Medical Billing Manager
Resume:
Resume for Hardy Thomas
Mansfield, TX 76063
Email: adk0kd@r.postjobfree.com
Professional Experience
Oct 2017 – Oct 2020
GovernmentCIO, Washington, DC 20001
Senior Developer
Software developer for business entity with Veterans Administration contract to evaluate and remediate security gaps for the VistA healthcare system
Analysis, design and testing of code to securely transmit electronic healthcare records (HL7) among VA sites and interfaces between VA and third-party locations
Transmission of HL7 records to/from server and create means to audit and record all incoming/outgoing transactions
Support SQA testing of development solutions, ensure best coding practices and automate spreadsheet methods of collecting and verifying test data
Windows, MUMPS, Reflection, Cache, UNIX, Excel VBA, Agile, Jira
March 2012 – March 2017
Quest Diagnostics, Pittsburgh, PA 15220
Programmer/Analyst
Project management for design, coding, documentation and maintenance of medical billing system
Consultant to healthcare organization for implementation of ICD-10 diagnostic codes, secondary insurance, prevention of duplicate billing, Zika virus testing, management and resolutions for HIPAA electronic transactions
Extensive knowledge and use of transactions for parsing and manipulation of pre-certifications (278), claims (837) and remittances (835), HL7 patient records
Establish personal relationship with internal/external clients, identify and analyze project requirements, prepare statement and/or flowchart of proposed solutions, obtain approvals and compliance verification from departmental stakeholders, code and confirm program operations, write and maintain user documentation
Windows, MUMPS VMS environment
May 2007 – March 2011
TD Ameritrade, Fort Worth, TX 76177
Client Services/Securities Broker
Broker with knowledge of security rules and regulations, series 7 and series 63 licenses
Sep 2006 – Feb 2007
Small Business Administration, Fort Worth, TX 76155
Loan Processor (Temporary Appointment)
Review loan applications for compliance with established criteria and determine the documentation required to effect the agency’s collateral position
Jan 2003 – Sep 2006
Kaiser Permanente, Fort Worth, TX
Project Manager
Assisting healthcare company with the analysis, design and implementation of software projects to enhance system for enrollment/disenrollment of members
Management of resources to implement software projects: adherence to formal and informal project methodologies, establishing goals, timelines and deliverables
Development budgets for assigned projects, reporting and posting milestones through development progression, variation analysis for projected and actual costs/time
May 1999 – Jan 2002
BlueCross/BlueShield, Dallas, TX
Project Manager
Assisted healthcare company with the analysis, design and implementation of the processes to send and accept electronic transactions in compliance with HIPAA
Management of workgroups to implement electronic transactions: creation of subgroups, appointing team leads, establishing goals, timelines and deliverables
Jan 1997 – May 1999
Dynacare, Dallas, TX
Programmer/Analyst
Analysis and programming of healthcare provider medical billing system using HL7 developed standards for integration and sharing of information
Sep 1994 – Jun 1996
Laboratory Corporation of America, Dallas, TX 75243
Programmer/Analyst
Project management for design, coding, documentation and maintenance of medical laboratory and billing system (Former hospital laboratory technician)
Education
Bachelor of Arts UT Arlington
Majors: Mathematics, Foreign Language
Minor: Biology
Technical Skills MS Office, MS Access, Visual Basic, Oracle, SAS, MUMPS, Cache, PL/SQL, ALC, Oracle, COBOL, C
Foreign Languages
French, working knowledge of German and Spanish
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