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Professional Summary
15 plus years of experience in the computer software & manufacturing industry, 11 plus years of those as a Software Implementation QA Manager *Good understanding of Software Development Life Cycle (SDLC) and Testing Life Cycle *Testing methodologies such as waterfall model, Agile and Iterative development methodology *Maintain ongoing communications between the project champion(s) and management throughout the project to ensure the necessary commitment for a successful project *Unit, functional and user acceptance testing experience to insure the software is working as designed and designed to meet the expectation of the customer *Diversified Experience in Integration tests, Black Box testing, Functional testing, Performance testing, System testing, Regression testing, and User Acceptance testing
Core Qualifications
SAP (Manufacturing Modules), Proficient in Windows 10, 8 &7, Windows Server Web Edition, Enterprise Edition, ALM (HP Quality Center), HP Quick test, HP Mercury Load runner, QTP, Win Runner, QF-Test, Silk Test. Microsoft TFS, Selenium.
Experience
06/2016 to 01/2017
Test Manager Optimum IT Solutions － Houston, TX
  • Support meeting requirements: organize participants, locations, agendas, and minutes.
  • Track project milestones and deliverables.
  • Track status against project plan.
  • Manage several releases per year having multiple functionality enhancements, change requests and defect fixes.
  • Prepared the Test Plan, Traceability Matrix, Test Data Management, Test closure reports.
  • Establish and implement QA standards, best practices, and processes, establishing Productivity improvement processes, reusable testing methodologies, Mentor the testing team for Quality assurance methodologies.
  • Review Business requirements, plan test scenarios, review test deliverables with stake holders.
  • Conducted Release readiness meetings to define release scope and any changes to the scheduled releases.
  • Create, review, update-Test plan, Test strategy, Test scenarios, Test scripts/cases.
  • Hand-off work to offshore team and gather daily status End of day report for onsite team.
  • Performed Root Cause Analysis (RCA) for any issues encountered for release such as deployment delays, release readiness delays etc., and Incident management.
11/2014 to 04/2016
Product Quality Engineer Lead FMC TECHNOLOGIES － Houston, Texas
  • Responsible for quality assurance for all subsea oil production manufactured for CDM.
  • Validate manufacturing documents meet FMC and customer specifications.
  • Managed both direct and indirect reports including frontline supervisors, customer service, procurement and quality.
  • Recognized and awarded multiple awards for providing the quality products to the customers, OTD and meeting all the customer requirements without compromising the quality and integrity of FMC.
  • Guided and helped IT team to test the manufacturing parts per customer specifications using various software and testing methodologies.
  • Eliminated unnecessary data book review process using Green Belt DMAIC methodology saved the company over 800 engineering hours on a yearly basis.
01/2012 to 09/2014
Quality Manager & Senior Analyst FOXCONN ASSEMBLY LLC － Houston, Texas
  • Developed and managed test planning and test execution phases (integration, functional, system, regression, user acceptance testing and customer acceptance testing).
  • Managed SQL Server 2005 & Exchange 2007, and over 300 user accounts in Active Directory.
  • Improved accuracy from 79% to 100% through cycle counts.
  • Improved and maintained attainment at 98%.
  • Formatted and published plant metrics weekly maintaining proper flow of operations to ensure profitability.
  • Managing more than 30 resources for the whole MRB / IQC department.
  • Analyzed $7.5 million inventory utilizing Green Belt process that reduced the MRB inventory to $1.5 million.
03/2010 to 12/2011
Quality Test Manager / System Analyst OETECHINCAL COMPANY LTD － Houston, Texas
  • Managed offshore teams with more than 20 resources and Coordinated BIT, UAT and E2E testing involving business teams.
  • Established procedures and standards for integration, functional, regression and customer acceptance testing.
  • Coordinated SIT activities and tasks across onshore and offshore testing teams.
  • Coordinated BIT, UAT and E2E testing involving business teams.
  • Accountable for compliance with SDLC processes and delivering defect free application releases.
  • Managed HP Quality Center application as an administrator for the entire project across the EBIT teams.
11/2008 to 02/2010
Project Manager / Senior System Analyst HP Computer Corp － Houston, Texas
  • Executed and maintained program management processes and disciplines in the areas of program schedule and quality management; communications management; human resource management; cost management; procurement management; risk / issue management; change management.
05/2003 to 10/2008
Quality Manager & System Support Analyst eSoft Business Solutions, INC － Houston, Texas
  • Manage a team of six members organizing there assignments, weekly reports and meetings.
