Eva Kiser

Experience

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  Aetna, a CVS Health Company

  May 1989 - Sept 1996

  Claims Processor/Member Services/Quality Analyst

  • Processed group medical claims for Basic/Major Medical, Indemnity, PPO, Managed Care, and HMO plans• Assisted plan members and medical providers with claim and coverage inquires via telephone and correspondence• Tracked claim error trends and facilitated improvement of overall claim quality by coordinating with provider relations, medical providers, and claims processing

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  UT Health East Texas

  Sept 1996 - Mar 1999

  Senior Programmer/Analyst

  • System support and business analysis for Healthfirst HMO including system software upgrades, training, query programming, benefit package setup, and EDI mapping• Membership/Enrollment, Provider, Claims, Financial Systems, and Security support

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  Legacy Consulting Services

  Mar 1999 - Aug 2000

  Managed Care Consultant

  • EDI Mapping and training using PowerMHS claims system ECM/EXTOL module• QA Testing for Y2K and system enhancements for PowerMHS claims system• Membership/Enrollment, Provider, Claims, Financial Systems, and Security system consulting• EDI Enrollment, Claims, Billing, and Payment transactions using ANSI 834, 837, UB92, and NSF standards

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  Self-employed consultant

  Aug 2000 - Jul 2002

  Healthcare EDI Consultant

  • EDI Mapping and training using PowerMHS claims system ECM/EXTOL module• EDI Enrollment, Claims, Billing, and Payment transactions using ANSI 834, 837, UB92, and NSF standards

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  FedEx Services

  Jul 2002 - May 2014

  Senior Programmer Analyst

  • Primary responsibilities include design and development of Customer, Accounts Receivable, Billing, Customer Matching, and Billing Entry systems using COBOL and Coolgen • Developed and tested data extraction from corporate Data Warehouse using Java and Teradata • Developed and tested processing JMS messages and calling corporate Web Services using Java, JMS, and XML• Customer Systems, Customer Matching, Freight Bill Entry, Billing and Revenue Systems experience• EDI Invoicing, Shipment Status, Remittance, Load Tender, and Bill of Lading transactions using ANSI 210/214/820/204/211 standards• Data Extraction, Conversion, and Loading for new product lines and company acquisitions • Software Design, Coding, Testing, and Implementation complying with Sarbanes-Oxley and Corporate standards Show less

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  Medecision

  Nov 2014 - now

  • Senior Service Delivery Analyst

    Jan 2020 - now

  • Senior Solutions Analyst

    Mar 2018 - now

  • Senior Systems Analyst

    Nov 2014 - Feb 2018