Insurance Health
Resume:
Denise Brown
Email: *********@********.***
Address: *** ******* ******
City: Ossining
State: NY
Zip: 10562
Country: USA
Phone: 914-***-****
Skill Level: Experienced
Salary Range: $90,000
Primary Skills/Experience:
See Resume
Educational Background:
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Job History / Details:
DENISE J. BROWN
167 Charter Circle, Ossining, NY 10562
*********@********.***
SUMMARY
MBA in Information Systems with extensive experience as a COBOL Mainframe Senior Programmer Analyst. Experienced in analysis, design and implementation of information processing systems, with particularly strong interpersonal skills in communicating with and assisting the user community.
Technical: COBOL, TSO/MVS, OS/JCL, Adabas/Natural, Endevor, ProComm Plus, Syncsort, FOCUS (Information Builders), MVS Utilities, Librarian
EXPERIENCE
ACS State and Local Solutions, A Xerox Company Mar 1993 - Oct 2012
777 Old Saw Mill River Rd, Tarrytown, NY
System Development Specialist in EMS Ambulance Billing for numerous municipalities in the U.S.A. Responsible for development and support of in-house Mainframe system for billing and reporting of ambulance claims using COBOL and ADABAS/Natural. Special expertise in EDI (electronic) insurance billing of Ambulance claims to Medicare, Medicaid, and commercial insurance. Supervised programmers and consultants. Responsibilities included:
Develop and support the creating and transmitting of all EDI Insurance claims to various entities,
including Medicare, Medicaid, and Commercial Insurance claims.
Develop and support automated processes to transmit claims to the insurance carriers using
dial-up Bulletin Board systems and Procomm Plus communication software.
Responsible for trouble shooting and solving any problems with transmissions or claim file
rejects, including reading EDI reject files TA1, 999.
Develop and support automating the process of handling Medicare Remittance/Payment advice
files (835 format), so that payments and denials were applied to our database.
Converting Health Insurance Claims to ANSI format 837 version 4010 from National Standard
Format, and later from version 4010 to version 5010.
Pepsi Bottling Group, PEPSI-COLA COMPANY, Somers, NY Jan 1984 - Dec 1992
Senior Programmer Analyst - Responsible for five major financial systems utilized at headquarters and 24 field locations. Supervised one employee and three consultants for area changes, realignments, and acquisitions. Language used was FOCUS (Information Builders) on IBM mainframe using VM/CMS and MVS/TSO.
EDUCATION
MBA, Information Systems, Pace University, White Plains, NY, 1982
BPS, Bachelor of Professional Studies, General Business, Pace University, 1978
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