Experience

Beaver Dam Community Hospitals, Inc.

• Business Intelligence Analyst

  • Feb 2016 - Present



Teksystems for client Hewlett Packard Enterprise

• Madison, Wisconsin Area

• Business Analyst II

  • Dec 2013 - Dec 2015

  • Acted as a liaison between client and technical solutions/ support groups Identify and manage changes to requirements and risks for clients • Documented requirements specifications using consistent methods, processes and tools • Executed and coordinate requirements management and change management processes • Researched components of solutions to problems • Developed visualization, user experience and configuration elements of solution design • Developed and maintain internal and external relationships to support management of scope and expectations Show less



Wisconsin Physicians Service

• Madison, Wisconsin Area

• Production Analyst, Edit Analyst II, Edit Analyst I

  • Dec 2003 - Jun 2013

  Production Analyst, December 2011 - June 2013 • Monitored production report data to determine trends and potential problems • Built and maintained strong relationships through interaction with management to obtain, clarify or provide report information to ensure completion of requirements in a consistent and timely manner. • Created reports to provide management data for trending and analysis utilizing JCL, Eazytrieve, Cognos and production reports • Collected daily, weekly, monthly and quarterly statistical reports from supervisory areas for accuracy and assure contract obligations were met • Analyzed production data and provide system improvement recommendations • Achieved positive performance reviews in volume and efficiency Edit Analyst II, January 2004 - December 2011 • Maintained detailed knowledge of contract claims processing and procedures, regulations and requirements • Identified and solved coding issues with procedures and diagnosis HCPCS, ICD9, EDI for accurate statistical data in compliance with contract specifications and guidelines for the purpose of annual budgeting • Trained staff to assist with high volumes of claims to meet deadlines and solved problems with provider coding errors which helped automate timely processing utilizing Visual Basic macros, Excel spreadsheets Edit Analyst I, December 2003 - January 2004 • Processed insurance claims for potential duplicate payments • Resolved assigned edits per review to apply appropriate allowable fees and rate program review in accordance with contract regulations and guidelines • Performed mathematical calculations including percentages and OHI (Other Health Insurance) payments Show less