Post Job Free
Sign in

Project Quality Assurance

Location:
Mooresville, NC
Posted:
August 04, 2014

Contact this candidate

Resume:

Gina Stebbing

*.********@*******.***

**** ****** **** *********: 651-***-****

Eagan, MN 55123 Cell: 651-***-****

EPIC CERTIFICATIONS: Resolute Professional Billing, Hospital Billing Claims Administrator,

ADT/Prelude, Payment Applications Masters, Benefit Engine,

Novant Health, Fort Mill, SC

IT Resolute Hospital Claims, January 2014 to present

• Responsible for build and implementation of hospital claims processing

• Set up hospital billing claim definition files(CDF)

• Created Jobs, runs, batches for systematic processes(E1C, E1D, E1B)

• Set up claim edits and corresponding work queues(CER, WQF)

• Responsible for 837 and UB04 claim form build and overrides(FDF)

• Assisted in application and integrated testing

• Upload claims to Clearinghouse for testing

• Set up payor specific build and edits

Yale New Haven Hospital, New Haven, CT

IT Resolute Professional Builder, August 2012 to January 2014

• Community Connect liaison for Epic Resolute Billing

• Gathered all data requirements for all components of billing

• Build, test and implemented all billing components for new service area go lives

• Trained users on professional billing module

• Provided issue resolution to community clinics

• Communicated with core team and community for system changes

• Served as subject matter expert associated with content, processes and procedures associated with

professional billing

• Excellent communication skills both written and verbal

• Provided issue resolution and ability and assist end users with their questions

Memorial Care, Fountain Valley, CA

IT Resolute Build Lead, August 2011- August 2012

• Lead builder for all Resolute professional billing set up for new affiliate practices

Lead and implement 5010 updates for all electronic transactions

• Analyze current professional billing build across 20 service areas and develop a build strategy that is

consistent and effective for organization.

• Issue resolution across Resolute professional billing module (work queues, statements, claims,

remits, batch jobs, account maintenance)

• Importing new EAP codes

• Documents internal procedures, collects information and prepares specifications of system

enhancements, analyzes functionality in new releases and aids with testing.

• Statement testing with clearing house including FTP set up and testing.

• Claims build and testing with clearing house included charge dropping and processing claims.

• Chronicles reporting

Park Nicollet, Minneapolis, MN

IT-Application Coordinator, August 2008 –August 2011

• Perform in-depth analyses of workflows, data collection, report details, and other technical

issues associated with the use of Epic software.

• Establishing change control procedures for the system.

• Populating databases during the initial system build.

• Setting standards for naming and numbering conventions and security classifications.

• Analyzing data conversion needs.

• Preparing details of specifications as needed.

• Developing and documenting internal procedures.

• Collecting information regarding potential system enhancement needs.

• Responding to Epic’s technical questions.

• Maintaining rules for how each new version is released.

• Analyzing new functionality in new releases to determine whether or how it should be used.

• Ensure that data interfaces in respective applications meets business needs.

• Project lead for Real Time Eligibility build, testing and implementation

Fairview Health Services, Minneapolis, MN

IT- Sr. Business Analyst, June 2007- June 2008

Design, configure, and build simple and complex processes in EPIC applications

Analyze, evaluate, assess and recommend innovative solutions and tactical

business direction within EPIC software applications

Point of contact for systems end-users for issues related to information system

performance.

• Project lead for Real Time Eligibility implementation

• Act as a liaison between application vendor, central business office, and internal customers to

translate customer needs into technical requirements used for driving technical

improvements/enhancements.

• Lead and implement projects of varying complexities and ensuring that the outcome of the project

plan is aligned with the deliverables stated in the scope/ business requirements document

• Dedicated to meeting the expectations and requirements of internal and external customers

• Establishes and maintains trusting and respectful relationships with customers

• Responsible for Quality Assurance process and process improvement to existing workflows

• Designed system testing process and documentation using in Test Director Tool set

• Responsible for adhoc reporting requests using Chronicles utilities

• Proficient in MS Project, Excel, Visio, Access,

HealthPartners, Minneapolis, MN

Business Analyst, 2002-2007

• Provide Central business office and related customers with technical solutions to improve operational efficiency

and financial outcomes.

• Apply technical expertise by reviewing workflows, analyzing data, and problem solving skills for Epic software.

Producing business requirements for opportunities to increase system performance, continuous process

improvement

• Demonstrate project management skills that include the ability to lead, facilitate, plan and organize initiatives

• Responsible for User acceptance testing and post implementation monitoring

• Excellent written, oral and presentation skills

Education

University of Minnesota, St. Paul, Minnesota

B.S. - Consumer Affairs, University of Minnesota



Contact this candidate