EHR IT Support & Training

Dane Souza

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

P: 858-***-****

PROFESSIONAL EXPERIENCE

Chartperfect, Inc.

**** **** ***** **. *** 240, San Diego, CA 92121

IT/Software Support - Jan 25, 2017- Present

●Electronic Data Interchange Specialist.

Coordinate and manage all EDI-related developments.

●Technical support for clients and office staff.

Troubleshoot and repair software and IT related issues.

Setup of PC workstations and assist in setup of client cloud servers.

Installing necessary programs, updates and drivers

Connect workstations and terminals to existing networks.

Map network drives for applications use.

●Software Training & Medical Billing advice.

Train clients on the proper use of the software.

Review workflow within clients office to identify process improvements and opportunities for training.

●Bug research and work order filing.

Investigate possible constants with issue that may help to identify source.

Document all information gathered for clear and effective communication to developers.

●Reviews the support ticket queue to identify issues that need to be addressed. Any issues that require management attention or involvement are well documented and presented for further evaluation.

●Previous to IT/Support I worked a year for ChartPerfect as a medical scribe/biller and claims follow up.

St. Joseph’s Health System/Insight Global

3345 Michelson Dr. Ste 100, Irvine, CA 92612

Payment Review - Nov 1, 2016- Jan 24, 2017

●Process and evaluate explanation of benefits (EOB) and remittance advices (RA) in a timely and analytical manner.

●Responsible for determining missed reimbursement opportunities as analyst.

●Determine appropriate adjudication of claims and patient balances.

California Choice/Aerotek

721 South Parker St, Orange, CA 92868

Member Processing - Aug 22, 2016- Oct 31, 2016

●Quality check, verify eligibility and process all enrollment materials for participants in Choice Administrators programs.

●Receive process and verifiy the accuracy of employee applications, change/renewal requests, terminations, and other documents for data entry.

●Process applications/enrollment materials with high level of accuracy and ascertain appropriate level of eligibility status.

●Identify and report all inconsistencies found in the data

EA Health

440 Stevens Ave, Solana Beach, CA 92075

Insurance Verification- Nov 11, 2013- July 26, 2016

●Responsible for validating patients billing information, selecting and billing correct entity.

●Ensure timely processing of benefit information and accuracy of claims to ensure highest possible return.

●Maintain electronic patient information imports for numerous Hospitals, Trauma Care Centers, Home Health & Hospice.

●Assist with payment posting, AR follow-up and patient services as needed.

●Review complex EOB’s for Management/Coworkers to ensure accurate recording in software.

●Make outbound calls to patients if additional information is needed.

●Train and mentor coworkers and off-shore data entry team on EMR system. Build testing for AR team.

●Maintain ERA acceptance portal and make changes as needed according to AR feedback

●Audit patient accounts for AR and patient services when too complex for them.

●Primary point of contact for employee issues when escalating.

●Correspondence and follow up on denied/reduced claims.

Remittance Posting

●Post payments and adjustments from insurance EOB’s and ensured each batch is balanced daily.

●Post other types of payment and adjustments from collection agency, interoffice transfers, time of service and patient credit card payments.

●Post ERA file payments and review for accuracy.

Education

Mesa College Present

IT

Valley Adult School 2008

ROP completed in Computer systems

ROP completed in Electronic and Computer repair

Air Force Junior ROTC

Skills

Microsoft Office User Specialist

Proficient in Photoshop and Adobe Creative suite

Experience with HTML5 & CSS3 web site creation.

Small application development in VisualBasic & Java

Lots of user experience in medical software such as: Raintree, Lytec

Clearinghouse experience with Gateway/Trizetto, OfficeAlly, eSolutions/ClaimRemEDI & Zirmed

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