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L1 & L2 Edifecs Production Support Resume

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Baton Rouge, LA

SUMMARY

  • Having 7+ years of experience as EDI Developer/Analyst with diverse knowledge in analysis, design, implementation, development and validation of client/server and web based applications.
  • Excellent understanding of Software Development Life Cycle (SDLC) and Software Development Test Cycle (SDLC).
  • Experience with EDIFECS (ORACLE INTEGRATION B2B) Spec builder 8X, EDIFECS (ORACLE INTEGRATION B2B) XENGINE 8X, EDIFECS (ORACLE INTEGRATION B2B) Transaction Management 8X.
  • Hands on experience with Medicaid and Medicare Encounter Claims.
  • Testing and development experience in Health care and Retail domains.
  • Experience with EDIFACT, X12, HL7, HIPAA, EANCOM, NCPDP Script transaction sets.
  • Worked on Data file validation, Data Migration, Tests data Generation, De - Identification, Dictionary generation, Batching, De-Batching, Guideline Migration.
  • Experience with configuring EDI Protocol in Oracle B2B Integration Gateway.
  • Hands on experience with developing Integration Gateway which exchange the EDI messages such as EDIFACT, X12, HL7, NCPDP, and SWIFT.
  • Hands on experience with developing and testing HIPAA transactions: 270, 271, 276, 277, 278, 834, 835, 837(P, I, D), 997/999. Also have a strong knowledge of Medicaid and Medicare transactions.
  • Experience in developing, implementing and testing EDI ANSI X12, EcMap (.EMS, .ECS, .MMS files) EDIFECS (ORACLE INTEGRATION B2B) Spec Builder, UNIX, Gentran Integration Suite (GIS) & XML/XSLT/XSD applications.
  • Knowledge and Experience with Oracle SOA Suite, Healthcare X.12 EDI transactions, Java, JavaScript, Spring, JSP, Web Logic, Oracle, J2EE application servers Web Logic, JBoss or Web Sphere
  • Excellent oral and written communication skills
  • Aptitude for complex problem analysis/resolution
  • Strong experience in performing Gap Analysis and additional side by side changes to the crosswalk.
  • Ability to develop database queries using SQL and PL/SQL to assist in testing effort.
  • Expertise in setting up migration mapping from older versions to newer versions.
  • Excellent business knowledge, ability to work under pressure and good interpersonal skills.

TECHNICAL SKILLS

Industry standards: ANSI X12, EDIFACT, NCPDP, HL7 and HIPAA

SQL Editors: SQL NAVIGATOR, TOAD, SQL ANALYSER

Application Servers: ECMap, Gentran Server 5.1/5.3/6.0/6.1 , GIS 4.2/4.3

EDI Transactions: 204,214,210,810,820, 830, 832,846, 850, 856, 860, 852, 867, 835,837,270,271,276,277,834,940 and 997

Languages: PL/SQL, COBOL, C++, VB script, C#,ASP.NET

Databases: Oracle SOA ESB, 10g/11g R1, SQL server, MS Access 2003

Scripting Languages: TSL, JavaScript,Java, VBScript, Shell Script

Operating systems: UNIX, Windows NT/XP, 2003 Server

PROFESSIONAL EXPERIENCE

L1 & L2 Edifecs Production support

Confidential, Baton Rouge, LA

Responsibilities:

