Chrysta Brashier Email & Phone Number

Orange, Ca, Us

 Received the “Inspirational Leader” award as nominated by 30 of my leadership peers across the organization. Supervise team of 8 EDI Professionals comprised of 5 - Sr. Analysts and 3 - Sr. Developers. Created new EDI guidelines to include automation in all current and future projects to eliminate manual work efforts across the organization where data and file movement is required. Imposed new communication methods between our department and the business department/s to allow for clearer direction and ongoing support. Implemented a new project intake process to include the gathering and approval of business requirements, creation of SOP and functional requirement documents, development, QA and Unit testing, UAT and sign off of from all stakeholders prior to deployment.  Identified workflow deficiencies across multiple IS teams and started working with other IS supervisors to implement new processes that would allow for more efficiency. Reviewed current inbound processes from trading partners where multiple proprietary formats were being received, found deficiencies and implemented new solutions to standardize inbound data. Performed gap analysis on all ANSI transactions to and from current trading partners and created EDI strategic plan to implement standardized transactions for all. Compiled a list of all current data interfaces and assigned them to correct IS teams.  Led numerous regulatory projects with heavy EDI-IS impact to successful implementation. Some of these important projects were: moving to the 837 standard format for reporting claims and encounter data to DHCS and CMS; Implementing PACE center data so that Caloptima could receive it in a standardized way and process it outbound to DHCS and CMS as a new extract; EFT with Core Operating rules. Worked directly with our delegated PMG’s for encounter and supplemental data reporting to Caloptima and outbound to regulatory organizations as required.

Irvine, Ca

 Mapped source data to destination 837I and 837P schemas for ANSI transactions via Microsoft Visual Studio 2008. Identified and cross-walked similar data from internal system to other internal systems. Performed gap analysis and resolved deficiencies by gathering requirements for data bridging.  Coordinated 4010 and 5010 Project meetings and tasks to assure that all deadlines were met and department goals remained on track.  Worked closely with all dedicated resources from partner departments to maintain project goals and clearly communicated updates of entire project with team. Created test case scenarios/documentation for internal QA system testing and hand-off for User Acceptance Testing (UAT). Worked with Development team to create logic that met Business Requirements for 837 transactions. Wrote technical Business Requirements per business needs for 837 projects. Liaison between the Business Unit and IT divisions to ensure that projects run smooth and efficiently.  Transmitted EDI files to Trading Partners via manual SFTP. Reviewed Encounter Inventory Control reports on a weekly basis for accuracy. Delivered Inventory reports to all appropriate business partners for visibility. Communicated and worked closely with trading partners during testing and post-production as the primary technical contact for Monarch. Identified system deficiencies and clearly advises the Development and Database teams on where to correct issues for quick resolution. Troubleshot payer and internal systems by analyzing errors and correcting them. Designed intranet sites for each company divisions for the new Sharepoint 2010 migration project by working closely with managers and above to deliver a usable tool for their teams. Administered all 5010 testing with our trading partners. Brought Faciledi in house as our 5010 validation tool and became the product administrator.

Compiled class surveys after all class sessions were completed and Averaged a 4.5 score on a 1-5 scale with 5 being "Excellent" in the areas of: Delivery, Course Content, Presentation, Relevance and Overall Satisfaction. Successfully cross-trained 150 employees on ANSI 4010 (837 Institutional/Professional) transactions for the Healthcare Industry. Students were a mixture of people with no exposure to ANSI 4010, those with some working knowledge and experts in ANSI 4010. Developed core curriculum for: Employee on-boarding process, ANSI transaction sets (270/271, 276/277, 835, 837 & 997), EDI 101, HIPAA and Protected Health Information (PHI), proprietary Internet based client Portal, customer service programs (Telephone Doctor and Give em the Pickle).Facilitated a new customer service program, "Give Em the Pickle" by doing company events, video training and in-class discussions. This program helped transform our level of service from average to World Class. This new service oriented culture was adopted by the entire company and increased positive customer feedback overall. Created/edited videos for self paced training with use of Camtasia Studios Software.Authored Power Point Presentations for use in class sessions.Wrote class documents and quizzes.Conducted webinars for remote staff with the use of Gotomeeting.com as our internet based desktop sharing solution.Designed Educational Services Monthly Newsletter with use of Photoshop CS4 and Microsoft Word for Vista.Scheduled and delivered multiple class schedules via targeted email distribution groupings. Planned company events around HIPAA awareness to include remote staff.Initiated a new Rewards and Recognition Program for all Capario Associates.Trained company on Salesforce.com, our new CRM solution that replaced Clientele.Attended the 2009 Dreamforce.com (Salesforce) convention in San Francisco to expand my knowledge in Cloud Computing and in turn train our trainers in our management teams.

