Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Interests
Timeline
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Julie Hatch

Yakima,WA

Summary

Well-versed EDI Health Care Technology and skilled EDI Business Analyst ready to drive operational efficiencies and ensure seamless data interchange. Strong background in EDI mapping, troubleshooting, and system integration. Known for effective collaboration, adaptability to evolving requirements, and delivering reliable outcomes. Expertise in data analysis, onboarding new clients, and problem-solving, and advancing organizational goals. Looking to apply 20 years of Health Care experience to a dynamic new position with room for career advancement performing as a Business Consultant or an Implementation Manager.

Overview

25
25
years of professional experience
1
1
Certification

Work History

EDI Integration Data Analyst

Tree Top Inc.
02.2025 - Current
  • Development of new processes for onboarding new clients, reducing costs and providing an excellent client experience.
  • IT iSeries support
  • Integration of multiple software applications to implement and develop a new client implementation.
  • Implementation of new processes for FSMA Traceability Initiative within Supply Chain, and EDI transactions.
  • Shared many ideas with the Lean Facilitator for improvements, cost efficiency, and providing the best experience for internal and external customers.
  • Troubleshooting errors, tracking, and metrics to build effective validation rules for data governance and compliance of EDI transactions.
  • Utilizing a new mapping tool to integrate API’s, SQL, and different clients onboarding with Tree Top Inc. for implementation.
  • Document all processes, educational materials for training and development.
  • Effectively working with E-Commerce as a third-party vendor to onboard and implement the 850-purchase order, 810 invoice, and 856 ASN shipping.

EDI Specialist II

Healthcare Management Administrators Inc.
06.2021 - Current
  • Project management, timeline requirements, reconciliation of all eligibility data for claims processing, outbound eligibility, and prescription benefits administration.
  • People oriented, hardworking, and passionate about building a strong rapport and level of trust within the organization to deliver an effective outcome for all clients with HMA.
  • Analyzed transactional data to identify trends and patterns, providing valuable insights for strategic decision-making purposes.
  • Trained new team members on various aspects of EDI, fostering a culture of continuous learning and development within the organization.
  • Implemented process improvements that resulted in reduced processing times for inbound and outbound transactions.
  • Developed comprehensive documentation for EDI processes, facilitating knowledge sharing and supporting team growth.
  • Conducted regular audits on all EDI transactions, identifying areas of improvement and implementing necessary changes.
  • Built and deepened positive and productive relationships with business partners, stakeholders, and HRIS Vendors.
  • Tracked files from origin to destination and troubleshot errors. Utilizing SFTP protocols.
  • Created documented processes for onboarding of a new clients.
  • Worked closely with IT teams to develop custom interfaces for seamless data exchange between diverse platforms and applications.
  • EDI Specialist assigned to multiple stakeholders and point of contact for all 834 file related inquiries from both internal and external stakeholders, providing timely and accurate responses.
  • Performed internal system acceptance to deliver well-tested enhancements and meet business requirements of all 834 file enrollment clients.
  • Created and maintained 834 file enrollment road map, data flows for management.
  • Setting a standard for how to adopt the compliance standards for 834 file enrollment certification of HIPAA compliance to ensure data integrity and business transactions.

EDI Analyst

Professional Credit Services
04.2019 - 09.2021
  • Worked closely with customers, stakeholders, and other internal departments to coordinate implementation and integration of EDI.
  • Ensured compliance with industry standards, researching updates to the ANSI X12 format as needed.
  • Troubleshoot file layouts and perform data analysis to improve operations and provide excellent exceptional client support.
  • Import into system variety of file types; csv, xlsx, txt, and xml via SFTP protocol utilizing client file specifications.
  • ETL tool to accommodate implementation of connections for EDI.
  • Implementation of a variety of client types, i.e. city, state, government, utilities, and municipal.
  • Perform EDI functions for accounting, inventory, placement, new accounts, payments, closed accounts, reconciliation, and trust.
  • Troubleshoot EDI workflows, EDI implementation, data analysis and other data application support activities.
  • Leads the customer through initial EDI onboarding through first file production by identifying business needs, providing file specifications, testing, providing feedback, and providing overall EDI consultation.
  • Responsible for timely and accurate tracking of cases and status for management requirements and reports.
  • Partner with internal and team members, sales and implementation and external partners, benefit administrators and brokers to build strong relationships.
  • Responsible for timely and effective communication and follow up to ensure EDI development of the group is progressing in a manner that aligns with our customer service goals.
  • Perform data analysis using Heidi SQL to resolve problems and EDI data, system enhancements, and client resolution.
  • Project manage invoices, letters, and statements coordinate implementation and daily processes with two different letter Vendors.
  • Built workflows and stored procedures with payroll system for invoicing.
  • System testing of updates and enhancements of accounting software.
  • Daily processes and documented processes via internal portal, Confluence.
  • Ability to learn new concepts, technical systems, and new languages quickly.

