Medical Billing Analyst
Resume:
Deb Chakrabarty
************@*****.***
EDI specialist (Medical billing)/Professional
COBOL Programmer Analyst/Systems Analyst/Database Analyst/EDI Data
Analyst/Specialist
Experienced (5+ years) COBOL programming demonstrating a strong record of
success on a variety of hardware platforms and operating systems, printers
and desktop applications, 5+ years of Xbase++ database with clipper
experience in medical billing. Specific experience includes medical
insurance billing contains 837I, 837P, UB-04, 1500, Up-to-date medical
billing knowledge includes HIPAA, NPI, primary, secondary and tertiary
claims, data conversion using different formats include ANSI (837, 835,
277, 997), NSF, UB-04, UB-92, 1500,ANSI version 4010, 5010 and others, high
level report generation and job control language, tape operation, problem
solving in G/L, A/R, strategy identification and implementation skills.
Also, possess strong analytical, organizational and problem-solving skills.
Computer/Technology Qualifications
Cobol, Access, Excel, Word, MS-SQL, Xbase++, Clipper, VB 6.0, JCL, Dos, and
Windows
Hardware includes PC, IBM9375, IBM RISC6000, IBM S/36
Operating System includes Windows 2000, DOS, VM/CMS, SSP, UNIX.
Education
Diploma in Computer Programming
Master of science in Mathematics
Professional experience
Healthlogic Systems Corpration (Subsidiary of Bank of America) Tucker,
Atlanta, 2005-present
EDI Analyst
Develop database that map incoming claim file from different client in ANSI
837, UB04 and 1500 print image, NSF, CSV and other text version to convert
in to in house database such that system can use for further processing.
Develop different database based on payer's requirement that converts in
house Xbase++ database to ANSI 837I and ANSI 837P claims data with maximum
accuracy. Develop database that converts ANSI 835, ANSI 277, ANSI 997 and
other response data receive from the different payer/clearinghouse to a
readable report format such that client can see at company's web. Analyze
all kind of claims rejection and develop a remedy when necessary.
Vitalworks Corporation, 325 Bill France Blvd, Daytona Beach, FL, 1999-2004
Programmer Analyst
Maintain all existing programs and develop new programs of anesthesiology
billing software which satisfied all clients requirements with increased
employee efficiency and accuracy by using COBOL, VB, MS-SQL and MS-Access.
Performed frequent modification of charge entry master program due to
changing healthcare billing policy.
Developed programs to generate electronic insurance claim and convert
electronic remittance data (ANSI 835) into a usable accounting form such
that client can reconcile there accounts.
Analyze hospital demographic data and develop conversion programs to
download hospital data into MSI software data format to save clients time
with data accuracy.
Develop custom reports according to the client's requirement.
Verify client data through FTP, dialup to resolve data issue and
troubleshooting of reports and batch operation problem.
References:
Jerome Mitchell
Email: ******.********@****.***
Phone: 678-***-****
Julin Gu
Email: *****.**@****.***
Contact this candidate