  • Production on-call support via cell phone/e-mail.
  • Experience in working on Affordable Care Act project and expertise in implementation of EDI modules like 834 enrollment, reconciliation and 820 payment transactions.
  • Experience in working with EDI HIPAA standards like 834,835,837PID,270/271,820 transactions.
  • Experience in documenting the data mapping, Data Transformation, Data Loading, Modeling and Performance Tuning specifications and metrics.
  • Experience in working with 834 Enrollment scenarios like initial enrollment, termination, cancellations, changes and CIC.
  • Proficient in Technical and Business Writing, Business Process Flow, Business Process Modeling, Business Analysis and testing various methodologies.
  • Extensive experience in Strategic development of a Data Warehouse and in Performing Data Analysis and Data Mapping from an Operational Data Store to an Enterprise Data Warehouse.
  • Responding to duty calls at all times
  • Reviewing 2-3 times a day the logs of XES, ETL and Tomcat and analyze errors
  • Communicating critical errors (those are errors that would cause issues with processing) to ECIEDIFECS Duty e-mail group and Escalating issues to management
  • Bi-weekly reboot of servers and services using appropriate SOP and Coordinating with BizTalk on duty person
  • Shutdown/restart of each environment when needed as Emergency re-start or reboots and fill out ER Change Requests as needed
  • Creating dashboard or ad-hoc reporting as needed by using Tableau(TABSVC)
  • Promoting code as needed
  • Helping to develop a solution for Source Code Management
  • Responding to all tickets generated for Production issues
  • Providing strategic help in Non-Production environments as needed
  • Helping in the installation and support of Edifices desktop solutions (TM / Spec builder suite)
  • Working on service desk tickets and Periodically checking system health
  • Periodically Checking Batch and real time queue depths
  • Finding Unknown Trading partner failed claims and reporting management
  • Responding to all P1/P2 issues within 1 hours
  • Holding duty phone at all times and responding with in time.
  • Experience that to test the Integration of external java classes in Spec Builder guidelines Of these functionality, I had replaced Java Classes with JavaScript coding.
  • Experience working on Spec builder, X-Engine, XE server, EAM, TM, TPM
  • Good experience with trading partners setup and handling the guidelines without envelope segments.
  • Experience with map builder map workspace which consist of Source Guideline view, Map Area view, Target Guideline view, Details pane view.
  • Part of Edifecs job we deal with Facets as an ex:- “For FACETS claims, (BizTalk or middle ware) reads the TPM database and builds the envelops before sending the file to Edifecs. The envelop has the trading partner information. When the files is processed within Edifecs it matches to the trading partner in the envelop”

EDI Developer / EDIFECS

Confidential, St Louis, MO

Responsibilities:

  • Hands on experience working on Map builder, Spec builder, X-Engine
  • Created the Map document with the properties which helps to understand the relationship between a source and a target guideline along with any transformation that occurs.
  • Experience creating and publishing the Map document with the help of new document wizard.
  • Developed, Maintained and track EDI Health care Support specific integration project schedules for 834,835, 837 and 999.
  • Working experience with Map objects, Buffers, Data Views and built logical nodes with defined custom rules between the logical nodes and handled mismatched nodes.
  • Experience that to test the Integration of external java classes in Spec Builder guidelines Of these functionality, I had replaced Java Classes with JavaScript coding.
  • Experience working on map Objects like nodes, Functions, connectors and Hot points
  • Good experience with trading partners setup and handling the guidelines without envelope segments.
  • Hands on experience working with map builder which is integrated within Spec builder.
  • Experience with map builder map workspace which consist of Source Guideline view, Map Area view, Target Guideline view, Details pane view.
  • Hands on experience using Jscript, java, .Net Functions to execute relevent custom code, with any of input and result values which can be used in code.
  • Working experience EDI transactions like 850, 855, 856, 810, and 997 for the Project.
  • Experience with .ECS, .EMS, .MMS, XSD, EDIFECS XML files.
  • Using Spec Builder created XSD files by exporting the .ECS Files.
  • Good Knowledge in claims and encounters processing, including state requirements for HCFA1500 (non-institutional claims, like physician visits) and UB92 (institutional claims, like hospital stays and outpatient hospital procedures) submissions.
  • Good experience working on Map Area Workspace where we connect the parent and child nodes using the seven different function category’s consisting of 20+ functions are used.
  • Experience in validation and translation using the .ECS files.
  • Using .XSD and BPEL (Backend Process) verified the Payload validation.
  • Experience working with all functions for better Mapping and used Auto- linking to connect the child nodes of one parent node from source to a target child node of a parent node using different linking types like Exact match, Order Match and Combined.
  • Experience using Map debugger function for debugging, the task mainly to collect Map trace History, Monitor values of objects in the system, view the object context and setting breakpoints.
  • Good knowledge on Implicit connector option to connect two guidelines without having to really build connectors.
  • Experience using java script (Jscript) function to execute custom (Jscript) Java script code, with any number of input and result values, which can be used in code.
  • Developed and Monitored all EDI mapping for the transactions like 270, 271, 835, 837(I/P/D).
  • Monitored and communicated all EDI mapping and processing changes to the appropriate departments to ensure timely implementation and compliance.
  • Hands on experience in preparing Cross Walk document.
  • Experience with complex mappings using appropriate Functions.
  • Assisted in creating, monitoring and maintenance of EDI Support processes like BPEL
  • Hands and experience using the all functions like Math, Programming, string, copy, and core.
  • Enhanced Oracle/SQL scripts as a part of multiple data access projects.
  • Created Unix Shell Scripts as part of maintenance and monitoring of processes.
  • Produced progress reports and updated to management on a regular basis.
  • Worked on preparation of Test Bed 5010 maps (.ECS and .EMS ).
  • Experience with mapping rules and in corporate in EDIFECS Maps using various Functions.
  • Prepared the test data for Unit testing, string testing and validation using various tools like Ultra Edit, XMLSPY, EDIFECS(ORACLE INTEGRATION B2B), ClarEDI and EDISIM.
  • Analyzed the B.R Document, F.S Documents, Companion guide and Cross walks to prepare Test Cases based on the Test plans.
  • Created more than 400 test cases to test the Encounter claim mappings.

