Sakshi Asati

ad3xw7@r.postjobfree.com

267-***-****

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PROFESSIONAL SUMMARY

EDI Business analyst with 7 years of experience in multiple industries such as healthcare, supply chain, retail industries. Experience in analyzing business process assessment, requirements gathering, EDI Implementations and testing. Demonstrated proficiency in EDI X12 standards and transaction sets. Employer: RLC (Blundstone USA), New jersey July 2023 to Oct. 2023 EDI Business analyst

• Analyzed client business requirements and process through document analysis, workflow analysis.

• Liaise between business and technical personnel to ensure a mutual understanding of processes and applications.

• Worked on EDI implementations using SPS commerce for multiple trading partners.

• Identified, troubleshoot and track EDI related issues with internal/external partners to resolution.

• Involved in implementation and testing of EDI transactions such as purchase order, ASN, invoices.

• Facilitate monthly meetings with clients to document requirements and explore potential solutions

• Helped to analyze and maintain ERP system (Dynamics 365).

• Expertise in ANSI X12 and implementing EDI transactions such as 850, 856, 810, 999, 846, 997, 860 etc Employer: Volt Inc, New jersey Feb 2022 to May 2023 Senior EDI analyst - Scosche industries, CA

• Responsible for writing business requirements, documentation, process flow, and training documentation, capturing and analyzing business requirements and processes to align with corporate objectives and drive costs down.

• Implemented EDI/ecommerce transactions including 810 invoice, 850 purchase order, 856 ASN, acknowledgement, and some EDIFACT documents using QAD cloud ERP application and rocket B2B integration platform.

• Experience working on EDI mapping using rocket B2B integration application.

• Worked with QAD (ERP) system for EDI integrations and troubleshooting EDI issues.

• Involved in testing of EDI transactions 850, 810, 856 and wrote SQL queries for backend testing.

• Managing and monitoring EDI accounts for multiple trading partners/clients. Employer: ETeam, South plainfield, NJ June 2021 till Sept 2021 Business Analyst - Horizon BCBS, Newark, NJ

• Assisted in writing business requirements and system specification documents.

• Involved in testing of claim processing system for 837 claim and 835 ERs enrollments.

• Performed EDI technical and operational customer support to trading partners and customers related to their operational and business needs, requirements and issues.

• Interact with clients (Trading partners, providers, vendors, clearing houses, practices) to help resolve their queries such as claim rejections, missing ERA, EDI enrollment status.

• Worked on EDI and ERA claim enrollments as per the client requirements.

• Strong in analyzing and troubleshooting various EDI related errors, data errors, validation errors.

• Responsible for helping providers or the clients with onboarding process and to ensure they are submitting claim correctly.

• Extensively worked on HIPAA EDI transactions 834, 835, 837I, 837P, 270/271, 276/277CA Page 2 of 2

Employer: PS Global Group LLC, NJ Nov 2016 till June 2021 A) EDI Specialist - ConnectiveRX, Whippany, NJ

• Worked with program managers in gathering and analyzing client business requirements.

• Responsible for managing EDI claim processing system and helping the providers with onboarding process.

• Performed as team lead and worked on enhancing and analyzing the process and provided coaching to team member to improve performance.

• Work with QAs and production team to analyze and resolve any issues identified regarding business requirements.

• Generates daily report on EDI transactions submitted by patients and track 835 ERA’s status.

• Reviewed errors and EDI transaction reports and analyzed information for trends.

• Monitored EDI systems to ensure smooth processing of inbound and outbound transactions and provided technical support when needed.

• Prepared test cases on business requirement for HIPPA EDI transactions 834, 835, 837

• Worked on all required EDI transactions 834, 835, 837I, 837P, 270/271, 276/277CA. B) EDI Claims Supervisor - GE Centricity, remote position

• Inpatient/Outpatient Medicaid & Medicare billing.

• Coordinating with multiple providers to submit EDI claims through GE clearinghouse.

• Apply business rules as per particular payor provider contracts.

• Electronically batch and submit claims.

• Worked with multiple clearinghouses to setup connection with the claims software and build the FTP connection between centricity and other clearinghouses.

• Follow up on claim status with insurance companies.

• Create weekly/monthly reports on dashboard.

• Implemented new rules for EDI X12 transactions including 837I/P/D, 835, 834, 276/277, 277CA acknowledgements. C) EDI Coordinator - Horizon BCBS, Newark, NJ

• Make necessary changes and approve the recommendations suggested by the EDI analysts.

• Understand the necessary requirements essential for the effective working of the electronic data interchange.

• Prepare and maintain the database for the electronic data interchange.

• Undertake security procedures for the safety of EDI.

• Coordinate with the employees of the IT staff and ensure the maintenance of the EDI system.

• Documented and managed the requirements and change management process for various tools developed internally.

• Submitted claims electronically and hard copy on a CMS/1500 Form.

• Knowledge of ANSI X12 HIPAA Testing for Medicare, Medicaid. FUNCTIONAL & KEY SKILLS

• Proficiency in Scrum Agile methodology and SDLC.

• Strong analytical skills and problem solving skills.

• Strong verbal/written communication skills and interpersonal skills.

• Proficiency in JIRA, MS Office suite, PLSQL, Power BI, Google Docs.

• EDI Transactions Supply chain/Retail: 850, 856, 810, 846, 997, 997 X12 EDI

• EDI transactions healthcare 837I, 837P, 837D, 835, 270, 271, 276, 277, 278 X12 EDI

• Experience in multiple ERP applications: QAD, Microsoft dynamics 365, SAP etc.

• Experience in multiple EDI B2B applications: Rocket B2B, SPS commerce, etc.

• Good understanding of ANSI X12, EDIFACT, XML file formats etc. Education: August’ 10- July’ 14

Bachelor of engineering Electrical & electronics)

Bhilai institute of technology, Raipur, India

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