Duke Tran

Washington, DC · Phone · Email

Duke is a dynamic and project-oriented IT professional with over 7 years’ experience and knowledge of the complex business processes within the healthcare industry. I am ready for the next opportunity that will utilize my combined industry expertise and technology savvy to contribute to the growth of the organization.


Experience

Founder

Sano Ecosystem, Inc - Fredericksburg, Virginia.

Sano is a unique Healthcare Software start-up company focused in providing quick and efficient claims for billing.

  • Produce and maintain a software product for small doctor offices which help medical clinics a fully- inclusive platform that matches & assigns health/medical data with insurance claims
  • work with developers to design algorithms and flowcharts
  • Produce clean, efficient code based on specifications
  • Integrate software components and third-party programs
  • Verify and deploy programs and systems
  • Troubleshoot, debug and upgrade existing software
  • Gather and evaluate user feedback
  • Recommend and execute improvements
  • Create technical documentation for reference and reporting
February 2018 - Present

Electronic Data Interchange (EDI) Specialist

Pathways Headquarter - Fredericksburg, Virginia

Liaison between the provider network and trading partners. Responsible for a contract agreement, testing and deploying electronic data interchange transactions for the Health InPathways is one of the largest national providers of accessible, outcome-based behavioral and mental health services idustry.

  • Liaison between the provider network and trading partners
  • Responsible for a contract agreements, testing and deploying electronic data interchange transactions medical coding and billing
  • Prepare required documentation before implementing software applications
  • Developing and executing various test plans which would further demonstrate the proficient usage of project life cycle
  • Mentoring analyst and fellow analyst
  • Providing on-call technical support
March 2017 - October 2018

Double Coverage Claims Analyst

NALC Health Benefits Plan - Ashburn, Virginia

National Associations of Letter Carriers (NALC) Health Benefits Plan is a private health insurance organization that provides comprehensive medical coverages for government and postal employees.

  • Complete and oversee a variety of professional assignments to review, evaluate, authorize and monitor services provided and received medical services claims
  • Implement and apply medical cost containment procedures and guidelines to providers of medical care and utilization practices
  • Processing double coverage, Medicare, Medicaid, accident, and regular medical claims
  • Understanding how to read ICD-9 and ICD-10 on IBM Access (System 10)
  • Reviewing claims for errors, such as overpayments and fraudulent charges
  • Ability to research for any changes in policy so that each claim is correct
  • Review and key other plan’s liability and other information required for processing claims
  • Work with providers and vendors to obtain non-network discounts
February 2011 - February 2018

Volunteer

Chief Development Officer

OEMR is a non-profit organization that moderates the development and business processes of OpenEMR, an open-source electronic health records software for Hospitals and Clinics.

  • Plan, coordinate and assure implementation of strategies to develop donors and contributions in support of the organization
  • Ensure that philanthropy and fund development are carried out in keeping with the organization's values, mission, vision and plans
  • Build and maintain high-level contacts with current and prospective customer and other business and project partners.
  • Recommend short- and long-range fund development plans and programs that support the organization's values, mission and objectives
  • Maintain accountability and compliance standards for donors and funding sources
  • Participate in short- and long-term strategic and operational planning for the organization
Dec 2017

Skills

Programming Languages & Tools
  • html5
  • css3
  • js
  • reactjs
  • npm
  • node
  • wordpress
Workflow
  • Mobile-First, Responsive Design
  • Cross Browser Testing & Debugging
  • Cross Functional Teams
  • Agile Development
  • GCP Development
  • AWS Development
  • Linux, Windows, & Unix