Environment: EDIFECS Spec builder 8x, WTX, EDIFECS XENGINE 8x, EDIFECS Transaction Management 8X, HTML, Oracle 11i, Oracle SOA ESB, Quality center 10.0, Microsoft Office 2007, Unix, Java, JavaScript, Spring, JSP, Web Logic, Oracle, .Net.

Confidential, Thousand Oaks, California

EDI Analyst / DEVELOPER

Responsibilities:

  • Worked with EDIFECS XEngine (XEngine, XEngine Server, XEngine Grid, EAM), EDIFECS Transaction Management, FACETS (HIPAA Gateway Trading Partner Management).
  • Excellent knowledge of EDI tools like Foresight’s EDIFECS.
  • Identified the errors in the partner’s EDI data on a day-to-day basis and reported the same to the partners.
  • Sending an Acknowledgment (EDI X12 997 Functional Acknowledgment) to the trading partners.
  • Created new Code lists based on the customer requirements.
  • Translated the data from XML to ANSI X12 format and vice versa.
  • Developed UNIX shell scripts to handle transaction splitting/consolidation by shipment bill of lading number or purchase order number.
  • Developed UNIX based FTP routines to successfully deliver data to destinations providing Guaranteed Delivery Layer.
  • Created the Enveloping for trading partners.
  • Created the work flows to accomplish the Business models in the Business process Models using the BPML in GIS.
  • Developed Maps to and fro from trading partners to Internal Order Management applications in supporting Delivery Order, Goods Receipt, and ASN etc.
  • Experience in EDI Auditing.
  • Developing new maps and modifying existing maps. Developed maps for following transaction sets: 997, 271, 832, 850, 940, 820 and 810.

Environment: EDIFECS Spec builder 7.0.5, EDIFECS XENGINE 7.0, EDIFECS Transaction Management 7.0.7, Unix, Oracle SOA ESB, GIS 4.2/4.3, FTP, SNMP, XSL.

Confidential, Carson City, NV

EDI Developer

Responsibilities:

  • Worked with EDIFECS XEngine (XEngine, XEngine Server, XEngine Grid, EAM), EDIFECSTransaction Management, FACETS (HIPAA Gateway Trading Partner Management).
  • Excellent knowledge of EDI tools like Foresight’s EDISIM.
  • Identified the errors in the partner’s EDI data on a day-to-day basis and reported the same to the partners.
  • Knowledge on HCFA 1500 (now the CMS 1500) is used for non-institutional claims (like physician visits) Processing, The UB92 (which I think is now the CMS 1450) is used for institutional claims (like hospital stays and outpatient hospital procedures) processing.
  • Developed type trees to all the custom based formats and trimmed the EDI type trees based on the vendor specifications.
  • Worked on EDI ANSIX12 transactions like 810, 832, 837(I / P/ D), 850.
  • Migrated all the Mercator maps from 6.5/7.5.1 to 8.1.
  • Created a EDIFECS maps for 835 and 837 I / P / D.
  • Created, built and deployed a broker archive (bar) file.
  • Interacted with the partners for the necessary setup on a daily basis.
  • Experience on Map builder, Spec Builder, X-Engine, X-Engine Server and TPM.
  • Responsible for creating the scripts and deploying the partners in the production environment.
  • Documented process flow for customers, Preparation of unit test case and unit test reports.
  • Interacted with developers and users to analyze the user requirements and functional specifications.
  • Developed test plans, which include testing overview approach, strategy and complete scope of testing.

Environment: EDIFECS XEngine 6.8, TPM, Specbuilder, Facets, WTX 8.2/8.1, EDI ANSI X12 V4010/V5010, XML, Oracle, SQL Server, Ultra Edit, Windows 2003, PVCS, Merant Tracker, Smart FTP, MS Office Suite, UNIX AIX.