  • Train users in groups or individually in the proper usage of company's equipment including but not limited to servers, PCs.
  • Developed applications to facilitate the process of building and maintaining users' profiles on the network.
  • Verified Validation, security, credit limits during all the phases of testing.
Education
Bachelor of Science: Computer Engineering Florida Atlantic University － Boca Raton, Florida Computer Engineering
Skills
Active Directory, book, change management, credit, customer service, Data Management, functional, HP, human resource management, inventory, Load runner, Managing, meetings, Mentor, Exchange, Windows, 98, Enterprise, network, oil, organizing, processes, procurement, program management, QTP, Quality, quality assurance, quality management, QA, Quick, SAP, SDLC, servers, scripts, Silk, SQL Server, strategy, Validation, Windows Server, Win Runner

This resume is created in 7 minutes.
Summary
Dedicated and methodical Billing Specialist with 15 years of successful experience in medical billing and coding. Highly knowledgeable of physician billing, Federal and State regulations. Proficient knowledge of professional claims and billing procedures. Working knowledge of computers and demonstrated proficiency in using Email systems, Internet and MS office software application.
Skills
  • Knowledgeable in Medical Terminology
  • Proficient in assigning the appropriate procedure and diagnosis codes to the proper service
  • Proficient knowledge regarding EPO, HMO, PPO, Medicare and Medicaid
  • Proven knowledge regarding co-pays, deductibles, co-insurance, and write-offs
  • Demonstrated ability regarding posting payments
  • Proficient knowledge regarding denials, appeals, and timely filing restrictions
  • Computer Programs: Alliance, PowerPath. Cortex, Macess, Epic, and ABS
  • SELECTED ACCOMPLISHMENTS 
  • Maintains strict confidentiality
  • Filing Pathologist Validations
  • Created procedure manual for training purposes
  • Reviewed all CPT and ICD books for revised, new and deleted codes
  • Deadline-driven
  • Excellent written communication
  • Exercises good judgment
  • Strong work ethic
  • Patient - focused care
Experience
Dignity Health Medical Foundation Patient Account Rep II 02/2017 to Current
  • Recorded and filed patient data and medical records.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Strictly followed all federal and state guidelines for release of information.
  • Monitored shared email in-boxes and ensured inquiries were addressed.
  • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Confirmed patient information, collected copays and verified insurance.
  • Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
  • Posted charges, payments and adjustments.
  • Submitted refund requests for claims paid in error.
  • Carefully prepared, reviewed and submitted patient statements.
  • Primary source of information for patients medical bills and answer questions via telephone.
  • Assist patients with repayment terms.
Health Net Claims Examiner I - Ops 04/2016 to 02/2017
  • Responsible for adjudication of Encounter claims with a daily production of 100 claims per day with an error ratio of no greater than 5% Maintain productivity to process claims and meet payment requirements within time constraints Thoroughly review potential duplicate claim submission and claims that have been mistakenly paid, or claims paid at the incorrect reimbursement rate Properly adjudicate claims based on knowledge of covered benefits, insurance and provider contract.
Diagnostic Pathology Medical Group, Inc Billing & Coding Specialist 09/2000 to 04/2016
  • Performed extensive research and validation of all CPT and ICD-9 and 10 codes for accurate billing.
  • Facilitate accurate claims processing by interfacing with providers and patients.
  • Post patient's payments.
  • Verify patient's benefits, eligibility, and coordination of benefits via telephone or insurance's website.
  • Maintained annual coding updates.
  • Verify patient's demographics with referring physician office and updated as necessary.
  • Constant communication with all Pathologist to ensure accurate coding.
  • Handled difficult incoming calls from patients, providers, and clients with urgency.
  • Maintained coding manuals.
  • Analyzed, audit, and assigned appropriate CPT and Diagnosis code that correspond to the level of services provided.
  • Checked all cases to transfer from reporting system to the billing system.
Dignity Health Medical Foundation Children's Center Sacramento, CA Patient Account Rep II 02/2017 to Current
  • Accurately entered procedure codes, diagnosis codes and patient information into billing software.
  • Confirmed patient information, collected copays and verified insurance.
  • Carefully prepared, reviewed and submitted patient statements.
  • Performed quality control of the data entry system to verify that claims and payments were posted correctly.
    Performed quality control of the data entry system to verify that claims and payments were posted correctly.
  • Submitted refund requests for claims paid in error.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Monitored shared email in-boxes and ensured inquiries were addressed.
