Jamie Hemphill
North Little Rock,AR
Summary
Dynamic Business Systems Analyst Associate with a solid track record at Arkansas Blue Cross Blue Shield, demonstrating excellence in SQL and stakeholder relations. Achieved over 100% Quality Accuracy in claims adjustments and successfully led user acceptance testing while driving process enhancements. Core competencies include research, analysis, and cross-functional collaboration, with a commitment to continuous learning through enrollment in a Microsoft Power BI course.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Business Systems Analyst Associate
Arkansas Blue Cross Blue Shield
Little Rock, AR
12.2023 - Current
- Developed and executed test scripts, managed test cases, and led user acceptance testing to ensure system functionality met business requirements. • Identified and implemented process improvements in testing procedures, providing detailed documentation of system errors with clear explanations and expected outcomes.
- • Conducted comprehensive reviews of updated system documentation to ensure accuracy and validity.
- • Collaborated with cross-functional teams, including internal departments, development teams, and external customers, to align business requirements and drive consensus.
- • Provided critical support on the Service Now platform, resolving tickets related to system errors, updates, and troubleshooting
Claims Adjuster
Arkansas Blue Cross Blue Shield
Little Rock, AR
04.2011 - 12.2023
- Accurately adjudicated medical claims in Amisys systems, processed refund requests, and optimized COB recovery efforts, ensuring timely claim adjustments and payments. • Expertly handled COB claims in facets, including retractions, denials, repayments, and secondary balances, while maintaining thorough knowledge of claims processing principles and HIPAA regulations.
- • Reviewed and processed departmental reports, promptly reporting findings to the team lead and manager to support continuous improvement.
- • Made informed decisions on medical claim payments or denials, verifying provider coding and client information, and ensuring documentation accuracy on updated systems. • Consistently achieved above 100% Quality Accuracy, calculating adjustments, premiums, and refunds with precision
Education
Bachelor of Science - Data Analytics
Southern New Hampshire University
Manchester, NH11-2024
Skills
- Technical tool development
- Research and analysis
- Data consolidation
- Agile expertise
- Enhancement support
- Specification formulation
- Upgrade testing
- User acceptance testing
- Stakeholder relations
- Data mapping
- SQL proficiency
- Documentation
- Workflow Analysis
Certification
- Excel Basics for Data Analysis
- Introduction to Data Analytics
References
References available upon request.
Timeline
Business Systems Analyst Associate
Arkansas Blue Cross Blue Shield
12.2023 - Current
Claims Adjuster
Arkansas Blue Cross Blue Shield
04.2011 - 12.2023
Bachelor of Science - Data Analytics
Southern New Hampshire University
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