Noe Leiva Email & Phone Number

Nashville, Tn, Us

Nashville, Tn, Us

Nashville, Tn, Us

King Of Prussia, Pennsylvania, Us

• Plan and develop system applications and products based on both user needs and industry standards. Actively participating through all technical phases of the project in Agile and Operational Development environments through best practices and company change control processes.• Support the EDI team by building applications and reports that identify the gaps and improvement routes in both our Claim and Encounter submission processing methods and CMS response messages. • Design and Develop SSIS packages that reconcile all outbound claims with inbound messages from CMS. Using languages such as SQL and C#.• Create and Deploy SSRS reports capable to drill-through from a high level view of volume to a detail understanding of the metrics and responses. • Troubleshoot, maintain, and develop application and systems solutions for all business products and regular operational processes. Providing and creating testing and implementing application and systems product technical changes as needed.

Rancho Cucamonga, Ca, Us

• Developed an automated C# EDI Parser console application to support the Outbound EDI communication to the regulatory bodies. At the same time, balance the EDI volume. • Automate the EDI reconciliation effort by creating SSIS packages and Stored Procedures. • Built SSRS reports for management to visualize the volume and revenue of our encounter and claim data. • Implement all automation requests using C#, SSIS, and SSRS projects. • Troubleshoot SQL applications currently in production with IEHP to address many of the current fall-outs of data.

Irvine, California, Us

• Maintain and Administer the Tableau reporting tool.• Support and develop our EDI solution tool (Non ANSI EDI).• Oversee the TOC automated process by implementing new changes and ensuring all new entries are applied accordingly to our business rules (SQL Store Procedures).• Administer the internal Aprima (EHR) support service.• Supervise and Develop other automated services and new automation requests (ETL, SSIS, SSRS).• Run all database analytic requests such as automated Reporting needs.• Support and assist in any Salesforce integration requests such as the Integration between Tableau, Salesforce and our Database

Long Beach, Ca, Us

• Managed the Gentran EDI tool during the life of the engine and successfully migrated out our EDI services to BOOMI (ETL). • Worked with the following transaction sets: Load Tender/Pickup Notification (204), Electronic Freight Bills (210), Shipment Status Messages (214), Remittance Advise (820), XML, and Flat File.• Administered the BOOMI solution and implemented new EDI requests.• Worked with Truckmate and troubleshooting several jobs (SQL stored procedures) and applications that generated our EDI.

San Diego, Ca, Us

• Implemented new Customers (Setup Communication types and client testing). Interpreting communication companion guides to coordinate Client Implementations and IT Development to establish secure transaction connectivity for appropriate file delivery meeting our clients’ business needs.• Provided administrative support after implementation for billing operations. Also, offered technical support after implementation for healthcare EDI applications in various formats (Print Image, NSF, IMS and ANSI) and communication types (FTP, Web based portal).• Experience in optimizing the billing operations for some of the nation's largest laboratories. Ensuring an improvement of our customer’s cash collections and significantly reduced unpaid and underpaid claims.• Familiarity with CPT, ICD-9, HCPCS and other industry publications.• Work with the following transaction sets: claims (837P, 837I, 837W), ERA (835), Claim Status (266,267), Eligibility (270, 271), HL7 etc.• Oversee production environment and prioritize, communicate, resolve and document any Billing and EDI processes or system issues. Translate work processes into business and functional requirements.

Santa Ana, Ca, Us

Santa Ana, Ca, Us

Coding Boot Camp, Full-Stack Web Development

Master’S Degree, Computer Science, Software Engineering

Master'S Degree Prerequisites, Computer Science

Bachelor’S Degree, Economics

Transfer Program