  • Primary source of information for patients medical bills answering incoming inquires via telephone
  • Assist patients with repayment terms
Dignity Medical Solutions Los Angeles, CA Test Manager THESE THESE 
Education and Training
Associate of Science Degree: Medical Billing 1999 Carrington College Medical Billing
2017 Medical Coding Academy Certified Professional Coder
Additional Information
  • SPECIAL SKILLS Able to work in a fast-paced office environment. Ability to prioritize tasks and manage time effectively. Continue to be teachable Professional references and letter of recommendation available upon request

This resume is created in 7 minutes.
Professional Profile
Collaborative systems engineer with 34 years experience in project management and system engineering in the development, test, and project management of intelligence and aircraft related systems.
Qualifications
  • Clearance: TS (w/ CI poly)
  • strategic planning
  • systems engineering & integration
  • requirements analysis
  • program/project management
  • technology transition
  • technology scouting
  • Strong communication skills
Relevant Experience
  • Extensive experience leading teams, developing execution plans, defining deliverables and resources, and providing systems engineering support to DOD/IC research and development activities.
Experience
Booz Allen Hamilton 02/2003 to Current
Senior Lead Technologist NGA/Research
  • Project Manager and liaison to In-Q-Tel responsible for managing project budget details, project schedules, and strategic planning.
  • Interfaced with In-Q-Tel to understand emerging technology companies and trends for IT cloud architecture/infrastructure and cyber security related technologies..
  • Gathered and developed client technology needs and tradecraft information via interviews, field observations, and surveys.
  • Providing system engineering expertise and programmatic support in support of innovative research and development activities.
  • Worked closely with National Geospatial-Intelligence Agency/Research (NGA/R) project managers and scientists to identify and facilitate the transition rapid prototype capabilities, applications, algorithms, web services, and tools to the operational enterprise.
  • Provided programmatic and systems engineering support to exploration of high performance computing techniques.
  • Led contractor subject matter expert team development of SAR and OPIR standards with the NGA and National System for Geospatial-Intelligence standards community, enabling interoperability across disparate remote sensors.
  • Developed execution plans, defined deliverables and resources, developed work schedules, and oversaw quality control and risk assessments for tasks.
United States Air Force 06/1982 to 12/2002
Chief Systems Engineer 02/1753 Advanced Systems Program Office Los Angeles CA
  • Organized and managed the program office's system engineering function and provided intelligence information to support ongoing of acquisition development activities.
  • Revamped the program's systems engineering process implementing system integration and test practices enhancing the program's ability to monitor and meet cost, schedule, and performance goals.
Division Chief, Future Space and Ground Systems Development. 02/1753
  • Defined and advocated for future satellite collection and ground capabilities to addressed national and military intelligence shortfalls.
  • Initiated three special collection capabilities for development and transitioned two innovative prototype systems for operational use.
Systems Engineer NGA Space Based Radar Program
  • Supported client's strategic planning activities to include development of the program management plan, cost estimate, budget and resource plan, and the management of the integrated master schedule.
  • Planned, organized, and oversaw execution of the Spaced Based Radar Central Tasking and Adjudication Best Practices Survey to determine needs and approach for future space radar tasking.  Results were used to drive the DOD/IC community tasking approach.
Systems Engineer NRO Special Project
  • Provided system engineering support and requirements analysis and assisting with development of new business/engineering model to improve organizational efficiency.
Division Chief, Special Communication Risk Reduction
  • Led team in defining and managing the cost, schedule, and performance of the Special Communications Ground Architecture (SCGA) program.
  • Led multi-agency team in defining new concepts and technologies to address key collection requirements successfully validating the technical and operational concepts through a risk reduction program.
Production Manager Air Defense C3 Defense Intelligence Agency
  • Led a team which evaluated the technical capabilities, characteristics, performance, and vulnerabilities of foreign C3 systems.
  • Chaired a national-level Air Defense C3 subcommittee.
  • Provided scientific and technical intelligence (S&Tl) support to weapons acquisition programs and select DoD test facilities.
  • Provided technical briefs and reports to DoD, JCS, Military Services, and Operational Commands.
Electronic Test Manager HQ Air Force Systems Command
  • Monitored command's electronic warfare and C3 test and evaluation programs, participating in preliminary Test Planning Working Group meetings as required.
  • Member of the team responsible for developing the command's Air Force Electronic Combat Test Process.
  • Handpicked to support command's Technology Insertion Committee chartered to identify promising technologies for immediate insertion into ongoing weapons development activities.