Created new Customer Service Department in our Corporate Office.Staffed and trained two Team Leads and 11 Research Analysts on EDI protocol (Technical and Business Rules), ANSI 835, 837, 276/277, 270/271, 997 transaction sets, NSF and proprietary claim formats, communication protocols (BBS, FTP, SFTP, PMSFTP), EDIFECS validation, HCFA mapping, call documentation through Clientele software, administration of UCN (Automatic Call Distribution system) and all aspects of client facing technical phone and e-mail support.Mentored our customer service associates by helping them find their strengths and teaching them how to apply those strengths in their roles. By doing this, associates felt empowered to excel which led to an enthusiastic team who strived for excellence. Many of these associates moved into supervisory or senior roles within the first year on my team. Analyzed current work load against available resources and was able to acquire new FTE's for our department in order to balance team work load more efficiently and meet departmental Service Level Expectations (SLE's) for managed accounts.Standardized department protocol and wrote our working policy documents for the team.Created statistical reports for EDI support department on a monthly basis.Oversaw managed accounts and acted as the primary point of escalation. Liaison for all internal departments when managerial intervention became necessary.Reviewed and adjusted SLE's to allow for a more marketable customer service structure to perspective clients' improving overall sales.

EDIBalanced daily production against average transaction calculations from previous months.Worked with project team to move away from a legacy platform for balancing transactions.Ran weekly and monthly Crystal reports for upper management to confirm volume for specific lines of business (Encounter, Claim, Eligibility, Referral) Analyzed volume for a number of ANSI transaction sets on a daily basis to ensure that specific metrics were recorded accurately.

Supported proprietary medical billing software from implementation through to active use. Trained clients' both in-house and by phone in proper usage of software.Tested ANSI EDI transactions for our clients' with medical insurance companies.Migrated clients' from print image and non-compliant formats to the X12-ANSI standard.Managed sequel databases for clients' using proprietary software.

EDIResearched 837I, 837P and 835 EDI transactions thoroughly for accurate data and insured claims transmission was successful both from our clients through to insurance companies and reported back to providers in a timely manner. Worked with all private and government payers to identify newly integrated edits for all claims transactions across multiple lines of business. Provided technical documentation to our programmers for internal edit changes necessary to standardize and pass data accurately to trading partners and insurance companies.Supported managed Vendor and Submitter accounts directly.Trained support team on ANSI Transaction Sets (997, 837, 835, 270/271, 276/270).Became an expert in all EDI processes from an electronic claims clearinghouse perspective.Provided technical support to our external clients which involved but was not limited to communication protocols (BBS, PMSFTP, FTP, WEB), script writing, inbound call triage and resolution execution, EDI format (X12, NSF, NEIC and proprietary) translation and overall customer service.

Created daily EDI claim files for transmission to Medicare, Medi- Cal, private insurance, and HMO's. Updated electronic billing information with use of medical manager billing software. Prepared electronic and paper billing.Reduced outstanding A/R by 50% within 6 months by having constant contact with patients' and insurance carriers. Maintained patient medical records and transcripts.

Managed a staff of 4.Billed Medicare, Medi-cal, private insurance, and HMO's via EDI. Eliminated outstanding A/R from 90 days down to 30 days maximum.Researched PMS options for the practice to alleviate paper billing.Improved revenue by decreasing wait time on all outstanding claims by introducing EDI into the practice via implementation of Medi-soft PMS for billing all claim transactions. Trained physician and office staff on new EDI functionality.