KIMBERLI DODSON

**** ******** ******

Sacramento, CA 95834

916-***-****

ac8dai@r.postjobfree.com

Professional Summary

• 3+ years experience as a Business Analyst I

• Strong functional expertise in the Healthcare Payer Area - Membership claims, benefits, eligibility check, ICD10, HIPAA, CMS HCPCS Exposure to Health Care Industry standards like HIPAA / PHI

• Experienced in maintenance and support of EDI Gateway system, and also the testing and implementation activities of the 5010 system for the client.

• Adept at analyzing 5010 x12 files and identifying individual problematic claims for further review and correction by submitter

• Experienced in project management, working with various internal teams and clients in tracking encounter compliance and maintaining required documentation and logs of communications

• Experienced in creating data mapping documents

• Experienced in using different methods including coordinating and conducting meetings

• Experienced in conducting process evaluations and writing recommendations based on the analysis

• Experienced in working with Project Management teams in various stages to insure all data is being sent by submitter and validate all submitted data has been received successfully

• Experienced working with remotely located teams

• Excellent understanding and hands on experience with EDI transactions

• Experience in managing 50+ medical groups and/or clearinghouses to insure their data volume meets compliance for each line of business

• Supervising the progress and mentoring team members’ within the Project Team Work History

Business Analyst

Health Net 12/2001-4/2018

Gold River, CA

Office Manager 12/1990-12/2001

Amtech Lighting Services

West Sacramento, CA

Cash Cage, Customer Service, & Sales Associate 1987-1990 Sears

Citrus Heights, CA

References available upon request.

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