At Memorial Hermann Health System, I support revenue cycle improvements by documenting requirements and workflows across business, operations, IT, and integration teams. I built Power BI dashboards tracking claim cycle time and denial trends across approximately 15,000 monthly claims; the analysis helped the team identify a denial pattern and reduce the rejection rate by 30%.
My work also includes EDI and FHIR integrations, source-to-target data mapping, and SQL data validation. I support testing of EMR workflow and integration changes, including UAT and regression testing.
At IBX- Highmark Blue Cross Blue Shield (BCBSPA), I supported migration programs for a claims adjudication platform, documenting business requirements and working with stakeholders on EDI X12 transactions. I also developed data mapping documents and integration plans, and supported reporting and testing.
For the State of Indiana (Indiana Department of Health), I supported Medicaid and MMIS projects, including EDI testing, workflow analysis, and requirements documentation. At Community Health Plan of Washington (CHPW), I worked on a provider and subscriber portal, supporting claims, eligibility, integrations, and UAT.
