Antonio Monreal
Oklahoma City,OK
Summary
Benefits Suite Coordinator at Paycom Payroll with expertise in EDI mapping and data validation. Proven ability to resolve complex issues and improve customer satisfaction through effective communication. Experienced in quality assurance and project management, ensuring compliance with industry standards and maintaining strong carrier relationships.
Overview
10
10
years of professional experience
Work History
Benefits Suite Coordinator - QA
Paycom Payroll
Oklahoma City, Oklahoma
12.2024 - Current
- Ensured accuracy and quality of file feeds distributed to carriers through collaboration with Benefits EDI Coordinators.
- Updated data file feed formats for existing and new carriers to comply with requested standards.
- Responded promptly to troubleshooting tickets from Benefits EDI Coordinators, meeting deadlines and resolving issues.
- Validated each file feed for quality assurance within EDI department.
- Developed new data structures and formats for carriers to fulfill file feed requirements.
- Assisted EDI Coordinators with file building and validation, ensuring compliance with carrier expectations.
Benefits EDI Coordinator III
Paycom
Oklahoma City, OK
02.2023 - Current
- Developed, maintained, and monitored EDI mapping specifications for trading partners.
- Analyzed business requirements to create new EDI maps, and modify existing maps as required.
- Performed testing of all EDI files with the clients' carriers to ensure the accuracy of enrollment data.
- Build files related to new implementations or carrier changes.
- Serve as the direct contact for multiple clients and carriers' file implementations.
- Research, track, and resolve clients' benefit issues.
- Global EDI Team: Working with international carriers to implement the clients' out-of-country employees.
- Documented processes for troubleshooting data discrepancies between internal systems and external partners' systems.
- Ensured compliance with industry standards, such as X12 and HIPAA 5010.
- Assisted in resolving complex problems related to system integration, data validation, or transaction processing issues.
- Coordinated with third-party service providers for the resolution of any production issues arising out of EDI transactions.
- Reviewed customer requirements for accuracy prior to creating new maps, or modifying existing ones.
Department Director/Revenue Cycle Management/Coding and Billing Specialist
360 Medical Billing Solutions
Oklahoma City, OK
03.2017 - 02.2023
- Actively listened to customers' requests, confirming full understanding before addressing concerns.
- Identified issues, analyzed information, and provided solutions to problems.
- Conducted research, gathered information from multiple sources, and presented results.
- Increased customer satisfaction by resolving any issues that may arise.
- Carried out day-to-day duties accurately and efficiently.
- Supervised the work of contracted employees to keep them on task for timely completion. (Supervisor, 2019-2020)
- Completed paperwork, recognizing discrepancies, and promptly addressing them for resolution.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Managed a team of employees, overseeing the hiring, training, and professional growth of employees.
- Used coordination and planning skills to achieve results according to the schedule.
Operator
OK Foods
Oklahoma City, OK
02.2016 - 03.2017
- Oversaw daily operations to ensure high levels of productivity.
- Served customers and followed outlined steps of service.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
- Completed customer order in a timely manner to ensure satisfaction.
- Performed some quality assurance on the product to make sure order was sufficient enough.
Education
High School Diploma -
Midwest City High School
Midwest City, OK05.2013
Skills
- Attention to detail
- Multitasking
- Customer service
- Leadership
- Flexible & Adaptable
- Conflict resolution
- Critical thinking
- Project Management
- Data analysis
- Electronic Data Interchange (EDI)
- Data Validation
- Troubleshooting Skills
- Root Cause Analysis
- Technical Documentation and Reporting
- Microsoft Office
- Carrier Relationship Management
- Quality Assurance
- Data Entry
- Microsoft Excel
Timeline
Benefits Suite Coordinator - QA
Paycom Payroll
12.2024 - Current
Benefits EDI Coordinator III
Paycom
02.2023 - Current
Department Director/Revenue Cycle Management/Coding and Billing Specialist
360 Medical Billing Solutions
03.2017 - 02.2023
Operator
OK Foods
02.2016 - 03.2017
High School Diploma -
Midwest City High School