Donny L. Horn
EDI Coordinator
Winnetka,CA
Summary
Results-driven EDI Coordinator with 20+ years of experience managing electronic data interchange systems within supply chain operations and insurance claims environments. Known for a detail-oriented and systematic approach that ensures accurate, efficient, and error-free data transmissions.
Proven ability to work independently and collaboratively in both in-office and remote settings, with consistent virtual work experience from 2020–2025. Resourceful and dependable, with strong problem-solving skills and a commitment to maintaining data integrity and operational efficiency.
Seeking a remote opportunity with a stable, growth-oriented organization where experience, accountability, and performance are valued.
Overview
28
28
years of professional experience
Work History
EDI Coordinator
Clinicas Del Camino Real Inc.
06.2015 - 11.2025
- Managed all inbound and outbound EDI transmissions, ensuring accuracy, timeliness, and compliance with healthcare data standards
- Troubleshot and resolved data errors, mapping issues, and transmission failures to maintain system integrity
- Provided technical support for EDI applications, enrollment processes, and payment systems
- Monitored and maintained data flow between internal systems and external partners
- Tracked files from origin to destination, ensuring successful delivery and resolving discrepancies
- Supported system security and data assurance protocols in compliance with HIPAA standards
- Coordinated service calls and technical resolutions to minimize operational disruptions
Operations Supervisor
Platinum Health Systems, LLC
06.2011 - 06.2015
- Supervised daily operations including claims processing, authorizations, eligibility requests, and reporting
- Managed inbound/outbound communications, including customer service and mailroom operations
- Ensured compliance with company policies and healthcare regulations
- Generated weekly and monthly reports to track performance and operational efficiency
- Oversaw system access, employee logins, and provider/member data management
- Identified process inefficiencies and implemented improvements to enhance workflow
Claims Examiner
La Vida Medical Group
06.2009 - 04.2011
- Reviewed and processed insurance claims with a focus on accuracy and compliance
- Investigated discrepancies and resolved claim-related issues
- Verified member and provider eligibility
- Maintained organized records and completed administrative documentation
Limousine Driver
Executive Limo Service
09.2003 - 09.2008
- Provided high-level customer service to VIP clients
- Maintained strict professionalism, confidentiality, and reliability
- Managed scheduling, logs, and vehicle readiness
Customer Service Rep II
Maxicare Health Plan Inc.
05.2000 - 09.2003
- Assisted members and providers with benefits, eligibility, and claims inquiries
- Handled high-volume calls with professionalism and efficiency
- Provided accurate information regarding healthcare services and policies
Authorization Clerk
Harriman Jones Medical Group
06.1997 - 05.2000
- Processed authorizations and eligibility requests
- Coordinated mail operations and handled high call volumes
- Delivered strong customer service and administrative support
Education
High School Diploma - General, Computer Technology
Washington Preparatory High School
Certificate - Computer Engineering Technology
West Valley Occupational Center
Skills
- Electronic Data Interchange (EDI)
- Data Transmission & File Tracking
- Troubleshooting & Issue Resolution
- HIPAA Compliance & Data Security
- Insurance Claims Processing
- Report Analysis & Database Management
- Healthcare Systems (HMO, Medicare, Medi-Cal)
- Provider & Eligibility Verification
- Operational Support & Workflow Coordination
- Strong Attention to Detail & Organization
- Time Management & Self-Discipline
- Remote Work & Independent Productivity
Timeline
EDI Coordinator
Clinicas Del Camino Real Inc.
06.2015 - 11.2025
Operations Supervisor
Platinum Health Systems, LLC
06.2011 - 06.2015
Claims Examiner
La Vida Medical Group
06.2009 - 04.2011
Limousine Driver
Executive Limo Service
09.2003 - 09.2008
Customer Service Rep II
Maxicare Health Plan Inc.
05.2000 - 09.2003
Authorization Clerk
Harriman Jones Medical Group
06.1997 - 05.2000
High School Diploma - General, Computer Technology
Washington Preparatory High School
Certificate - Computer Engineering Technology
West Valley Occupational Center