QNXT Provider Data Analyst Resume

PROFESSIONAL EXPERIENCE

QNXT Provider Data Analyst

Confidential

Responsibilities:

Learned Macess 3.80 and became an SME - ticketing system for completions for provider updates.
Learned Cactus 4.1.39.4 and became a SME - for Member Directory Usage
Loaded new provider that came into network and updated existing providers in QNXT environment 5.6 system.
Updated contracts per fee schedule
Updated demographic information as needed.
Used multiple applications for research purposes.
Used Microsoft Products, Heavy Data Entry
Accessing SQL Server System .0.5598.27 for claim purposes.
Handling claim Edit 101
Learned PEMS- a new MPF that was used- by company for verification purpose

ER Registration Clerk

Confidential

Responsibilities:

Greet all visitors upon arrival promptly and courteously.
Processed and Helped customer complete all er registration and admission paperwork.
Arrange financial obligations.
Co-pay and deductibles or cash transactions.
Insurance Verification
Heavy Data Entry
Heavy customer Services
Answered Inbound call within 3 rings.
Helped with transportation and food orders on a needed basis.

QNXT Provider Data Analyst II

Confidential

Responsibilities:

Worked in QNXT 5.5 environment.
Maintaining providers demographics.
Learned Remedy -and became a SME -ticketing service that was used for provider updates.
Used multiple applications such as NPPES and MPF- for research purposes.
Heavy Data Entry
Continuous involvement with other departments that was utilized for provider demographics.