Andre Fenwick

I have built the following websites: https://eisenhauertwirl.com/ https://dronesbydre.com/ https://verticalvinc.com/ https://coastalsolfoodtruck.com/ Part of my job duties consisted of · Gather website requirements from the business · Purchase domain and set up proper hosting · Create and maintain email and login information using CPanel · Create and update website page information per business requirement · Create and update generic content using key words for SEO

· Dashboards creation for performance analysis and report · Worked with functional and admin teams to deliver automated workflow solutions · Configured and maintained catalog items and their associated workflows · Assisted in building and maintaining internal technical documentation, manuals, policies, and processes · Performed daily system health checks including system log review, memory and processor utilization, and overall systems availability · Executed routine system performance reports and regularly reviewed reports with managers · Configured and maintained network computer systems including hardware, system software, and applications · Replaced and upgraded defective and outdated hardware when necessary · Monitored system performance to ensure functionality. · Presented and illustrated geographic information in narrative and graphic forms · Produced comprehensive facility, environmental utility products and services using georeferenced, digitized as-builts, floorplans, blueprints, imagery, and surveys · Developed, maintained, and annually updated sales parcel pdf maps for use in property hearings · Coordinated with multiple internal and external teams to resolve end-user issues · Installed and configured appraisal software · Used Active Directory to create user accounts and administer user rights in appraisal software.

· Analyze claims to determine if eligibility requirements and claim filing requirements are met and make determinations · Calculate Other Health Insurance (OHI) COB amounts using the data from claim such as the EOB or prior payment information given. · Identify when to pend to other departments based on guidelines · Process all claim types by determining corrective action to be taken on various types of errors pended by the system and resolving interactive edits · Translate, research, and verify claim information to determine if all requirements have been met · Review submitted claim information and select correct procedure code and diagnosis code using ICD-9, ICD-10, CPT4, and HCPCS manuals. · Contact providers and beneficiaries for missing claim information to process the claim through. · Participated in the development and support of the testing program aimed at supporting multiple testing efforts simultaneously

· Interacted with stakeholders, users, portfolios, vendors, and development team for the full life cycle of the project · Provided subject matter expertise to the development team and QA throughout the project lifecycle • Designing, developing and coding SQL programs to execute backend tests on the QNXT system • Designing comprehensive testing strategies for Benefit testing as a part of IT Quality and Compliance department. • Designing, developing and maintaining regression test beds and schedule test cycles. • Designing & building test suites. • Leveraging the testing process and test tool kit to create re-useable test assets. • Implementing QA process and testing automation projects to improve the overall testing cycle. • Identifying testable events and develop the test cases / test scripts. • Identifying and capture test data to support the test cases defined by the testing team. • Reporting regression test results and analysis. • Utilizing appropriate testing tools. • Participating in the development and support of the testing program aimed at supporting multiple testing efforts simultaneously. • Assisting with test strategy articulation, planning, and management of individual testing events. • Providing regular contributions to the test management reporting. • Validating problem resolutions and software fixes as well as track issues and defects. • Understanding the business risk and implications of introducing new software or hardware into the production environment. • May provide leadership on various QA projects.

· Provided technical support for over 25 web design applications via phone, email, and live chat · Educated customers on maintenance and usage of our software · Created and distributed documentation, flash videos and tutorials for customers and the company’s knowledge base · Aided users for databases, operating systems, compilers and third-party software including advice and discussions and discussions of search engine optimization techniques · Installed, configured and troubleshot network and application server hardware, operating systems software and peripheral network equipment such as routers, bridges and network interface cards/modems · Beta tested all software before release and communicated with developers to make sure any bugs we found had been fixed and any last-minute requests would be integrated into the latest versions of the application

· Assisted in planning and coordination of application upgrades and releases, including development and execution of some test plans · Demonstrate ingenuity self-reliance and resourcefulness. Able to take action without instructions using attained business knowledge which is applied consistent with current configuration and operations · Participated in defect resolution for assigned component · Assisted with development of configuration standards and best practices · Suggested improvement processes to ensure systems are working more efficiently and improve quality · Loaded and maintained provider, contract, benefit or reference table information into computer system(s) · Conducted Unit Testing when appropriate · Applied previous experience and knowledge to research and resolve Utilization Management issues, claim/encounter issues, pended claims and update system(s) as necessary · Applied knowledge of interfaces and other applications to research and resolve issues and update system(s) as necessary · Collaborated with team members to share experience and knowledge · Monitored claims queues to identify issues, makes recommendations, and implements configuration changes to improve claims accuracy

· Resolved and configured solutions for complex issues in an effective and efficient way · Department QNXT expert and liaison between Claims and UM for fired edits and QNXT errors that resulted in paid claims and auto adjudication · Worked closely with TriZetto on system testing and resolutions · Corrected and edited training manuals for Utilization Management that was initiated and administered by TriZetto · Created step-by-step refresher training materials for staff to meet legacy system transition to QNXT Go-live · Assisted with Provider communication letters for HHSC approval, as well as denial letter and approval UM letters process · Navigated QNXT demo as UM Lead for HHSC onsite review · Assisted with External Links created to correlate with QNXT to meet CHC needs outside of QNXT