Bobby Zimmerman

Mobile, AL

251-***-****

EXPERIENCE DEPTH

EXPERTISE

Consultative IT, implementation, and sales experience with an expertise in Cerner and Siemens conversions

Interfaces – HL7, X12 and any defined format

Integration testing and go-lives

Extensive Project Management experience in taking Enterprise conversions from inception to go-live

Project Management roles included pricing, negotiation, scope, specifications, team(s) talent selection, project planning and meeting milestones through project fruition

Building scripts, testing in multiple environments, and coordination with end users, vendors and development

ChartMaxx/MedPlus, including paperless registration and RCM design. Currently owned by Quest Diagnostics

Datagate (STC)

McKesson (formerly HBOC)

Interfaces for Laboratory, Patient Accounting, Medical Records, Collections, and other Ancillary systems

Cerner: EMR (Registration, Patient Access, Clinicals, Optical to zero balance)

Cerner Practice Management – RCM (eligibility, compliance, medical necessity, pre-registration, referrals, patient balance summary and estimation, claims status, remit reconciliation and remittance posting)

Soarian Financials and Billing (key designer in the billing and encounter edit process)

Inpatient and Ambulatory Workflow

Blood Bank Bridge integration and IT testing

OCR combined with data integrity decision support

SSI suite of applications

24+ years in Healthcare Information Technology and interfacing

Responsible for system design for several providers to implement a corporate wide initiative to convert systems to an EHR standard across the enterprise via HL7 and X12 transaction standards

Senior level expertise immersed within HIS integration and conversions

Instrumental in the integration between Cerner and Siemens Revenue Cycle Management and Clinical interfaces to create a unified enterprise solution; including all ancillary systems.

Expert in all facets of the Revenue Cycle; specializing in Patient Access, inclusive of eligibility, compliance, ability and propensity to pay, patient estimation, and remit reconciliation from expected payment and claims status versus final adjudication; focused on Inception to Zero Balance

Sales and Business Development

Analyst for integrations to MS4, Invision, Soarian, Cerner, Meditech, McKesson, SSI, Artiva, EDM, CBB, Optum 360, Blackbaud, RCA (Crowe), RVS (MCRU), NaviHealth, MedAmerica, MacroHelix, EPIC, RelayHealth, CPSI/TruBridge, MEDHOST/HMS and various other ancillary systems

Experience with large Health Systems

PROFESSIONAL HISTORY

The Hiring Group (THG) Palmetto Health 2017-Present

Integration Specialist

Responsible for specifications and mapping for enterprise interfaces from eGate to Rhapsody for Cerner applications

All interface conversions were HL7 based

Integrations included: ADT, Lab, (AP, Micro, Blood Bank, and Gen), Transcription, Radiology, Powerworks, and other ancillary systems for a five-hospital system

eGate MONK source and eGate Designer experience in designing the specifications for the migration of eGate to Rhapsody

Worked with development to prepare the integrations for UAT and production deployment

Wave Online LLC, Mobile, AL 2015-2016

Vice President Healthcare RCM

Responsible for overseeing United States interest for RCM sales, design and partnerships

Discussed and educated on technologies such as HL7 and X12 transformations and transaction based delivery for many RCM solutions, including commercial and governmental payer delivery

Established RCM strategies for Billing organizations

Worked cohesively with large outsourcing companies to discuss AR vulnerabilities and technological solutions to reduce receivables

Consulted on the care continuum components of the encounter and how to leverage partnerships. Discussions were technical by nature with design built in to delivery potential

Consulted on negotiations of outsourcing projects in conjunction with transcription, coding and RCM

The MICE Groups Inc. Dignity Health 2013-2015

Technical Integration Analyst

Analyst for integrations from Meditech to MS4, Cerner, SSI, Artiva, EDM, CBB, Optum 360, Blackbaud, RCA (Crowe), RVS (MCRU), NaviHealth, MedAmerica, MacroHelix, EPIC, Siemens and various other ancillary systems

Responsible for system design for several providers to implement a corporate wide initiative to convert systems to an EHR standard across the organization via HL7 and X12 transaction standards

