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Electronic Data Interchange Analyst Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure a position. Results-driven professional with 16 years of experience and focus on performance. Reliable in completing projects on-time with organized approach and great time management abilities. Ready to help team achieve company goals.

Skills
    • Report analysis
    • Provider research
    • Database tracking
    • Technical Analysis
    • Reading comprehension
    • Computer skills
    • Customer service
    • Interpersonal Communication
    • MS Office
    • Critical thinking
    • Adaptability
    • Conflict resolution
Work History
ELECTRONIC DATA INTERCHANGE ANALYST, 01/2017 to Current
Shutterfly, Inc.Fayetteville, AR,
    • Providing analytical and technical support while servicing the provider community, clearinghouses, third party billing services and software vendors.
    • Meeting and exceeding timeliness, quality and production metrics while maintaining an exceptional level of customer service and professionalism.
    • Analyze, troubleshoot, and support electronic claims software and file submissions transmitted via secure file transfer protocol (SFTP), Novitasphere Portal, and Direct Data Entry (DDE).
    • Analyze 5010 compliant files such as, Electronic Remittance Advice (ERA) Ansi835 and ANSI X12 format, ICD10 5010 FILES 837 / 999 / 277CA / TRNACK.
    • Provide technical support and assistance with EDI software such as ABILITY PC-Ace, Medicare Remit Easy Print (MREP), PC-Print.
    • Utilize software systems such as CA-View, MPower, CMOD, IDM, TIBCO, MCS, FISS, M2, SharePoint, Oracle, EDOC, TI Portal, Host-on-Demand, and Novitasphere.
    • Assisting Supervisors on suggestions for processes and improvements of procedures.
    • Assisting on special projects as requested.
    • Data Entry
    • Operate in complex, cross-functional organization requiring frequent collaboration with colleagues.
    • Actively listened to customers' requests, confirming full understanding before addressing concerns
    • Participated in team-building activities to enhance working relationships
    • Improved operations through consistent hard work and dedication
    • Delivered exceptional level of service to each customer by listening to concerns and answering questions
SENIOR ADVISOR - PROVIDER ENROLLMENT CALL CENTER, 10/2014 to 01/2016
NOVITAS SOLUTIONS INC.City, STATE,
    • Providing exceptional customer service while servicing escalated calls and deescalating and resolving escalations.
    • Effectively answering questions received by Provider Enrollment Call Center Representatives to assist in facilitating their calls with accurate information.
    • Providing technical support and assistance with PECOS.
    • Step by step guidance to the provider community on the Medicare enrollment process and policies.
    • Advanced Knowledge and understanding of the Medicare Provider Enrollment processes and procedures.
    • Utilized software systems such as PSUP, MCS, MCSDT, FISS, PECOS, and Oracle.
    • Extensive Data Entry.
    • Duties include knowledge of Medicare, listening skills, skills with various software, multi-tasking, and processing and facilitating requests to other departments and upper management.
    • Also assisting Supervisors on suggestions for training and improvements.
    • Assisting on special projects as requested.
    • Assisted for 6 months in a credentialing position to process all Medicare enrollment forms in a timely manner.
    • Took part in many recommendations of policy and procedure changes.
    • Monitored metrics and developed actionable insights to improve efficiency and performance.
    • Assist with training and mentored team members to promote productivity, accuracy and commitment to friendly service.
    • Responded to customer needs through competent customer service and prompt problem-solving.
    • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
CUSTOMER SERVICE REPRESENTATIVE - PROVIDER ENROLL, 04/2013 to 10/2014
NOVITAS SOLUTIONS INC.City, STATE,
    • Maintained customer satisfaction with forward-thinking strategies focused on addressing providers needs and resolving concerns.
    • Mentoring new Call Center Representatives.
    • Providing technical support and assistance with PECOS.
    • Step by step guidance to the provider community on the Medicare enrollment process and policies.
    • Advanced Knowledge and understanding of the Medicare Provider Enrollment processes and procedures.
    • Utilized software systems such as PSUP, MCS, MCSDT, FISS, PECOS, and Oracle.
    • Extensive Data Entry.
    • Duties include knowledge of Medicare, listening skills, skills with various software, multi-tasking, and processing and facilitating requests to other departments and upper management.
    • Also assisting Supervisors on suggestions for training and improvements.
    • Assisting on special projects as requested.
    • Answered customer telephone calls promptly to avoid on-hold wait times.
PORTRAIT STUDIO MANAGER, 03/2011 to 04/2013
CPI CORPORATIONCity, STATE,
  • Established performance goals for employees and provided feedback on methods for reaching those milestones.
  • Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
  • Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
  • Rotated merchandise and displays to feature new products and promotions.
  • Delivered training for staff development, change management and materials, process and technical controls.
  • Estimated expected changes in business operations and made proactive adjustments to employee schedules and inventory levels to address needs.
  • Established team priorities, maintained schedules and monitored performance.
  • Entered data into systems, implementing tight safeguards to secure financial and personal information.
  • Facilitating portrait sessions and selling products in order to reach company goals.
Education
High School Diploma: , Expected in 06/2003
Troy Area High School - Troy, PA
GPA:
: Health Care Management, Expected in
Pennsylvania College of Technology - Williamsport, PA
GPA:
: Health Care Management, Expected in
Harrisburg Area Community College - Harrisburg, PA
GPA:

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Resume Overview

School Attended
  • Troy Area High School
  • Pennsylvania College of Technology
  • Harrisburg Area Community College
Job Titles Held:
  • ELECTRONIC DATA INTERCHANGE ANALYST
  • SENIOR ADVISOR - PROVIDER ENROLLMENT CALL CENTER
  • CUSTOMER SERVICE REPRESENTATIVE - PROVIDER ENROLL
  • PORTRAIT STUDIO MANAGER
Degrees
  • High School Diploma