Yogendra Gupta

About Yogendra Gupta

Committed to delivering top-tier 834 EDI transaction services, our collective efforts have consistently met and exceeded client expectations. The goal has always been to provide secure, compliant, and efficient EDI solutions. We are dedicated to deliver a best quality with our services and my role is very important to meet that quality. Involving in technical discussion, solution architecture, and service oriented processes. • 15 years of experience in information technology including EDI services and application support. • 9 years of experience in EDI Integration. Develop EDI feeds using EDI software and middleware. • Experienced with effective business communication including different types of vendors and stakeholders.• Working in healthcare domain as a business associate and providing EDI services (834 benefit and enrollment maintenance) for a US company, a third-party administrator. • Experience with varying levels of responsibilities being a part of EDI operations team working with different types of roles as Process Associate, Senior Process Associate, EDI analyst, Senior EDI Analyst, QA analyst, and Associate Lead.• Extensive knowledge of Employee Benefit Administration System, Cobra Administration, Open Enrollment, US Healthcare System, Benefit Enrollments, Member Demographics, Payroll, 834/5010, ANSI X12 Standards, Proprietary Formats, EDI Transactions, Test Scenarios, Health Plans, PHI Information, and HIPAA Regulations etc. • Experienced how to work different types of EDI feeds - Qualifying Events, Initial Rights, Port & Convert, Evidence of Insurability, Payroll, FSA, HSA, Medical, Dental, Vision, etc.

Experience

1. Associate Lead - Edi

   A3logics

   Jul 2010 — Present · Jaipur, IN

   Managing the quality of 50-80 members is a huge experience for me as always marked myself with client satisfaction. My primary responsibility is to monitor the quality of the EDI feeds and continuously provide support to the EDI configuration team with my experience on their EDI jobs.Gathering the requirements in the form of account structure (EDI mappings) and specifications frominsurance companies/clients, configure that requirement in benefit administration system, apply the appropriate rules in EDI translator to transform requirements into the required EDI format.Communicate with carriers, clients, brokers, and other parties to collect the relative information.

Education

• Engineering College Bikaner

  BE

  2004 — 2008

Skills

• Electronic Data Interchange (Edi)