The SSI Group Inc., Mobile, AL 1999-2012

AVP Business Development/Technical Sales 2010-2012

Managed a team of four payer relations representatives

Responsible for establishing and managing Channel Partner relationships

Liaison between R&D, Sales, and Vendor Relations

Responsible for Sales Support, demonstrations, and technical consultation

HL7 and X12 expertise

Data Analytics proficiency

Consultative HL7 and EMR strategies; inclusive of real-time, batch and data integrity

Experienced in data analytics between eligibility, claims, and remittances

Consultative role in revenue cycle and clinical products, specializing in HL7 and X12 subject matter

Work with Technical Architects on research and proof of concepts; namely a comprehensive real-time claims editing interface from Siemens Soarian to a collection of revenue cycle edits through a patient encounter

Industry experience with CRM, Marketing (Sales, and Service), specifically SalesForce.com

The SSI Group Inc., Mobile, AL 1999-2010

AVP Research and Development

Managed and directed over 15 employees including developers, architects and database administrators

Expert in all facets of the Revenue Cycle; specializing in Patient Access, inclusive of eligibility, compliance, ability and propensity to pay, patient estimation, and remit reconciliation from expected payment and claims status versus final adjudication. Focused on Inception to Zero Balance

Maintain expertise in product advancement relating to HL7 integration across enterprise solutions

HL7 and X12 Interface Engine design and product development direction

Responsible for new product development and design; namely a complete and robust Patient Access workflow product

Managed consultative programming for two Managed Care subsidiary organizations

Lead the first CAQH/CORE certification for a combined clearinghouse and vendor certification for X12 transactions

Responsible for management of data analytics regarding eligibility, claims status and remit reconciliation

Public Speaking engagements and seminars, including NY, TN, AL HFMA chapters

MedPlus Inc., Cincinnati, OH 1996-1999

Patient Accounts Programming Specialist

Responsible for designing programming specifications of the revenue cycle portions for the EMR/EPR system ChartMaxx.

Implementation of Chart\Maxx and workflow capabilities

Conducted ROI studies for ChartMaxx deployment for Hospitals and Laboratories; namely Quest Diagnostics and Lab Corp

Assisted in the design and sale of a ChartMaxx workflow solution to Quest Diagnostics worth approximately 18 million dollars

Public Speaking engagements and seminars, including KY HFMA

Worked as a consultant for Future Core Inc., a subsidiary consulting firm of MedPlus performing ROI’s, IT measured growth plans, and comprehensive workflow analysis and recommendations; including IT three to five year plans for providers and laboratories, as well as, interface consultation regarding MPI integration from multiple ancillary and enterprise systems

Managed business analysis for EPR/EMR implementations for hospitals and laboratories

Information Solutions, Mobile, AL 1997-1998

Senior Development Executive

Worked in a partnership to Internationalize Time Warner’s Billing and Renewal System out of Tampa FL

Managed all internal and external communications to Time Warner’s senior management regarding processes, status reports and deliverables

Implemented deliverables remotely, and on-site in Tampa, FL

The SSI Group Inc., Mobile, AL 1995-1996

Senior Implementation Representative

Responsible for programming, implementation, and support of a remittance processing system

Designed, developed and implemented custom provider applications.

Developed and maintained all code modifications

Developed the Windows enhanced version HARP (Heath Care Automated Remittance Processing)

Maintained the clearinghouse portion of remittance retrieval and delivery.

Responsible for Sales Support of the remittance applications and technical consultation

Baptist Health Care, Pensacola, FL 1992-1995

Systems Engineer

Responsible for maintenance support programming, security, and interface development for a large HIS system; namely HBOC (now McKesson)

Developed interfaces for Laboratory, Patient Accounting, Medical Records, Collections and other ancillary systems. Proficient in interface analytics and data reconciliation between multiple systems

Responsible for project management and implementations of many interfaces to ancillary applications, including MPI/EMPI interfaces to the host system

Certified STC/Datagate (currently eGate) interface engineer

Fully versed in HL7 from the earliest versions to date

EDUCATION & CERTIFICATIONS

University of West Florida - Pensacola, FL 1994

Bachelor of Science Management Information Systems

University of West Florida - Pensacola, FL 1994

Bachelor of Science in Business Administration

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