Customer Service Analyst

STANLEY MARTIN ALSPEKTOR

**** ******* ****** ** **********, Washington 98065

425-***-**** ****.*********@*****.***

Summary of Qualifications:

Revenue Cycle /Systems Analyst with a focus on the healthcare/health insurance industry

Extensive background successfully executing Full Systems Development Life Cycle (SDLC)

Expertise in hospital financial billing applications including inpatient, outpatient, lab, pharmacy, radiology and clinical SNF/ALF applications

Experience performing QA analysis, system upgrades and maintenance

Subject Matter Expert on a wide variety of health care systems

Extensive analytical and training support for end users

Professional Experience:

Fred Hutchinson Cancer Research Center (Seattle, WA)

Systems Analyst Programmer, Clinical Research Data Systems (November 2010 - May 2011)

Support and maintenance of the laboratory billing systems within FH/SCCA ensuring charges flowed between the laboratories, institutional payers, research sponsors and insurance companies via LabVision

Laison between Clinical Research Data Systems, Department of Finance, Laboratory Administration, and the Related/Unrelated Donor Office in ensuring the systems are set up for laboratory billing functionality

Daily monitoring and SQL reporting of charge flow from laboratory peer systems through Gateway interfaces and into the EPIC billing system

Triaged patient account issues when charges fell into EPIC Error Pools and Work Queues preventing them from being processed via ePREMIS

Analytical support and training for the end-users on the LabVision and LabWare systems ensuring all demographic billing information was gathered for each sample that was submitted to the lab for analysis

Genesis Health Care Corporation (Kennett Square, PA)

Inpatient Senior Business/Support Analyst (August 2006 -January 2009)

Business Analyst functions included requirements gathering of system specifications from key stakeholders and end users of the Clinical Information System (Wescom, PointClickCare) and the Physician Billing and Accounts Receivables System (Sage, Medical Manager)

Worked in close collaboration with the Directors of Nursing and Business Office Managers at multiple Skilled Nursing, Assisted Living and Rehabilitation facilities for the configuration of end user system requirements, upgrades, fixes, issue tracking and testing of applications

Implementation and Integration of new versions of PointClickCare on a bi-monthly basis. User acceptance testing and debugging of new releases. Presentation of test results to HIPAA/SOX board for promotion to production

Analysis of ANSI X12 HL7 837/835 claim transmission via the ENVOY clearinghouse

Maintained CRM SalesLogix Ticket file for documentation/troubleshooting of system issues

Eclipsys Corporation IT Outsourcing (Westbury, NY)

Ancillary Applications Analyst (April 2005 – May 2006)

Member of an IT team supporting a multi-platform Siemens Radiology and Laboratory Clinical Application System for multiple hospitals at North Shore Long Island Jewish Health System

Provided Radiology Information Systems/ Picture Archiving and Communications Systems (RIS/PACS) customer service and tier-two level help-desk support via 24/7 on-call schedule

Maintained RIS/PACS and Laboratory servers including Orders and Results interfaces in the event of system failure and/or loss of communications

Ensured RIS/PACS systems performed as expected in the performance of radiology examinations and procedures including accurate and timely interpretation of radiology results

Ensured all 837/835 transmissions occurred as expected

Group Health Cooperative (Seattle, WA)

Systems Applications Technical Specialist (April 2001 – October 2004)

Provided technical expertise on complex projects for the Membership Services Department supporting the data of a mission-driven, consumer-governed, nonprofit health system

Responsibilities included the QA redesign, development, coding, testing, debugging, documentation, implementation and maintenance of application functionality

Participated in organizational efforts to change, transition, improve or replace department systems within the scope of the existing computer application structure

Virginia Mason Medical Center (Seattle, WA)

Systems Analyst Programmer II (June 1998 – November 2000)

Provided changes to the generation of IDX BAR professional claims for a large, multi-specialty group practice of physicians offering both primary and specialized care

Accountable for the upgrade, testing, debugging and implementation of the IDX and PREMIS electronic claims software

Responsible for the EDI upload, posting and reporting of EOB’s and remits

Education:

MBA, Health Care Management, University of Phoenix (Bellevue, WA) –scheduled graduation August 2011

BA, Quantitative Economics/Business Administration, California State University Dominguez Hills (Carson, CA)

AA, General Education, Los Angeles Valley College (Van Nuys, CA)

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