Confidential, San Bruno, CA

EDI Analyst/Developer

Responsibilities:

  • Analyzed and reviewed Business & Functional Requirement Documents and the technical specification for the EDI transactions.
  • Experience working on EDIFECS to convert data between different transactions to meet industry deadlines using 4010 A1 to 5010 Map library and XE Transalator.
  • Worked on EDIFECS Transaction Management (TM) to provide a secure end-to-end view of the healthcare transaction lifecycle to internal users and trading partners to enable better business decision-making and monitor performance. Worked on Route Building to collect user-created XML files via the Internet and in corporate them in the route database.
  • Developed and documented Test Cases related to the requirement specifications and business rules.
  • Analyzed User requirements attended Change Request meetings to document changes and implemented procedures to test changes.
  • Prepared Requirements Traceability Matrix and Test Summary Reports.
  • Developing SQL query scripts to check the database automatically and checking the data integrity in accordance with business standards of the company.
  • Created EDI Testing process, documentation, and performance matrices.
  • Manually tested End-to-End applications.
  • Closely worked with Developers and System Engineers to nail down the technical problems.
  • Tested the functionality of the applications and tested its compatibility on Windows XP/2003 on different versions of Internet Explorer, Netscape, and Firefox.

Environment: EDIFECS XENGINE, EDIFECS Transaction Management, GIS 4.2/4.3, FTP, SNMP, XSL, Oracle, Unix

Confidential, Atlanta GA

EDI Analyst/Developer

Responsibilities:

  • Setup Trading partners, created standard to application and application to standard and pass-thru maps.
  • Created maps to translate data from X12 format to SAP IDOC formats for Orders, Order confirmations, ASN’s, Inventory snapshots, and Inventory Transfers.
  • Created Scripts to automate error handling process to send corresponding reports to the respective users.
  • Wrote UNIX shell scripts to automate handling of data discards, data errors, compliance errors etc.
  • Converted all the maps from Visual mapper to Application Integration mapper.
  • Provide Production Support for the maps developed in Gentran.
  • Configured and supported Data Managers.
  • Involved in fine-tuning the maps to increase the performance.
  • Used Standard and Extended rules as a part of mapping various transactions.
  • Created the Envelopes for trading partner transactions.
  • Responsible for Creating and Managing the Import and Export MAPs using Application Integrator.
  • Developed maps for following transaction sets: 810, 820, 830, 832, 850, 852, 855, 856, 857, 864, 867, 875, 879, 880, 940, and 997.
  • Responsible for implementing 846 and 888 from scratch.
  • Experience in Troubleshooting of IDoc Errors.
  • Tested maps for new trading partners using Gentran for Unix 6.0
  • Involved in Scheduling and monitoring of SAP Batch jobs Processing programs.
  • Experience in Validation and Sanity Testing of EDI X12 to SAP IDocs data.
  • Performed Unit Testing to test the functionalities.
  • Used TOAD to view Database Objects, view and develop Database Scripts.

Environment: Oracle 9i, Gentran Server on UNIX (AI/VM Mapper), TOAD, SAP IDOCs, Ultra edit, FTP, HTTP, PGP.

Confidential, Ardsley, NY

EDI Developer/Analyst

Responsibilities:

  • Reviewed business Requirement Documents and Technical Specifications.
  • Participated with the Test Lead in preparing a test plan and provided testing strategy input.
  • Tested the design and implementation of the third party billing applications, payment processing programs and EDI Modules for one of the country’s premier providers of the single source medical management and clinical information systems.
  • Worked as a matter expert on testing ANSI transactions, NSF, UB92 and all proprietary formats.
  • Created flat file definitions and transforms to test maps through web methods.
  • Tested, created, and modified various 850.810.856 , transmission modules for various customers and modified new user file definitions.
  • Collaborated with users and clients to develop standard specifications relating to the business entity.
  • Tested various customer EDI transactions, multiple ALE transactions and master data transfer and created multiple custom I-docs and processing routines
  • Tested and developed technical mapping specs for various EDI transactions.
  • Tested the upgraded maps one version to another 850,810 EDI messages.

Environment: Oracle 9i, Gentran Server on UNIX (AI/VM Mapper), TOAD, SAP IDOCs, Ultra edit, FTP, HTTP, PGP.

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