Matthew Cymbalisty Email & Phone Number

Itasca, Illinois, United States

• Responsible for developing EDI solutions for internal and external Customers• Integrate with customers and vendors using XML, X12, and JSON• Troubleshoot issues that arise with EDI Data and Mapping• Work with data transformation tools• Document Business/technical process• Work with SQL Server

Carmel, In

Provides research and support for internal business users as it pertains to EDI eligibility and claims processing. Works with developers to resolve processing issues. Provides production support for the EDI team. • Ensure that eligibility, biometric, and incentive files are processed successfully within the deadline specified by the Service Level Agreement with the clients• Monitors eligibility transactions to prevent incorrect data from being loaded into… Show more Provides research and support for internal business users as it pertains to EDI eligibility and claims processing. Works with developers to resolve processing issues. Provides production support for the EDI team. • Ensure that eligibility, biometric, and incentive files are processed successfully within the deadline specified by the Service Level Agreement with the clients• Monitors eligibility transactions to prevent incorrect data from being loaded into production.• Troubleshoot SQL stored procedures to resolve processing issues• Create SQL queries to provide internal stakeholders with needed information to resolve issues with eligibility data Show less

Schaumburg, Il

Documented business, data enhancements, or system change requirements. Worked with business users and external vendors to resolve issues with data in production. Supported file transfers to external clients from the Diplomat Managed File Transfer Application.• Improved the process for validating the vendor’s prescriber file by reporting statistics used to identify issues before they occur in production.• Confirmed data files loaded in production in a timely manner to avoid issues… Show more Documented business, data enhancements, or system change requirements. Worked with business users and external vendors to resolve issues with data in production. Supported file transfers to external clients from the Diplomat Managed File Transfer Application.• Improved the process for validating the vendor’s prescriber file by reporting statistics used to identify issues before they occur in production.• Confirmed data files loaded in production in a timely manner to avoid issues with prescriber and product data.• Made updates to prescriber data to allow prescriptions to adjudicate and the members to fill their prescriptions at the pharmacy.• Completed GPI updates for products in production so they were included in the correct prescription health plans.• Created an access database for tracking product add requests to streamline the product add process and better track trends. Show less

Setup and implemented EDI translation maps in Extol EDI Integrator. Worked with business users to complete EDI projects and implementations. Troubleshot EDI translation errors and updated the maps to resolve. Facilitated the transmission of HIPAA data to various external clients and pharmacies. Assisted in the program change management process (SDLC process).• EDI maps created to translate inbound 834 eligibility files in order for members to be eligible for health coverage.•… Show more Setup and implemented EDI translation maps in Extol EDI Integrator. Worked with business users to complete EDI projects and implementations. Troubleshot EDI translation errors and updated the maps to resolve. Facilitated the transmission of HIPAA data to various external clients and pharmacies. Assisted in the program change management process (SDLC process).• EDI maps created to translate inbound 834 eligibility files in order for members to be eligible for health coverage.• Transmitted files to external clients within the specified SLA agreement to avoid fines and to facilitate client billing.• Entered project information into RxSupport, Clarity, and Critical SR tracker within 3 business days to allow existing programs to be updated and new programs to be installed within a release.• Received the Everyday Hero Recognition Certificate for my work on both EDI and the Client FTP Migration in June 2013 Show less

Bannockburn, Il

Supported file transmissions to external clients and vendors. Worked with business users to setup new file transfers using the Diplomat Managed File Transfer Software. Troubleshot existing transmissions issues. Worked to improve the process. • Ensured that approximately 300 clients received their files containing HIPAA data successfully, in a secure manner, and within the deadline specified by the company’s Service Level Agreement with the client.• Supported and managed… Show more Supported file transmissions to external clients and vendors. Worked with business users to setup new file transfers using the Diplomat Managed File Transfer Software. Troubleshot existing transmissions issues. Worked to improve the process. • Ensured that approximately 300 clients received their files containing HIPAA data successfully, in a secure manner, and within the deadline specified by the company’s Service Level Agreement with the client.• Supported and managed approximately 1000 internal and external transmissions sending an average of 15,000 files per month. • Resolved an issue where all SFTP transmissions were failing in production by working with the software vendor Coviant Software and Server Support. This allowed files to be sent to external clients and pharmacies.• Created SQL queries to generate reports regarding file transfer statistics in order to better track the overall success and failure rates of transmissions.• Created Java programs to extract Diplomat transmission setup information from the applications XML database. Used that information to create an Access Database to better document and track transmission setups in production. Show less

Transmitted files using WS_FTP, CuteFTP, and Command Prompt. Troubleshot FTP transmission issues with external clients and vendors. Maintained SQL queries used to distribute files to automated ftp folders. Documented EDI processes. Generate files using Shell Scripts in UNIX.

Analyzed DePaul University faculty resumes and entered data into the appropriate fields using PeopleSoft.Identified problems within the database and notified the Database Administrator.

Evaluated and executed the proper strategies to solve varied and unique problems.Formulated and wrote clear and concise reports.Worked as a team member to accomplish assigned duties.

In charge of several store departments and was responsible for ordering, stocking, and inventorying.