Connection Support Specialist

ADP, Inc Automatic Data Processing
05.2007 - 06.2011
  • Maintained detailed documentation of support interactions, ensuring valuable insights are preserved for future reference and analysis.
  • Acted as a liaison between clients and development teams, ensuring timely communication during critical incidents.
  • Responded to customer inquiries and resolved complaints to establish trust and increase satisfaction.
  • Optimized internal workflows to expedite incident escalations, leading to faster problem-solving efforts from specialized teams.
  • Coordinate EDI testing of updates, enhancements, and programmed changes.
  • Resolved, and performed data analysis of EDI transaction data sets; 837P, 835, 270/271, 997, and COB, coordinate of benefits.
  • Communicated effectively with clients, trading partners, vendors, and clearinghouse to achieve effective implementation of EDI claims, payroll, open enrollment files in X12 ANSI 5010 HIPAA format.
  • Performed initial assessment and analysis to report, research and enhance ADP's Human Resource and Benefits, HRB, database. HRIS systems.
  • Responded to customer via telephone and email within 24-hour SLA requirement.
  • Managed five major stakeholder accounts, specific connection files created. Shareholders connections consisted of different reporting of information requested by client. These clients treated with higher classification of daily case load. Assigned minimum of ten IT cases per day for debugging, programming, and or enhancement updates.
  • Utilized test and production environment for EDI updates, changes, problems and or enhancements from daily case load assigned minimum often cases per day.
  • Assigned case work to be completed by co-workers in India and specific programming instruction, mapping requirements provided. Effectively doubled amount of team's case load and positive feedback from clients. Achieved team goals for Q&A.
  • Monitored after hours queue to provide urgent programming changes required immediate resolution, primarily east coast clients.
  • Received awards from different co-workers and management; outstanding work completed, goal oriented, flexibility, sensitive and respectful of needs of others, efficiency/accuracy with many others. In total of 140 award acknowledgements received.

EDI Technical Analyst

Regence BCBS Of Oregon, Medicare Northwest
04.2001 - 08.2007
  • Provided technical support and, excellent customer service and set up of EDI X12 4010A1 HIPAA transaction sets.
  • Created and implemented HIPAA project offered by management to coordinate conversion of all testing and approval from current NSF 6.0 flat file format to ANSI 4010 X12 transaction sets: 837I, 835, and 270 real time batch.
  • Implemented EDI production by specific date for all hospitals, in OR, WA, ID, and UT and their affiliated vendor and or clearinghouse.
  • Date of conversion/transition of formats to be moved into production was communicated per guidelines set by CMS, Centers for Medicare and Medicaid services. Completed this project successfully and timely.
  • Set up and troubleshoot different software offered by CMS, Centers for Medicare and Medicaid services; PC Print, Ace, and Aecho.
  • Streamlined EDI rejection process and reduced number of incoming phone calls EDI department received by creating new specific error report which included specific highlights and X12 implementation guide requirements. Worked with programmers and data center to develop specific error reports.
  • Developed effective rapport with different Clearinghouse and hospital administrators located throughout Unites States.
  • Monitored all 837I incoming electronic submissions received daily via NDM connectivity, Mainframe, and Bulletin Board System.
  • Ensured all files were delivered/accepted daily, 837I, 835, 997, 270/271, 276/277 and eligibility response to all contracted vendors, clearinghouse, COB carriers, and hospitals.
  • Identified and programmed issues within electronic submissions, billing software or system problems that were reported.
  • Set up Electronic Funds Transfer, EFT.
  • Coordinated with external vendors during system implementations or upgrades, ensuring timely completion within project constraints.
  • Enhanced system performance by identifying and resolving technical issues through thorough analysis and troubleshooting.
  • Tested and approved any update, change, or enhancement to Medicare Northwest system or software prior to moving into production.
  • Implemented software updates across multiple platforms, maintaining optimal functionality and security standards.
  • Applied knowledge of IT best practices to tackle new challenges and make educated decisions.
  • Traveled to various location representing CMS, Centers for Medicare and Medicaid Services, Baltimore, MD Seattle, WA, Las Vegas, NV and many other local seminars in the Portland Oregon metropolitan area.
  • Assisted provider enrollment department with Project Management and reorganization and implemented new processes of daily job duties to correct audit findings that CMS, Centers for Medicare and Medicaid investigated findings. Received award for acknowledgment from Centers for Medicare and Medicaid for recognition of revamping the Provider Enrollment department.

Education

Associate of Arts - Business Administration

Clark College
Vancouver, WA
01.1998

Skills

  • Effective team leadership
  • Dedication to ongoing development
  • Process improvement analysis
  • Effective project management
  • Comprehensive understanding of Medicare
  • Expertise in HIPAA X12 transactions
  • HRIS administration
  • Management of Microsoft Azure implementations
  • Expertise in Microsoft Office Suite
  • XML proficiency
  • Experience in SQL Server and Heidi SQL administration
  • Collaborative team development
  • Analytical decision making
  • Data interpretation
  • Effective troubleshooting skills

Accomplishments

Developed an onboarding workbook for electronic data interchange, EDI, onboarding new customers, collaboration, and improve the3 overall customer experience.


Personal recognition received within the HealthCare Management Administrators brokerage firms, putting the customer first, driving results, determined and driven in excellence within the customer and the community.


Effectively tested and validated all Medicare Part B customers and their affiliated clearinghouse/vendor for transitioning from the NSF 6.0 format to HIPAA X12 4010 format.







Certification

  • Microsoft SQL Certification, Intermediate and Advanced, Clark College 2018
  • Microsoft SQL Certification, Intermediate and Advanced, Online Community College 2025
  • Professional Certification, CFIEDI, EDI Academy 2025
  • FSMA Traceability classes online, GS1 Hub, 2025

Interests

Hiking, camping, movie buff, enjoy trying different foods within cultures, and my family

Timeline

EDI Integration Data Analyst

Tree Top Inc.
02.2025 - Current

EDI Specialist II

Healthcare Management Administrators Inc.
06.2021 - Current

EDI Analyst

Professional Credit Services
04.2019 - 09.2021

Connection Support Specialist

ADP, Inc Automatic Data Processing
05.2007 - 06.2011

EDI Technical Analyst

Regence BCBS Of Oregon, Medicare Northwest
04.2001 - 08.2007

Associate of Arts - Business Administration

Clark College
Julie Hatch