Todd Berry
Lansing,MI
Summary
Multi-skilled technology professional. Over 15 years of experience working as EDI Administrator, with extensive experience and testing EDI X12 Standard Health Care Transactions with Trading Partners, clients and vendors. Results-driven, dedicated ITS professional with solid experience in the Health Care Administrative Industry.
Overview
25
25
years of professional experience
Work History
Senior EDI Administrator
Consociate Health
05.2019 - Current
- Operate under Agile and Scrum frameworks to complete releases and well-organized sprints.
- Test functional and compatibility of new programs and updates in comparison to existing applications.
- Keep scripts and test cases updated with current requirements.
- Evaluate function, performance and design compliance of every product against design standards and customer needs.
- Implement new Trading Partners and their associated files and processes to support business.
- Develop and implement future state EDI process and best practices.
- Completed pre-implementation testing for new system modifications to assess potential impacts.
- Communicate file issues and errors with trading partners and develop strategy for corrections and testing changes.
- Drive HIPAA standards, institute EDI best practices and continued EDI improvements to existing EDI processes.
- Represent the IT team from an EDI perspective on strategic initiatives and projects.
- Develop and maintain current EDI maps for legacy translator (DataConnect).
- Advise developers on problems with databases, performance, and other issues.
EDI Communications Coordinator
Aetna
11.2012 - 04.2019
- Served on the HIPAA X12N 5010 implementation team responsible for converting the 4010A1 Health Care standards to the 5010 standards.
- Coordinated testing with trading partners, clients and vendors.
- Updated existing X12 documents, companion guides, and process documents.
- Communicated file issues and errors with trading partners, and develop strategy for corrections and testing changes.
- Represented the Production team from an EDI perspective on strategic initiatives and projects.
- Developed and maintained EDI maps for legacy translator (Trusted Link Enterprise).
- Operated Project Team to develop and institute a Tactical Monitoring Team to oversee EDI related file processes.
EDI Contractor
The Judson Group, Contractor: Sparrow Hospital
09.2011 - 10.2012
- Served on the HIPAA X12N 5010A1 implementation team responsible for trading partner testing, claim system testing, and HIPAA X12N 5010A1 documentation.
- Partnered with business subject matter experts to perform system upgrades to major release. This required testing coordination with clients, trading partners, and business leaders.
- Oversaw daily maintenance of new and existing EDI transactions.
EDI Administrator
Meritain Health
05.1998 - 09.2011
- Served on the HIPAA X12N 4010A1 implementation team responsible for creating maps to convert legacy formats to the 4010A1 Health Care standards. Led the testing with trading partners, clients and vendors to convert to the 4010A1 standards.
- Partnered with developers to create and deploy an all inclusive file automation process, consisting of over 500 processes. Processes include file pickup/delivery, file decryption/encryption, file archiving, file translation/file mapping and file creation/load.
- Oversaw daily maintenance of new and existing EDI transactions.
- Lead the 5010A1 implementation with the corporate EDI Team. Responsible for the conversion of trading partners. With the primary focus of converting the 834 Benefit Enrollment and Maintenance transaction and the 837 electronic claims transactions. Coordinated with existing and new trading partners on the new 5010A1 transactions. Conducted testing on the claims platform 5010 software changes.
- Supervised the implementation of over 300 trading partners ranging from proprietary EDI transactions to industry standard transactions.
Education
Bachelor of Arts - Management & Organizational Development
Spring Arbor University
Spring Arbor, MISkills
- Extensive experience implementing and testing EDI X12 Standard Health Care transaction sets (4010A1 and 5010A1) with Trading Partners, clients and vendors
- Solid knowledge of Trusted Link Enterprise Mapping software, SQL and File Delivery Protocols
- Certification in Microsoft SQL Server 2005 Reporting Services
- Well-organized, self-motivated individual with ability to rapidly learn new tasks
- Track record for consistently meeting goals and delivering high level job performance
- Proven ability to build strong customer/client relationships
Timeline
Senior EDI Administrator
Consociate Health
05.2019 - Current
EDI Communications Coordinator
Aetna
11.2012 - 04.2019
EDI Contractor
The Judson Group, Contractor: Sparrow Hospital
09.2011 - 10.2012
EDI Administrator
Meritain Health
05.1998 - 09.2011
Bachelor of Arts - Management & Organizational Development
Spring Arbor University
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