Kyle Jackson Email & Phone Number

Louisville, Ky, Us

Louisville, Kentucky, United States

Waystar, Louisville KYEDI Operations Analyst – March 2021-Present* Responsible for over 100 Intermediary and Direct Payer Connections * Autonoc Admin, oversee setup of Batch and Real-Time connections implementation and testing* Analyze SFTP session logs, troubleshoot connectivity related to server issues* Monitor file builds and work with communications team on any problems* Post company and client alerts of connectivity or production issues, both internally and externally* Member of the EOB Conversion Team. Assists with cases, vendor outreach, data discrepancy* Generate Remit Variance, daily 48 Hour SLA and SIP reports for the department* Research TA1, 997/999, 824, 277CA and 277U, HTML, and proprietary response files received* Create tech cases for format parsers to identify and apply claim status correctly for responses* Change passwords, updates URL/IP addresses, ports, SSH/PGP Keys to maintain server connections* Work cases of all different types from other teams internally for clients, projects, special requests* Setup and maintain TPID connections for internal/external sftp hosting for specific clients* Daily NRR, PRR, NPRR diligence to ensure claims are being received and updated* Update Route Guides to ensure up-to-date contact information for external parties* Assist fellow team members with their reports, questions, cases* Provide insight on the X12 format for other client-facing departments

Louisville, Ky

*Works with providers, payers, and various routes to assist with EDI inquiries *Analyzes outbound raw 837P/837I X12 files for issues pertaining to electronic-medical claim submission*Receives and Processes inbound 835 Remit files to their respective accounts*Assists with ERA/EFT enrollment to link Submitter/Receiver IDs for providers*Advises providers on electronic claim rejections for successful resubmissions

Louisville, Kentucky Area

*Examined and uploaded various plan-specific documents for New Start and Conversion 401k Plans*Contacted and assisted financial advisors with completing missing LOD and W-9 paperwork*Worked with Document Compliance Analyst team to initiate Signature and Confirmation emails for Adoption Agreements*Assisted Implementation team on various projects regarding invoicing, billing flips, and client outreach*Formatted and sent numerous Compliance Coding and Go-Live notifications for New Start and Conversion plans *Verified Contributions and deferrals to ensure appropriate billing*Completed weekly Payroll Code, Two Week Touch, and Exception reports for Retirement Services Department

Louisville, Ky

• Received inbound calls from patients regarding medical treatments, therapies, and operations• Verified treatment by learning and understanding specific diagnostic coding used by medical facilities• Investigated subrogation potential on medical claims• Followed all specific client requests and corporate formalities while undergoing investigation process• Earned top performance metrics in my department with respect to call time and quality assurance

Louisville, Kentucky Area

• Worked with claimants, pharmacies, insurance adjusters, and Nurse Case Managers to ensure coverage• Upheld all State-Wide and Federal restrictions regarding medication limits and policies• Supported new portal communication system used by team and clients for Worker’s Compensation• Completed monthly PA, Coverage Term, and Referral Reports in a timely fashion• Assisted patients with their policies and pharmaceutical needs• Implemented coverage plans on behalf of multiple insurance agencies for injured workers• Made numerous Welcome Calls explaining our services, their individual coverage, and contact information

Irvine, California

• Took numerous inbound/outbound calls and resolved issues quickly and accurately• Reinforced all restaurant technology including hardware and software• Supported supplier performance and responsible for managing/resolving all issues and escalations• Trained and proficient in electronic training of Back of House, POS, and Applicant Tracking systems Achieved my company-desired individual analyst metrics regarding average call time, tickets resolved, and customer satisfaction

Irvine, California

- Assisted in the formation of company's future portal site- Worked with various departments to ensure pictures, quotes, essential job functions were well represented on the website truthfully and accurately- Learned and used different applications and electronic tools in formation of the site