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Edi Analyst Revenue Cycle

Location:
Indianapolis, IN
Posted:
January 26, 2024

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Resume:

Daniella G. Chepandova Cell: 317-***-**** I Indianapolis, IN I ad24mp@r.postjobfree.com I

Senior EDI Analyst with over 23 years of experience in the Healthcare Revenue Cycle Management, and with over 9 years of experience, extensive knowledge, and skills in various aspects of Healthcare IT, such as EMR systems, EDI standards, database management, data modeling, data migration, data analysis, data security, and data quality. Who has also contributed to multiple projects that involved testing, deploying, and troubleshooting using software applications and databases for healthcare organizations. Eager to learn new technologies and best practices that can enhance the efficiency and effectiveness of healthcare data exchange and integration. Individual who values teamwork, innovation, and customer satisfaction, and strives to deliver solutions that meet the needs and expectations of the healthcare industry.

Skills Summary

EDI ANCI x12 (837, 835, 270/271, 276/277, 999) WPC

IBR, EBR, DPR ACE NSA

XML JSON C++ C#

HTTPS SFTP PGP SSH

Agile Methodologies JIRA Confluence Service Now

Teams MS Share Point MS Office MS Power Platform MS365

Notepad++ Text Pad OneNote Beyond Compare Macros

MS SQL Server Oracle SQL Developer Toad for Oracle

Azure Data Factory ETL Microsoft Stack

Tidal Control-M Active Batch Console Bitbucket (Git) Splunk

EMR SalesForce ThoughtSpot Javelina NetworX Postman

ITIL Lean Six Sigma Workday

Experience

07/23 – 12/23

EDI Analyst II, MultiPlan Inc, New York NY

Enhanced customer experience by updating client’s repricing methodologies hierarchy.

Improved the core configuration of the repricing methodology on multiple complex accounts by using insert scripts.

Initiated projects to deliver differences and update the current data technical specifications and processes.

05/23 – 07/23

Systems Analyst, General IT, WorldTrips Travel Insurance, Carmel IN

Drastically lowered the amount of outstanding Backlog Tasks by modifying JSON files according to format specifications.

Boosted files flow using Javelina system and in-house tools to formulate and correct JSON file discrepancies.

04/15 – 05/23

EDI Implementation Analyst II, Connectivity Solutions at Availity LLC, Indianapolis IN

Performed system setup for new connections according to payer, mode, and transaction types. Gathered payer requirements, created test cases, test plans and strategies for user acceptance testing via EDI, Web-Service, and API.

Performed lower environment functional testing, analyzed payer responses, and performed production monitoring on all new connections. Problem solved by working maintenance internal or client requests. Analyzed information for trends.

Built SQL queries to obtain and manipulate data for testing, deploying, troubleshooting, and production monitoring.

Used JIRA project management tool to track user stories.

Contributed to agile ceremonies, including daily stand-ups, bi-weekly Sprint reviews, and planning session, with business processes review to develop optimization strategies to meet functional requirements and scheduled deadlines.

Functioned as SME on various EDI transactions (837P/I, 835, 270/271, 276/277). Improved processes by proposing to convert various SQL statements into stored procedures thereby reducing the number of database accesses. Improved established documentation by creating process flow diagrams and step-by-step training documentation. Performed one-hour weekly team training on various processes, on-screen demonstrations and resolving work roadblocks.

Enhanced report-delivery to management engaging Power BI for client friendly visual and interactive metrics. Maintained Test Plan and Technical Specifications documents for each transaction implementation.

Education

Mathematics and Informatics, Sofia University - Sofia, Bulgaria

(Bachelor’s Degree Equivalent)

Information Technology, Harrison College, Indianapolis, Indiana

(The intent was to aid professionally - 70 college credits, GPA 3.93)

Professional Affiliation High School of Mathematics “Acad. Sergei Pavlovich Koroliov” Blagoevgrad, Bulgaria

(Extended studies in Mathematics & Computer Programming)

Languages

English – Fluent, Bulgarian – Native, Russian – Intermediate



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