Summary
Overview
Work History
Education
Skills
Accomplishments
Skills
Timeline
Generic

Brittani Negrete

Atlanta,GA

Summary

Business professional with experience in diverse environments.

Attention to detail and analytical skills used the past 7 years supporting multiple clients with data mapping and software support.

Possess strong communication and problem solving skills.

Overview

7
7
years of professional experience

Work History

EDI Specialist

Anthem Inc.
09.2022 - 04.2024
  • Develop EDI maps
  • Install and integrate
  • Create batch files for data movement.
  • Troubleshoot issues with EDI data.
  • Identify and coordinate potential process improvements for EDI, including those necessitated by HIPAA and other regulatory entities
  • Collaborate with IT staff and end-users to resolve issues and improve processes
  • Provide support to clients regarding EDI and their EDI software.

Business Data Analyst

Delta Dental
09.2019 - 08.2020
  • Provided technical support to clients for a business management application designed for manufacturers' rep firms.
  • Investigated reported issues, providing training with the resolution when appropriate.
  • Collect, analyze, and report business data
  • Write queries or data transformation scripts using SQL and Python
  • Use large data sets to define KPIs and generate reports
  • Data manipulation and troubleshooting of all types of eligibility data files
  • Build and maintain dashboards and other reporting tools to track data
  • Build predictive models
  • Help maintain data frameworks
  • Assist with process improvement

Claims Representative Associate

Delta Dental
01.2017 - 08.2019
  • Worked closely with medical providers to ensure accurate billing and payment processes for healthcare-related claims.
  • Conducted thorough investigations by gathering relevant information from various sources.
  • Negotiated fair settlements, balancing interests of both policyholders and company.
  • Reduced loss ratios through diligent investigation efforts aimed at identifying potential fraud or misrepresentation cases.
  • Improved claim resolution times by efficiently processing and investigating claims.

Education

No Degree - Cyber Operations And Warfare

Google Certification
04.2024

No Degree - Human Resources Management

Atlanta Technical College
Atlanta, GA
05.2021

Associate of Arts - Business - Marketing

Atlanta Technical College
Atlanta, GA
05.2021

Skills

  • Customer service expert
  • Strong organizational skills
  • Sharp problem solver
  • Energetic work attitude
  • Experienced EDI mapper
  • Strong data analysis skills
  • Sharp QA testing skills
  • Microsoft Office skills

Accomplishments

    Customer Service

  • I moved from a CSR position into EDI because I offered to watch the EDI transmissions at a company I worked for. My analysis of specs and the data led to me pointing out incoming data that wasn't being mapped, that we CSRs had to call for daily. My interest in programming led me to move on to positions of increasing responsibility in EDI.
  • In my current EDI Specialist position, I log into 4 accounts daily to do Daily Ops/make sure time critical data is processing correctly. When there are issues, I analyze the data to determine the root cause, suggesting corrective action for future data. I manipulate the data and/or alter X12 maps to get the transactions processed and sent.
  • I provide on call support for 15 clients, providing mapping and setup support for new and existing trading partners. When there is a system problem I research and resolve or get their IT support staff involved.
  • I train and develop How To guides so my clients can get comfortable with their translation software and EDI data.

Skills

Customer Support, Data Mapping, Specification Analysis, Data Analysis, QA Testing, Software Support, Project Management, Documentation, Training, Management, Sales


Timeline

EDI Specialist

Anthem Inc.
09.2022 - 04.2024

Business Data Analyst

Delta Dental
09.2019 - 08.2020

Claims Representative Associate

Delta Dental
01.2017 - 08.2019

No Degree - Cyber Operations And Warfare

Google Certification

No Degree - Human Resources Management

Atlanta Technical College

Associate of Arts - Business - Marketing

Atlanta Technical College
Brittani Negrete