Education
Master of Science: Engineering Management George Washington University Washington, DC
Bachelor of Science: Electrical Engineering North Carolina A&T State Univ Greensboro, NC

Graduate of Defense Systems Mgmt College Program Management Course; APDP Certifications in Test & Evaluation; System Planning, Research, Development & Engineering, and Program Management; Air Command & Staff College (Correspondence); and Air Force Squadron Officer's School.

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Professional Summary
12+ years of experience in Information Technology including Project management, QA Test Management and System Analysis Expertise in System testing, Unit testing of Interfaces, forms, Xref Mapping, reports, conversions and enhancements. Expertise in developing regression suite for custom code development in Informatica. Experience in Functional Testing, Agile testing, Regression Testing and Integration testing and expertise in developing Test Estimation, Test Plans, Test cases/Scenarios, Test procedures, analyzing Test results, Test documentation and Test Metrics. Experience leading medium sized Teams spread across multiple time zones and countries Expertise in Process Management using Quality Center to document Test Cases and conduct triage meetings to resolve issues Proficiency in testing REST & Web services using SOAPUI 5.0 and automate using groovy scripting. Proven ability to coordinate medium sized project from initial conceptualization through implementation Experience working with various software development methodologies including Agile, Iterative and Waterfall Excellent knowledge in Sybase, DB2 and Oracle Database Systems and Unix Platform Dynamic team player who is consistently motivated toward success and completion of projects with an ability to work independently A quick learner who can swiftly adapt to new challenges Solid Back End Testing experience by writing and executing SQL Queries. Expertise in QA Testing in distributed Unix/Windows Environment and Oracle databases as back end, Performed end-to-end testing. Work extensively with slowly changing Dimensions & Audit Tables Extensive experience in ETL process consisting of data transformation, sourcing, mapping, conversion and loading Good experience in working with onsite-offshore team model projects. Well versed with Manual and Automated Testing methodologies and principles.
Skills
Work History
QA Test Lead, 07/2014 to 01/2015
Computer Sciences Corporation, Client - Kaiser Permanante – Pleasanton, USA
  • As a part of NCPDP (National Counsil of Prescription Drug programs), KPHC project track will develop and implement changes impacting KP Health Connect, Pharmacy ESB, Legacy NCAL Pharmacy, CDR/CIPS and PODS.
  • It will include the Regional implementation of KPHC Order Interface and working with the NCPDP Standards Board to allow local extensions to NCPDP SCRIPT messaging as part of the standard.
  • As a QA Lead have performed the following duties Worked on Business Scenarios/Functional Patterns Perform Business Analysis, Gap Analysis and Requirement Analysis.
  • Test Scenarios and Test Case Design, Writing & Reviewing Test Cases.
  • Validated the Web Services (SOAP), both Request and Response messages.
  • Tested the SOAP Requests / Responses Messages in SOAP UI.
  • Used Groovy Script for automation script development in SOAPUI.
  • Participated in creating the XML Files and tested the Rules Edits using this XML Files by placing in the respective folders at server side.
  • Did the Traceability Matrix and linked them to requirements.
  • Conducted Daily Status Meeting, review Meeting and handled Defect Call.
  • Maintaining Test Report/Dashboard, Defect Reporting, Status Reporting Test Data planning, Creating SWIFT files, Client Coordination, Handling offshore team and coordinating with onsite team, Managing the Onsite-Offshore Model of testing and ensuring smooth delivery of daily hand-off, KT's and cross-trainings are properly organized, Providing test estimations and schedule/plan.
  • Tools & Technologies: Oracle Database10g, Quality Center 10.0, UNIX, Putty, TOAD v8.0, SOAPUI 5.0, Groovy scripting.
  • Project: Outpatient Pharmacy Replacement Program (OPPR) - Pharmacy Data warehouse-Kaiser Permanente.
  • Coordinated with systems partners to finalize designs and confirm requirements.
  • Provided continued maintenance and development of bug fixes and patch sets for existing web applications.
QA ETL Lead/Onsite Coordinator, 01/2014 to 06/2014
Computer Sciences Corporation, Client - Kaiser Permanante – Pleasanton, USA
  • As a QA ETL Test Lead he will perform the following duties Developed Test Plans, Test Cases, and Test Scripts for SIT and support for UAT tests.
  • Used Informatica as an ETL Tool for Developing the Data Warehouse.
  • Created Test Cases and developed Tractability Matrix and Test Coverage reports.
  • Managed and conducted System testing, Integration testing and Functional testing.
