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Edi Configuration Analyst Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

Hardworking and reliable professional with strong ability to gain knowledge and skills in any environment. Offering troubleshooting, data management and problem resolution expertise. Highly organized, proactive and punctual with team-oriented mentality.

Skills
  • Computer skills
  • Problem resolution
  • Data management
  • Medical terminology
  • Insurance claims management
  • Meticulous recordkeeping
  • Claim validity determination
  • Documentation skills
  • Troubleshooting
  • Multitasking
  • Working collaboratively
  • Lapsed case follow up
  • Account management expertise
Experience
EDI Configuration Analyst, 10/2015 to 12/2018
Bessemer TrustWoodbridge, NJ,
  • Configured and maintained complex transmission files by working with clients and insurance carriers and understanding their needs for each file.
  • Reviewed the files of other EDI Analysts during the process of their builds to ensure the quality of the file and provide feedback to the analyst.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Contributed to development, planning and completion of project initiatives.
  • Exceeded customer satisfaction by finding creative solutions to problems.
Senior Technical Support Specialist, 06/2007 to 06/2010
Texas Children's HospitalAustin, TX,
  • Assisted end-users with software and hardware troubleshooting to determine causes of system malfunction.
  • Reviewed current hardware and software configurations and recommended modifications to increase system speed.
  • Provided leadership for team as interim supervisor when needed.
  • Kept customers informed about issue resolution progress and provided updated estimated times of resolution on ongoing basis.
  • Assisted in technical support process refinement to improve customer service and support.
  • Supported customers having data connectivity issues, assisting with troubleshooting steps and rebooting of hardware.
  • Assisted online users via live chat, web conference and phone to resolve issues related to software and system use and access.
  • Responded to support tickets within the hour to improve customer service.
  • Assessed software and hardware issues to determine appropriate troubleshooting methods for remediation.
  • Maintained composure and patience in face of difficult customer situations, applying de-escalation techniques and positive customer support.
  • Consulted via telephone to understand user problems, run through testing scripts and ask probing questions to locate root causes.
  • Managed and updated robust online knowledge base for support staff to reference when responding to requests for assistance.
  • Served as level-three support escalation point for Enterprise clients.
Medical Claims Examiner, 06/2001 to 06/2007
Schreiber FoodsWest Bend, WI,
  • Inputted data into the system, maintaining accuracy of provider coding information and reported services.
  • Sent clinical request and missing information letters to obtain incomplete information.
  • Accurately processed large volume of medical claims every shift.
  • Based payment or denials of medical claims upon well-established criteria for claims processing.
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
  • Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
  • Used contract notes and processing manual to correctly apply group-specific classifications to claims.
  • Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
  • Administered standard contract benefits to process pending claims for dental benefits.
  • Reviewed administrative guidelines whenever questions arose during processing of claims.
  • Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records.
  • Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
  • Created master spreadsheet to record procedures, denials and approvals.
Production Team Leader, 01/1999 to 06/2001
Ballard MedicalCity, STATE,
  • Kept areas clean, neat and inspection-ready at all times to comply with product guidelines.
  • Coordinated with internal departments to maximize operational efficiency across production and administrative areas.
  • Notified supervisors about production problems and helped identify and correct concerns.
  • Streamlined operational efficiencies by coordinating staff development and succession planning.
  • Inspected incoming supplies to conform with materials specifications and quality standards.
  • Performed minor equipment repairs to keep jobs on task and notified maintenance department of major machinery failures.
  • Evaluated subordinate performance and communicated with employees to provide feedback for work performance improvement.
  • Conducted frequent cycle counts and inventory audits to verify accuracy of computer records.
Education and Training
High School Diploma: , Expected in 06/1990
Jordan High School - Sandy, UT
GPA:
Application Experience

Multiple SaaS applications such as PlanSource and AdvancedMD

FileZilla

Beyond Compare

SalesForce

Zendesk

WebEx and other similar communication programs

UltiPro

NetSuite

Microsoft Office

Windows

GBAS

Beechstreet

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87Good

Resume Strength

  • Formatting
  • Length
  • Personalization
  • Strong Summary
  • Target Job
  • Typos

Resume Overview

School Attended
  • Jordan High School
Job Titles Held:
  • EDI Configuration Analyst
  • Senior Technical Support Specialist
  • Medical Claims Examiner
  • Production Team Leader
Degrees
  • High School Diploma

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