Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Kayla L. Snyder

Enola,PA

Summary

To obtain a challenging position with advancement opportunities, as well as to utilize my past experience, and my Bachelor’s Degree.

Overview

13
13
years of professional experience

Work History

Senior Business Systems Analyst

EnGen (Highmark Health)
Camp Hill, PA
07.2020 - Current
  • Training new employees on how to work incoming issue tickets, how to key claims into the OSCAR system, how to put in claims via 837 files, how to put in PBM claims, how to put in ITS claims, etc.
  • Creating documentation for new hires on how to work Cherwell, SNOW (ServiceNow), testing for local claims, 837 file claims, ITS claims, and PBM claims.
  • Working with management to iron out the enhancement intake process, and creating documentation for coworkers and new hires.
  • Leading selection meetings where we get enhancements and projects (STIs) assigned to the team managers for a release date. This is based upon the project manager's resource availability.
  • Leading business analyst and developer assignment meetings, getting work assigned to the team managers for them to choose a business analyst and developer to be assigned to complete work items.
  • Assisting with solutioning for the enhancement intake items by working with the client service representative (CEL) to get claim examples and more information on the issue the customer is reporting, and by working with developers to put claims into testing for them to trace in order to solve the reported issue.
  • Returning estimates and release dates to the client service representatives, working with client service representatives to make sure we have all the new items, and giving them status on current items that are being worked on.
  • Working on enhancements, defects, and projects (STIs), implementing the changes with the releases as scheduled.
  • Working on SNOW tickets to determine if they are enhancements or defects, recreating the issue, and having the developer assigned to trace.

Business Systems Analyst

EnGen (Highmark Health)
Camp Hill, PA
02.2016 - Current
  • Working with customers, application developers, architects, and the project management team to understand business requirements.
  • Working with IBC and MIN clients to handle priority enhancements by leading BAs and application developers through the solutioning and estimation process.
  • Leading internal JAD sessions with application developers, BAs, and other project areas.
  • Getting a change request created in ClearQuest, as well as getting a PR created for BAs and application developers to use as their Clarity task for their timesheet.
  • Acting as the Business Requirements Lead for assigned projects, working with other areas to gather all business requirements, and sending them to the customer for sign-off.
  • Supporting the pharmacy bi-directional process, claims finalization, Cotiviti (outside vendor claims processing), and Paymod.
  • Responsible for the maintenance of the project, testing plan, testing schedule, testing scenarios, testing outcomes, approvals, and training materials.
  • Creating queries in Teradata with the SQL query builder to pull production claims examples in order to complete testing for project/change requests.
  • Accountable to provide project status back to the management group, customers, and staff involved in the release.
  • Using systems such as Oscar Claims Web Application (OCWA), Host on Demand (HOD), Integrated Service Inquiry (INSINQ), Integrated Customer Information System (ICIS), Teradata Studio, IBM Rational ClearQuest, B2B Trading Partner System (used for Cotiviti), Rational Team Concert (RTC), Rational RequisitePro (ReqPro), and Rational Quality Manager (RQM).

Associates Benefits Coding Analyst

Highmark Health
Camp Hill, PA
10.2014 - Current
  • Analyze data to determine problems, and design and code new clients' products.
  • Debug benefits and medical policy program coding.
  • Completing BQA and CST errors on coded CPCs.
  • Coding benefits such as HMO, EPO, POS, PPO, etc.
  • Using computer systems such as the Health Care Code System (HICSS), Claims Processing Business Rules Engine (CPBRE), Oscar Claims Web Application (OCWA), Integrated Customer Information System (ICIS), and Host on Demand (HOD).

Appeals Representative Medicare Part B

Novitas Solutions
Camp Hill, PA
08.2012 - 10.2014
  • Researching electronic files, interpreting appeals guidelines appropriately.
  • Generating written correspondence in response to billing appeals.
  • Completing an independent review and decision-making on each appeal.
  • Using computer systems such as the Standard Medicare System (MCS), the Fiscal Intermediary Standard System (FISS), and Host on Demand (HOD).
  • Training new employees on the systems used to be an Appeals Representative, as well as creating training material for the department, makes guidelines easier to understand for new employees.

Education

Bachelor of Science or Arts - Criminal Justice

Shippensburg University
Shippensburg, Pa
05.2009

High School Diploma -

Juniata High School
Mifflintown, PA
06-2004

Skills

  • Business process improvement
  • User acceptance testing
  • Data analysis
  • Project management
  • Systems analysis
  • Project presentation
  • Requirements gathering
  • Technical writing
  • Verbal and written communication
  • Process enhancement
  • Software development life cycle
  • Business intelligence

References

References upon Request

Timeline

Senior Business Systems Analyst

EnGen (Highmark Health)
07.2020 - Current

Business Systems Analyst

EnGen (Highmark Health)
02.2016 - Current

Associates Benefits Coding Analyst

Highmark Health
10.2014 - Current

Appeals Representative Medicare Part B

Novitas Solutions
08.2012 - 10.2014

Bachelor of Science or Arts - Criminal Justice

Shippensburg University

High School Diploma -

Juniata High School

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Kayla L. Snyder