Dawn Santos

Dawn Santos Email and Phone Number

Lead Consultant @ HCLTech
Coventry, RI, US
Dawn Santos's Location
Coventry, Rhode Island, United States, United States
Dawn Santos's Contact Details
About Dawn Santos

* Sterling Connect Enterprise, Sterling File Gateway ,ITX/ITXa (formerly WTX) software* Testing, Setup & Problem Resolution for Paperless Providers with EDI formats (HIPAA x12 - 837 Institutional, 837 Professional, 837 Dental, 270/271 Eligibility Requests, 276/277 Claims Status Requests, 835 Remittance, 834 Group Enrollment/changes and 278 Authorizations, 277 CA Unsolicited Claims status) *34 years Healthcare Payer EDI Operations Blue Cross Blue Shield, Support of all EDI Trading Partners/ Testing/ Setup/Production Support* EDI SME for troubleshooting batch & realtime transactions, opening Incidents and Change Requests * Mentoring new staff and team mates on problem resolution* Excellent communication skills with internal and external vendors* Blue Exchange, Federal Employee Program, Interplan processing

Dawn Santos's Current Company Details
HCLTech

Hcltech

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Lead Consultant
Coventry, RI, US
Dawn Santos Work Experience Details
  • Hcltech
    Lead Consultant
    Hcltech
    Coventry, Ri, Us
    View
  • Hcltech
    Lead Consultant
    Hcltech Aug 2024 - Present
    Noida, Uttar Pradesh, In
    I am excited to announce that I have accepted a role at HCLTechnologies!
    View
  • Ntt Data Services
    Software Dev Advisor
    Ntt Data Services Nov 2016 - Aug 2024
    Plano, Texas, Us
    Problem Resolution for EDI Trading Partners/Groups for Health Insurance transactions EDI Operations, ITXA, SFG
    View
  • Dell
    Software Dev Advisor
    Dell Mar 2016 - Oct 2016
    Round Rock, Texas, Us
    Subject Matter Expert in Health Insurance Industry handling EDI transactions (HIPAA X12) for claims submission (837), Group enrollment and changes (834), Eligibility requests (270), Claims Status Requests (276), Electronic Remittance Advice (835). Batch & Realtime, using Sterling File Gateway and Websphere Transformation Extender (WTX/Mercator)
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  • Blue Cross & Blue Shield Of Rhode Island
    Senior Edi/Business Analyst
    Blue Cross & Blue Shield Of Rhode Island Jun 2015 - Mar 2016
    Providence, Rhode Island, Us
    EDI staff assigned to ICD10 conversion for Hospitals and Physician offices , & Enrollment Groups submitting EDI transactions. Support of all EDI transactions both batch and real-time. 837s, 835s, 270s, 276s, 278s, 834s. Development of test scenarios and test cases and resolution analysis for UAT.
    View
  • Blue Cross & Blue Shield Of Rhode Island
    Edi Analyst
    Blue Cross & Blue Shield Of Rhode Island 2006 - Jun 2015
    Providence, Rhode Island, Us
    SME on HIPAA X12 transactions for Health Insurance Industry ( 270, 276, 278, 834, 835, 837I, 837P & 837Ds) Responsible for Migrating existing EDI Trading Partners to 5010 format by January 2012. Currently working on ICD10 project
    View
  • Blue Cross & Blue Shield Of Rhode Island
    Provider Network System (Pns) Consultant
    Blue Cross & Blue Shield Of Rhode Island 1991 - 2006
    Providence, Rhode Island, Us
    EDI representative for department, Proprietary format, to NSF 2.0 and 3.01, to ANSI X12 004010 format. Software support, training and trouble shooting for electronic claims.
    View

Dawn Santos Skills

Hipaa Health Insurance Edi Business Analysis Process Improvement Software Documentation Medical Billing Visio Vendor Management Access Customer Service Troubleshooting Healthcare Lotus Notes Claim Requirements Gathering Requirements Analysis Project Management Healthcare Information Technology Business Intelligence Databases Analysis X12 Sharepoint Testing Insurance Systems Analysis Leadership Medicaid Quality Assurance Medicare Mainframe Microsoft Office Team Building Microsoft Excel Data Analysis Healthcare Industry Windows Cobol Disaster Recovery Powerpoint Call Center Quality Center Managed Care Outlook Healthcare Management System Administration Crystal Reports Microsoft Word Db2

Dawn Santos Education Details

  • University Of Rhode Island - College Of Business
    University Of Rhode Island - College Of Business
    Marketing
  • Coventry High School
    Coventry High School

Frequently Asked Questions about Dawn Santos

What company does Dawn Santos work for?

Dawn Santos works for Hcltech

What is Dawn Santos's role at the current company?

Dawn Santos's current role is Lead Consultant.

What is Dawn Santos's email address?

Dawn Santos's email address is da****@****hoo.com

What is Dawn Santos's direct phone number?

Dawn Santos's direct phone number is +140144*****

What schools did Dawn Santos attend?

Dawn Santos attended University Of Rhode Island - College Of Business, Coventry High School.

What are some of Dawn Santos's interests?

Dawn Santos has interest in Environment, Children, Education.

What skills is Dawn Santos known for?

Dawn Santos has skills like Hipaa, Health Insurance, Edi, Business Analysis, Process Improvement, Software Documentation, Medical Billing, Visio, Vendor Management, Access, Customer Service, Troubleshooting.

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