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Medical Biller Resume

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Ark, I

SUMMARY

  • 14 years’ IT experience with ERP programmer/analyst skills, Project Management skills, Customer Service skills and managerial experience in the manufacturing sector.
  • Worked with a variety of different business functions and IT groups to design new system functionality and redesign numerous pre - existing processes to make them more efficient and reliable.
  • Strong leader able to work independently or as a dedicated team member, provides exceptional internal and external customer support, pays attention to details and provides the best possible solutions.

TECHNICAL SKILLS

PROFESSIONAL SKILLS: ALLBASE SQL/MS SQL/Oracle SQL, System Interface Design, User Interface Design, ERP System Configuration and Implementation, Cognos Impromptu/Quiz/COBOL report creation, Microsoft Office Suite. Outlook/Word/Excel/Access/Powerpoint, VISIO, SDLC Functional design/Technical Design/Test Plans, Project Management, EDI experience with ANSI X12 documents, Data Analysis, System Analysis, CompTia A+ Certification, COBOL, Powerhouse 4GL, VB 6.0

PROFESSIONAL EXPERIENCE

Confidential Park, I

Medical Biller

Responsibilities:

  • Prepare CMS 1500 forms for medical claims and submit to various payers
  • Resolve modifier issues for various ICD10 procedure codes
  • Used OPTUM, AVALITY, NAVINET and Various other web sites/IVR systems to resolve payment and EOB issues.

Confidential, WI

Engineering Systems Analyst

Responsibilities:

  • Provided IT, Oracle 11gi Support for Engineering Department.
  • Created/Modified Oracle, Discoverer, Crystal 10 reports.
  • Created SharePoint 2010 WorkFlows
  • Installed PC applications and Windows Server 2012 applications
  • Setup services on Windows 2012 server
  • Created data extracts from Oracle PL/SQL using Toad
  • Maintained MS SQL Database/Security for ENOVIAV6
  • Created/Maintained system documentation

Confidential, Illinois

ERP Programmer/Business Systems Analyst

Responsibilities:

  • Project manager experience creating Capital Expenditure Requests, Calculating Return on Investment
  • Project Lead designing System enhancements and providing new system functionality.
  • Expert Performing requirements gathering for system/process changes
  • Expert in Data Mapping
  • 13 Plus Years experience working with Fixed Length Files, Delimited Files and Segmented Fixed Length Files.
  • SDLC expert creating FDS, TDS, Test Cases/Unit Testing, User Documentation and training
  • 10 plus years experience Performing Database maintenance with Relational Database (ALLBASE)
  • ETL experience, Data extraction with various utilities, Transforming data using Excel and other methods, Loading data using SQL and other methods.
  • 3 years experience with MS SQL including maintaining T-SQL for data interface to JD Edwards system
  • Advanced Microsoft Office User, Excel nested functions (VLOOKUP, CONCATENTATE, IF, PMT)
  • 10 plus Years experience Designing/Programming/Maintaining internally developed ERP system
  • Project Team Member working with Vendor technicians and other team members to help Configure and Implement Purchased ERP System, migrating 60 plus business units.
  • Expert Designing/Creating/Maintaining System interfaces and User Interfaces
  • Expert Designing/Creating/Maintaining User/Adhoc Reports
  • Redesigned various processes so they ran more efficiently with greater accuracy.
  • Provided 3rd tier technical support to 40+ different corporate facilities

Confidential, Schaumburg, Illinois

Shift supervisor, Lead operator, Machine operator, Machine helper

Responsibilities:

  • Led Second Shift Work Action Team
  • Led Safety Action Team for two years and reduced OSHA record-able accidents to Zero
  • Helped in the selection process of new employees
  • Provided Guidance to team members to help them succeed
  • Provided training to new employees in the safe and efficient way to perform job tasks
  • Helped to efficiently produce high quality products for our extremely valuable customers
  • Responsible for the safe plant operations overseeing approximately 25 employees

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