Widline Fontaine
Encounter Data Management Professional 2 @Humana
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WORK HISTORY
Encounter Data Management Professional 2 @Humana
Validated processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare. Ensured encounter submissions met or exceeded all compliance standards via analysis of data to enhance the encounter acceptance rate by Medicaid/Medicare. Looked-for long-term improvements of the encounter submission system. User Acceptance Testing (UAT) of EDI/X12 data and EDI/X12 Data Validation. Experience with Edifecs EDI 837, 835 and other X12 formats. Documented user stories in Azure DevOps. Completed and managed test execution via qTest. Validated all claims and encounters for accuracy. Participated in weekly Handoff meetings and monthly regression testing. Stayed up to date with any changes in the CMS Implementation Guides and all necessary state Companion Guides.
EDUCATION
Miami Dade College
Associate of Arts - AA, General Studies
University of South Florida
Bachelor of Arts - BA, Sociology
Upper Iowa University
Master of Public Administration - MPA, Public Administration
Western Governors University
Master of Business Administration - MBA, Business Administration and Management, General
ABOUT WIDLINE FONTAINE
Subject matter expertise in Microsoft Excel data management, Agile methodology and documentation. Skilled in process improvement, leading focus groups with the ability to establish long-term business relationships across geographies with a documented record of achievements in varying environments. Professional quality assurance expertise to align with the short- and long-term goals of the corporation to accomplish strategic business objectives. Feel free to reach out w•••••••@gmail.com
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