surveys and meet contacts like business managers, construction crew members, utility company personnel, and people from other departments
• Technician can identify commonly used Cisco networking equipment, their functions, accessories, cables, and interfaces.
• Performed Image and Re-image PCs and Laptops.
• Solve technical problems for Desktop PC, Laptops, Peripherals, and Mobile Devices as well as telecom services and email services.

Field Engineer

• Trained incoming technicians on how to complete an installation, perform inventory procedures and customer interaction process.
• Analyzed security/fire alarm installations by surveying and evaluating location, identifying alarm installation requirements, and laying-out equipment and wiring plan.
• Verify security/fire alarm system functioning by testing equipment, connections, and signals as well as identify and correct problems.

Telecommunications Field Engineer

• Performed work on job sites under higher-level employees, who deal with more advanced telecommunications systems
• Technicians conducts site surveys and meet contacts like business managers, construction crew members, utility company personnel, and people from other departments
• Technician have knowledge of all the technical details of how the equipment functions
• Technician works well under pressure, especially in emergency situations
• Works with confidence under limited supervision and provide detailed reports
• Proficiency in TCP/IP, Microsoft Office, Windows Operating Systems, and VoIP technologies, HP and Cisco UCS Chassis/Blade server hardware
• Knowledge of generally accepted Networking principles including, Data Loss Prevention, DNS, DHCP, and Active Directory, Routing and Switching.

Set Top Box Tester (STB Tester)

• Responsible for the monitoring the application and video quality of the U-verse cable solution. When commercial ads are inserted into the live signal and then the live signal comes back, if there are jumps or glitches in the feed or UI it needs to be tabulated and marked.
• Responsible for working with Broadcom and Sigma hardware, software, and test engineers in resolving system-level operational issues as well as the testing of solutions for customers.

EDI/Web Portal Administrator

• Configured, troubleshoot, and install electronic billing software (WINASAP2003) for client/customers staff
• Provided technical support and resolved day to day system issues for client/customer and ACS staff end-users
• Trained other departments on EDI transmissions and Web Portal protocol functions
• Analyzed existing solutions to in corporate requested system requirements
• Conducted walk through of X12 and Web Portal functional transactions
• Performed troubleshooting procedures by using ACTTNOW, HOST System, and TPMS software tools
• Performed testing procedure s for all electronic claim file transactions (837, 270, 276)
• Provided X12 transactions expertise to submitters by reading 997’s, TA1, 824, 271, 835 and 277 response files and interpret all X12 transactions (837 Professional and Institutional, 270)
• Knowledgeable of EDI communications protocols (for troubleshooting submission and/or retrieval problems (BBS and Web Portal Message Center) and HIPAA Implementation guides
• Provided Web Portal administration for over 1.6 member and 40,000 provider client/customers and ACS staff end-users.
• Analyzed reports to update and troubleshoot client /customer EDI electronic claims request and responses
• Maintain EDI documentation and filing system to facilitate EDI
• Worked closely with DCH to resolve customers escalated issues, concerning electronic submitted crossover and straight Medicaid claims
• Performed updating/processing functions using MMIS system to complete Medicaid request.
• Initial point of contact with SFTP (Secure File Transfer Protocol) encryption issues.
• Coaching, and career development; Assist with mentoring of new associate and Level I associates on the team.
• Serves as primary escalation point for associates on team; provides backup and directions in manager's absence.
• Works with cross-functional teams and peers outside immediate organization to process problems and/or develops new solutions, yet works independently to drive technical problems to a solution.