St Paul, Minnesota, United States
Full scope and range of IT experience and understanding across the entire Healthcare landscape from a role as insurance provider system analyst to a senior system analyst for a multi-state behavioral health clinic network, as well as a claims clearinghouse owner/operator. Highlighted skills include: CMS/MNDHS Encounters Production management including SQL database reporting/production setup, production job management/setup in UC4 Automation and liaison roles (with trading partners, CMS, MNDHS) for EDI data exchange connectivity issues. Focus on knowledge base instructional articles, change management processes in ServiceNow, complex SQL queries (for job monitoring, incident investigation and reporting), Scrum team participant for production, development and incident resolution, UAT testing and collaboration with ETL, QA, software developer and business analyst staff, EHR system migration projects including extensive EHR-to-EDI and clinical form-to-table data mapping. Proven ability to handle software process failures in both emergency incident events as well as extensive long duration projects. In a previous role as EHR System Analyst, extensive and broad ranging knowledge of My Avatar EHR Enterprise Software Suite including the primary and sole resource for all billing production as well as software development and migration to other platforms; SQL queries and reporting; SSRS and Crystal report development. And in a past role as a claims clearinghouse owner/operator, healthcare IT B2B liaison as an insurance carrier trading partner gateway for major carriers; Complete customer service/helpdesk, public-facing point of contact and EDI resolution between healthcare providers, billing centers, trading partners and insurance carriers; Healthcare IT and EDI knowledge of claim formats (837, 835, 277, 999); EDI systems development, maintenance and troubleshooting; Technical Support for proprietary software installations, training and service; website design, development and content creation, including technical documentation/instruction and development of an online insurance claim data creation tool (Dental Direct and Medical Direct); Sales meetings and presentations.
Freelance Web Designer and Developer - web page design and development including back-end web server administration and e-commerce; focus on all aspects of development from marketing layout and presentation to search engine optimization; HTML, CSS, Javascript, PHP, CGI/Perl and Coldfusion.
As a System Analyst at UCare, I am responsible for support of a wide range of software suites including Automic UC4 Automation Engine, BizTalk 360, EXP Macess and more. I serve as liaison to 3rd party vendors such as HealthEdge, claims clearinghouse trading partners and support contact to multiple software vendors. I work daily with Service Now for not only Incident Management/Task documentation, but also knowledge base article creation. Primary role is production job processing and analysis for CMS and MN DHS Encounters claims/reporting. Within the Encounters Scrum team, I provide system analysis, production and maintenance to meet state and federal contractual requirements on a day-to-day basis, to ensure claim delivery and proper response documentation receivables through access and liaisons with CMS and MN DHS entities, while attending daily Scrum meetings covering Sprints/Agile methodologies. Skills displayed include an in-depth understanding of complex SQL queries, reading/triage of ANSI x12 EDI and an ability to triage, navigate and configure complex software suites in order to support the business and staff.
Provided system development, analysis and technical support for the practice management and billing modules of the myAvatar electronic health record and practice management software suite. Duties covered a range of responsibilities including analytical skills, technical knowledge, and experience relating to billing processes, data structures, data reporting and system configuration for this behavioral health organization encompassing multiple facilities nationwide. Provided 100% hands on development, analysis and support roles as EHR analyst for the entire billing suite within Netsmart My Avatar for over a dozen behavioral health clinics across the USA. Provided 100% of support needs for the entire RCM billing team to resolve configuration setup, reporting issues and all claims business user issues. Everything from ANSI x12 837/835 analysis, CPT coding, and EHR billing configuration to SQL coding for SSRS and Crystal reporting.
Conducting various day-to-day operations with a strong customer service focus, covering healthcare EDI/ANSI x12 analysis and production processes, insurance carrier and healthcare provider as well as trading partner point of contact. Provided design/development of company web site, documentation, technical writing, instruction manuals and software installation/training for a dental and medical claims clearinghouse. Main company focus is administration of healthcare insurance claim data to insurance carriers on behalf of healthcare providers, billing centers and trading partners; client support relating to insurance claim EDI analysis and investigation, as well as software implementation; insurance carrier liaison for clientele with focus on delivering claims, returning payment and reporting, website Designer/Developer and technical writing (resource documentation and instruction manuals). Designer/Developer of online insurance claim creation tool (Dental Direct and Medical Direct), MIS (deployment and maintenance) and wearer of many hats covering every area of operation for this small family owned medical and dental insurance clearinghouse business.
Consultant to Simple Technology (now STEC Inc.) for database development and data analysis for an online product catalog and system configurator; extensive work with the Filemaker Pro software suite, integrating to a Unix based product/inventory database; developed and applied a unique knowledge of the SimpleTech product lineup and part numbering schemes (drawing from previously held positions in the company including technical support II and inventory control) and ability to integrate/translate this knowledge into a marketing department environment; conducted extensive online product research for SimpleTech's online computer memory configurator.