SKILLS:

Data Validation, firmware

UAT, WEB Based, WEB Security

USE Cases, Data Management database

MS SQL Server

Microsoft SQL Server

SQL Server

Oracle, PL/SQL, SQL

Coding, Git

JavaScript, MCSD

Scripting

Visual Basic, XML

IDS, Payment Card Industry

PCI

Sarbanes Oxley

SOX, Deployment

UI, Switching

Encryption, SCRUM, Java,BIOS,SATA

Billing, CRM, Imaging,Manual Test, Test Cases

Test Plans, UAT Testing

User Acceptance

Acceptance Testing

Automated Testing

Manual Test Scripts

QA, quality assurance

Test Scripts

Regression Testing

User Acceptance Testing

Medical Records

Scanning

Correspondence

Customer Service Oriented

Customer Service

ICD, Medical Billing

Adjustments, Documentation

Documenting, Writing Functional

Functional Specifications

Business Requirements

Requirements Gathering

Workflow maintenance

Scheduling, Davenport

Financial Project Management

Program Management,Loans

Underwriting, BOM, ICD - 9 Instructor

EXPERIENCE:

Confidential

Medical Billing Coder

Responsibilities:

• Collaborated with patients and health care providers to provide outcome - based solutions for our physician referral sources and existing patient population.
• Populated new orders and monitoring their completion, from initiation to setup, working closely with the clinical, sales, and service departments.
• Creation and analysis of the billing and setup paperwork for patient services.
• Troubleshoot issues, identify solutions, and dispatch corrective action via the appropriate departments within the organization Recommending potential products or services to management by collecting patient information and analyzing customer needs
• Actively participating in the training of new customer service, insurance compliance and regulation for state and federal guidelines.

Confidential

Electronic Medical Records Analyst

Responsibilities:

• Responsible for retrieving medical records, both paper and electronic forms from various healthcare facilities on behalf of health plans and other clients for retrospective, prospective reviews. Commercial insurance and financial systems, Medicaid, Medicare Risk Adjustment (MRA), Risk Adjustment Data Validation (RADV), Accountable Care Organization (ACO), and Healthcare Effectiveness Data and Information.
• Retrieved medical record information from provider offices and facilities through pulling, breaking down, copying/ scanning, indexing, assembling and uploading medical records into an image data management application.
• Duties include uploads all retrieved charts and applicable forms to company server daily productivity logs and progress reports.
• Prepares, receives and submits forms, documentation, correspondence and continuing excellent communication with medical personnel to confirm appointments and facilitating onsite/offsite provider office updates or virtual meetings scheduling.

Confidential

Testing Analyst

Responsibilities:

• Responsible for Manual and Automated testing of multiple enrollment systems (Selerix, Common Census, and Third-Party Systems) by working collaboratively with the Enrollment Technologies Team.
• The testing process involves analyzing case requirements, state rules, underwriting offers, and effectively monitoring workflow to successfully meet tight deadlines.
• Responsibilities included identifying, documenting and reporting defects in conjunction with performing end-to-end testing.
• Consultative problem solving and finding creative solutions to meet the client's needs. Extensive work UAT testing, regression testing and other test tools and methodologies.

Confidential

Instructor/Analyst

Responsibilities:

• Systems build and maintenance of all web-based applications for public schools.
• Established program management for students Chromebook to interface with system for the district and teacher interfaces.
• Experience working with manual systems.
• Extensive work UAT testing, regression testing and other test tools and methodologies.

Confidential

Business Analyst

Responsibilities:

• Technical planning & requirements gathering phases including design, coding, testing, troubleshooting.
• Created business requirements for use cases, user stories, functional requirements and test cases.
• Adhered business requirements documentation for new specs per client and created custom-made designs for a private firm also good business analyst work as well for the new specs for each individual client.
• Extensive work UAT testing, regression testing and other test tools and methodologies.

Confidential

BA/QA Tester

Responsibilities:

• Responsible for editing and loading Business Requirements into RM tools in an agile environment.
• Performed test runs from functional requirements and user interfaces for user acceptance testing and case implementation.
• Developed and maintained regression test groups for numerous requests.
• Created policies, policyholders, claims and adjustments to the Cloud system documentation.
• Worked a Cloud project, which involved many testers and business analyst.
• Extensive work UAT testing, regression testing and other test tools and methodologies.

Confidential

Business Analyst /Test Coordinator

Responsibilities:

• Responsible for analyzing and translated business requirements, functional specifications and user requirements into a suite of test scripts and refined processes that serve to make the security testing process more efficient.
• Managed and moved an entire shift platform.
• Drove to lift and shift project from Jive Community platforms over to Confidential support community platforms included code freezes.
• Made an automated script reader for the house guide's and performed extensive work UAT testing, regression testing and other test tools and methodologies.
• Trained and coordinated security testing resources to meet strict project management deadlines and encryption security testing and deployment and managed vendor resources involved in localization quality assurance and other user acceptance testing and web security testing.
• Responsible for design and created an automation program for hosts and monitors of the support communities.

Confidential

Business Analyst

Responsibilities:

• Responsible for test plans for application systems and integration security testing and executed application test plans in an agile environment.
• Created Basic Input/Output System custom configurations for performing BIOS flashing on operating systems environments and captured all data for various vendor servers and computer systems.
• Responsible for finding all the replacement parts for the Legacy systems and created a security keys that could be used to reactivate systems.
• Worked on the database and populating that for legacy systems for instance on the Confidential .
• Created database via driver PNP IDs, installed commands, silent switching, BOM, SATA, MSAT Configuration and by platform in a predefined database and tracking tools.
• Performed security testing and validation of software applications and did extensive work UAT testing, regression testing and other test tools and methodologies.

Confidential

BA/QA Tester

Responsibilities:

• Responsible for validating and verifying security testing of manual test scripts for medical devices and associated system requirement specification for Confidential MagPix 3D imaging for medical samples, protocols, batches, commands and routines for medical laboratory analysis in an agile environment.
• Verified test results to adhere 510, 508 21 CFR Part 11 FDA regulations and compliance requirements, SOX, ICD-9, ICD-10 codes sets.
• Configured and tested a medical blood device and reported to the developers and going in being in between to troubleshoot any problems in the system software or firmware.
• Utilized database query tools including Oracle PL/ORACLE PL/SQL, PCI-DSS high complexity security testing.
• Extensive work UAT testing, regression testing and other test tools and methodologies.