Marlene Peek Email & Phone Number

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Self Employed EDI Consultant 4/2017- current- Mapped and tested files for testing. - SQL scripts / queries and testing- Worked with end users establish UAT test scenarios - Tested with plans for CMS required MOOP 837 files Error corrections- Work with other departments to reduce the amount of (what kind of errors) errors - Kept current with 837, HIPAA news.

Woodland Hills, CA

• Environment: MS Access, MS Excel, MS Project, HIPAA, FTP pro, Ultra edit, Claredi, SQL scripts / queries/testing I was the EDI department alone, I put myself on a schedule as to when I wanted files to be ready for.
• Created maps for each Health Plan and LOB
• Test 837 files with Health plans so we can do direct submissions, using Claredi
• Used EZ-Cap create trading partners, create profiles for each TP
• Extracted monthly files for submissions of 5010 files
• Automate extractions for monthly submissions

Santa Ana

• Environment: MS Access, MS Excel, MS Project, HIPAA, FTP pro, Ultra edit, Claredi
• Verified and corrected files formats 837 P I 835
• Restored ERA files
• Helpdesk hotline
• Reprocess EDI 837 files, test using Claredi

Contract position ended. Kaiser was a great place to work

CREATED 4010/5010 GUIDES FOR ALL TRANSACTIONS 5010 TESTING PROCESS FILES ALL TRANSACTIONS THROUGH CLAREDI AND REPORT ERRORS TO CLIENTS INSTRUCT PROVIDERS ON 837 P & 837I FORMATS AND CLAREDI ERRORS SUGGEST BUSINESS SOLUTIONS TO SATIFY HIPAA REQUIREMENTS. COMMUNICATE WITH X12 AND ICE FOR NEW INFORMATION ON 5010 AND ALL STANDARDS RESOLVE CLIENT ISSUES WITH.

ENVIRONMENT: MS ACCESS, MS EXCEL, MS PROJECT, ABS, HIPAA, FTP PRO, ULTRA EDIT, CLAREDI VERIFY ACCURACY OF X12 HIPAA TRANSACTIONS PROCESS 837, 834 TEST FILES, NPI AND ACCURACY ANALYZE 837 TEST DATA FROM PROVIDERS RUN TEST FILES THROUGH CLAREDI INSTRUCT PROVIDERS ON 837 P & I FORMATS AND CLAREDI ERRORS GATHER USER REQUIREMENTS, MAKE RECCOMENDATIONS FOR.

ENVIRONMENT: MS ACCESS, MS EXCEL, MS PROJECT, CRYSTAL REPORTS, HIPAA, FTP PRO, AS400, TSOA, IMSP, VISUAL BASIC SCRIPTS VERIFY ACCURACY OF X12 HIPAA TRANSACTIONS VERIFY PROVIDER AND CLAIM INFORMATION IN WGS 2.0 AND STAR PROCESS 837 TEST FILES ANALYZE 837 TEST DATA FROM PROVIDERS RUN TEST FILES THROUGH CLAREDI INSTRUCT PROVIDERS ON 837 P &837 I FORMATS.

ENVIRONMENT: MHC, MS EXCEL, HIPAA, MS ACCESS, CLAREDI, UB92, NSF,EC MAP, FTP PRO CREATE HIPAA TRANSACTION COMPANION GUIDES AND VERIFY ACCURACY X12 HIPAA TRANSACTIONS PROCESS 837 PRODUCTION FILES ANALYZE 837 TEST DATA FROM PROVIDERS RUN TEST FILES THROUGH CLAREDI INSTRUCT PROVIDERS ON 837 P & I FORMATS AND CLAREDI ERRORS GATHER USER REQUIREMENTS, MAKE.