  • Used the Designer to develop processes for extracting, cleansing, transforming, integrating and loading data into data warehouse database.
  • Worked on SQL scripts to load data in the tables.
  • Extensively worked with DS (Designer, Director and Manager).
  • Tracked the defects using Clear Quest tool and generated defect summary reports.
  • Experience testing on XML documents.
  • Validated the data movement and transformations are done correctly.
  • Worked with Data Warehousing developers who extensively used Informatica, to design mapping to move data from source to target database using Stages to do the functionality.
  • Prepared status summary reports with details of executed, passed and failed test cases Interacted with developers, Business & Management Teams and End Users.
  • Participated in regular project status meetings related to testing.
  • Oracle Database10g, Quality Center 10.0, UNIX, Putty, TOAD v8.0, Informatica v8.6, Sap Business Objects XI Project
QA Lead/Onsite Coordinator, 02/2010 to 12/2013
Computer Sciences Corporation, Client - Kaiser Permanante – Los Angeles, USA
  • As a QA Lead he will perform the following duties Responsible for customer interaction, staff supervision, and staff training Team Resource Management and Assignment, Project LOE estimation Develop Service Approach, including service goals, objectives, and strategy Optimize regression suites and test execution for business risks owned by position Test process implementation, training, and continual improvement Test program oversight and progress tracking Use of metrics to support continuous test process improvement Ensure standards and procedures are/have been created, documented and complied to Monitor budgetary goals/limits and assist in establishing the same.
  • As needed, develop test strategies and test plan, identify test data, create and execute test case execution and perform integration test lead responsibly on large programs.
  • Proven track record leading teams to high performance goals Knowledge of basic testing methodology and documenting test plans, execution results, and gathering and evaluating test metrics for test reporting Working knowledge or experience with relational database structures and query techniques Working knowledge or experience testing data warehouse structures and usage of Informatica ETL tools Strong experience and understanding of UNIX & ORACLE environments, Unix-based shell (ksh) and SQL scripting.
  • Excellent written and verbal communication skills Strong organizational and multi-tasking skills Verify the implemented ETL code against the corresponding mapping document.
  • Confirm the data loads from source files into the target tables.
  • Examine sample record sets for consistency, data corruption and over all data quality.
  • Work with business partners, analysts, developers and project managers to develop test plans, produce test scenarios and repeatable test cases/scripts through all parts of the development lifecycle, execute and sign-off for a high volume of data and regular release schedule for successful project delivery.
  • Experience in SDLC and Agile methodologies such as SCRUM.
  • Tools & Technologies
Sr. QA Tester, 02/2007 to 02/2010
Computer Sciences Corporation, Client - Kaiser Permanante – Portland, USA
 As a senior functional Tester, had written functional specifications, developed appropriate test scenarios and scripts, analyzed test results, documented process and system problems and worked with the technical team to resolve them. In addition conducted and participated in Defect Triage meetings. As a part of best practices, this individual designed and developed standard templates for Test Plan, Test cases and Review checklist for the Team. The technical environment included: COBOL, CICS, FILEAID, QMF, SPUFI, JOBTRAC, Mercury Quality center ver.9.2. 
Sr. QA Tester, 02/2001 to 02/2007
Computer Sciences Corporation, Client - Kaiser Permanante – Chennai, INDIA
  • As a senior functional Tester, had written functional specifications, developed appropriate test scenarios and scripts, analyzed test results, documented process and system problems and worked with the technical team to resolve them.
  • In addition conducted and participated in Defect Triage meetings.
  • As a part of best practices, this individual designed and developed standard templates for Test Plan, Test cases and Review checklist for the Team.
  • The technical environment included
Team Member, 09/2001 to 05/2003
Computer Sciences Corporation, Client - Putnam Investments – Boston, USA
  • Project Type
Team Member, 04/2001 to 09/2001
Computer Sciences Corporation, Client - Putnam Investments – Boston, USA
  • Project Type
Rational Test Manager, Computer Sciences Corporation, Client - Hewitt Associates
  • Rational Clear Quest, DOC1 tools of Group 1 Software, CONTROL-D PC, DB2, JCL, FILEAID, IOF, and LOTUS NOTES Database.
Education
Master of Computer Applications: March 2004
From Bharathidasan University - Tamil Nadu
Bachelor of Science: Mathematics Systems Management, June 1999
University of Madras -
Mathematics Systems Management
High School Diploma: April 2001
NIIT - New Delhi
Microsoft Technologies. Engagement Overview

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