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Technical Writer Resume Profile

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Indianapolis, IN

PROFESSIONAL SUMMARY

Sonia Walker McClain is a highly motivated and results driven analyst with extensive experience in working with the Department of Health and Human Services HHS and the Centers for Medicare and Medicaid Services CMS in the Medicare industry. Her background includes leadership/management, skilled project implementation, system testing, quality control and technical writing. Sonia has developed exceptional interpersonal and communication skills which she uses to effectively promote, build and maintain strong business relationships to help foster a successful organization.

skills

  • Microsoft Office Word, Excel, Visio, Adobe XI Pro, Snagit, JIRA, AtTask, ALM
  • Analytical Skills
  • MS Window
  • Technical Writing
  • Federal Policy Interpretation
  • Process Implementation
  • Identifying and Mitigating Risk
  • Solutions-Focused Business Analysis
  • Medicare Operations Expert
  • VIPs Medicare System VMS
  • Next Generation Desktop NGD

PROFESSIONAL EXPERIENCE

Confidential

Security Test Analyst

  • Evaluated system functionality and readiness for Medicaid Management Information Systems MMIS .
  • Developed test cases for various systems within MMIS to verify secure access and update capabilities for authorized users.
  • Tested quality and functionality of systems in accordance with State requirements to ensure appropriate access and update capabilities by members, providers, managed care entities, state employees and HP employees.
  • Validated systems could not be accessed or updated by unauthorized users.

Confidential

Technical Writer

  • Researched federal coverage policies and regulations.
  • Analyzed, interpreted and applied system change requests to supply focused support to cross-functional project teams, vendors and workgroups.
  • Verified Siebel System and other software enhancements and mapped scripting using Visio flowchart to ensure high quality product and accurate deployment.
  • Developed scripted language for 1-800-MEDICARE Customer Service Representatives CSRs to respond to telephone inquiries, written inquiries and web based inquiries.
  • Monitored CSR feedback regarding beneficiary inquiries and established the need for additional updates to, or creation of new script to reduce transfers and callbacks.
  • Provided subject matter expertise yielding high company performance results and customer satisfaction.
  • Delivered high quality products to CMS by monitoring the flow of CSR call script development through creation, updating, editing, subject matter expertise and coding stages.

Confidential

Manager, Medicare Secondary Payer MSP Department

  • Monitored and tracked the production and quality for a staff of 18 individuals performing recovery and refund operations, to meet and exceed requirements set forth by the Centers for Medicare and Medicaid Services CMS .
  • Compiled and submitted reports to upper management on a weekly basis of overall unit performance.
  • Maintained duties of Project Coordinator as described below .

Project Coordinator

Confidential

  • Coordinated MSP regulations and procedures with Processing and Customer Service departments.
  • Increased the efficiency of workflow operations by performing system research, quality control, problem solving, system testing, integration testing and regression testing.
  • Wrote programming specifications for system automation, yielding increased processing time and Medicare program savings.
  • Maintained compliancy with MSP regulations by interpreting and applying government regulations to desk procedures for MSP, Processing, and Customer Service departments.
  • Compiled and submitted monthly workload reporting and quarterly financial reporting to CMS.
  • Ensured consistency of workflow procedures between Indiana, Ohio, Kentucky and Illinois.
  • Resolved problematic cases and trained selected staff on various functions.

Business Systems Analyst

Confidential

  • Performed file maintenance, system testing, integration testing, and regression testing in relation to Claims Processing, Medical Review and Medicare Secondary Payer to ensure accurate claims adjudication.
  • Created, updated, and maintained workflow and desk procedures for Claims Processing, Medical Review and Medicare Secondary Payer departments to improve quality and increase production.
  • Reviewed and applied yearly updates of HealthCare Financing Administrations Current Procedural Terminology HCPCS in the standard systems for up-to-date processing of claims.

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