Post Job Free

Resume

Sign in

Project Manager Engineer

Location:
Sioux Falls, SD, 57106
Posted:
September 07, 2010

Contact this candidate

Resume:

Briana M. Schuette

**** *. ******** ***. ( Sioux Falls, SD 57106 ( ablf7v@r.postjobfree.com

605-***-****

Professional Experience

Sanford Health 09/2008-present

Application Support Specialist 07/2007-

03/2008

Perform Epic Hospital Billing, Claims system support and Professional

Billing reporting. Carry out hospital system migrations to the Epic

platform - including inventory, analysis, build, testing and implementation

phases. Work with all network hospitals to maintain workflow processes,

and design improvements when necessary.

Key accomplishments:

. Design, build and validate Claims processing from service area setup

to master file setups, CDF setup, workflow design and testing -

Primary Claims AC.

. Build and maintenance of Resolute masterfiles, batch jobs, system

definition profiles, facility and service area settings for multiple

service areas.

. 7 successful hospital migrations to Epic- completed DBV process for HB

workflows, workqueues, charge entry, claims, payment posting and

reporting setup.

. Build and maintain HB Account, Charge Review, Claim Edit, and

Adjustment Review workqueues and System Auto Actions.

. Primary Professional Billing Clarity Report Writer, using Crystal

Reports.

. Develop policies and procedures related to HB Billing and Claims

workflows and PB Reports, create and maintain documentation.

. Charge Router build and maintenance for HB, PB, and Interfaces such as

Radiant and EpicCare.

. Setup of Provider Based Billing, routing clinic based transactions

through Hospital Billing module.

. Perform Chargemaster duties as needed.

. Provide Resolute Hospital Billing training to new and existing users.

. Successful implementation of Provider Based Billing for multiple

locations.

. Provide Horizon Homecare support

First Premier Bank

Network Support Technician 03/2008-09/2008

Provide front end user support, as well as back end information systems

support for the Operations Center and branch bank locations.

Responsibilities include: maintenance of a variety of hardware/software

platforms and telecommunications, Altiris administration, security

administration, user administration, auditing, documentation and reporting.

Key accomplishments:

. Operations Center/Data Center move to a new location

. Several successful upgrade rollouts

MedAvant Healthcare Solutions 10/2001-05/2007

Systems Engineer

IT Project Manager

Recruited to research and redesign company network infrastructure.

Successfully completed upgrade of network hardware/software and processes.

Managed several successful IT projects ranging anywhere from the

implementation of a co-location data center to claims processing platform

migrations.

Key accomplishments:

. Claim form processing upgrade from UB92 and HCFA to 4010.

. Claims processing migration from batch jobs to SQL/.NET platform.

. Windows 2000 domain migration from Novell 3.12

. Setup and maintenance of internally hosted company email system

. Setup and maintenance of company website

. Lead the Communications department team, implemented new web and FTP

client communication methods.

. Setup and maintenance of integral backup system

Skills: EPIC Build & Training; Network & Systems Design & Maintenance;

Leadership; Project Management; Integration; Data Integrity/Recovery;

Disaster Recovery Planning; Research & Development; Risk Assessment;

Communications; Implementation; Budgeting; User Administration

Platforms: DOS, Microsoft Windows operating systems 3.x, 9x, NT, 2000, XP,

2003, Vista; SQL; Novell 3.x, 4.x, 5; MKS Toolkit for UNIX.

Networking: AD, DNS/WINS, TCP/IP, Novell, IPX/SPX, Exchange, SMS, VPN, PGP,

HIPAA, Ethernet.

Tools: EPIC, Business Objects, Crystal Reports, Remote Insight Manager,

Backup Exec, Microsoft Project, DotProject, Norton Ghost, Norton Corporate

Virus Protection Utilities, HP OpenView, Remote Administrator, Citrix,

DameWare, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft

Access, Microsoft Outlook, Microsoft FrontPage, Microsoft BackOffice,

Altiris.

Professional Training and Certifications

A+

Microsoft Certified Systems Engineer

PMP Prep Boot Camp

(Approved by PMI for PMP Certification exam)

EPIC Resolute Hospital Billing Administrator Certification

EPIC HB Claims Administrator Certification

Professional Affiliations

Member - PMI

Member - PMI Sioux Empire Chapter

References Available Upon Request



Contact this candidate