EDI Expert

JOSEPH OSNAS

***** ****** ***.

Granada Hills, CA 91344

Tel: 818-***-****

vfv00s@r.postjobfree.com

SUMMARY: Expertise in database development for financial, clinical, pharmaceutical, laboratory and hospital systems | Medical billing/collections and claim processing for the Patient Accounting | Deep knowledge of the Enterprise Application Integration (EAI) concept | Ability to provide interface support and bring resolutions to production issues | Experience in embedded application development, software testing and test plan development, software validation. | Experience translating client business requirements into appropriate business resilience solution, considering all aspects of availability, recoverability, scalability and security | Experience designing embedded systems software for use in biomedical applications | Proven ability to formulate and implement advanced technology and business solutions to meet a diversity of needs and maximize return of investment | Expert in writing and optimizing complex SQL queries, stored procedures | Working experience with SQL, MS Office, Mumps, C++, Access | Intensive experience in contact with clients in various disciplines | Excellent understanding of Laboratory and Hospital principles, FDA and CA State Department of Health Services reporting, GMP, GCP, ASTM, HL7 protocols and Clinical processes |

HARDWARE: PDP/11, VAX, AS400, RISC/6000, HP/3000, DEC 5000/Alpha

LANGUAGES: MUMPS/Cache, M/SQL, Ensemble, VistA, C++, HTML, SQL

SYSTEMS: UNIX, AIX, OpenVMS, Windows NT, 2000

VENDORS: Antrim, STARLIMS, Mysis, NextGen, MediTech EDM 5.6 Client server module, Lawson, Orchard, Centricity, McKesson (Horizon, Star), Logician, Cerner Millennium PathNet , Antek, QuadraMed Affinity, Allscript, Heathmatics, Cerner, Cimarron, Epic OpTime

Sybase e-Biz Impact/Neon Interface Engine

Security Clearance: NACI

EXPERIENCE:

VA Hospitals (Contract)

05/10 – 05/11 Lead Developer

Designed and developed the hospital financial applications system.

Maintaining the technical documentation, providing training and support to the clients through managing and implementing the interface and installation process. Mapped the HL7 EDI transactions. Converted the electronic EDI transactions (claims, electronic remittance advice, and eligibility) from the 4010 to 5010 standard. Maintained records and monitored project expenditures. Lead a project team and managed project resources. Developed Work Breakdown Structure and schedule. Developed Communication, Change Control and long-term support and maintenance plans. Analyzed total system specifications and translate system requirements to task specifications for developers. Prepared reports and analyzed setting forth progress, adverse trends and appropriate recommendations and conclusions. Performed the technical functions of systems programming and analysis. Performed diagnostic problem solving of systems software and acted as liaison with vendors on problem resolution. HL7, MUMPS, Epic, VistA

HealthCare Partners Medical Group, Pasadena CA

5/09 – 11/09 Programmer Analyst III

Modeling and creating the NextGen (EPM) systems DataBase. Monitoring and supporting professional billing systems and related applications; electronic HIPAA transactions (claims, remittance, eligibility), Encounter processing, Provider and Pricing updates, A/R Follow-Up, and Reporting. Implementing the NextGen EMR and EPM applications to the hospitals and physicians groups. Experience in revenue cycle areas such as Patient Financial Services, Business Office, Program Office, Billing & Collections, Patient Access, Revenue Assurance, Coding/Charge, Electronic Claims Submission. Performing the test scripts. Maintaining the technical documentation. Providing training and support to the clients through managing and implementing the interface and installation process. Experience with configuring charge router. NextGen Practice Management, FTP, SQL Server

QUEST DIAGNOSTICS, INC.

01/98 – 01/09 Enterprise Applications Development Services

Customer Connectivity Development Team

Senior Programmer Analyst

Was responsible for the Electronic Data Interchange in ASTM and HL7 protocol formats (orders, results). Designed and implemented connections and interfaces between software systems, interface engines (NEON/Impact, Cloverleaf, SeeBeyond, MQ), communication protocols, Perl scripts, FTP. Provided integration architecture design plans for major projects. Created integration technology deployment and operations management strategies and plans. Measured, reported, and monitored metrics associated with the delivery of services by individual staff member and the team. Managed all aspects of interface implementation, including coordinating the progress meetings, testing, problem identification, training validation and resolution.

UNILAB, Inc., Tarzana, CA (part of Quest Diagnostics)

Delivered essential troubleshooting methodologies to repair and determine root cause for LIS issues. Assumed ownership and satisfied tickets of various severity levels generated via customers and/or automated alerts. Created and performed unit, system, integration and user acceptance testing. Served as Developer and Project Manager for small to medium application enhancements utilizing all phases of System Development Life Cycle. Installed and supported the Document Optical Imaging System. Designed, constructed, tested and implemented enterprise wide solutions based on business requirements. Created policy and procedures for system functionality and emergency downtime, SOPs. Developed and implemented collection statements and reports. Executed Daily Task Schedule. Periodically verified communication protocols between various sub-systems and performed reconciliation tasks when necessary. Maintained Affinity database structures for hospital systems. Monitored LIS to identify and repair production support problems.

GlaxoSmithKline, Los Angeles, CA (part of Quest Diagnostics)

Designed CPU to CPU interface between Clinical Trials and National Billing Systems. Conducted Biostatistics and Financial statistical analysis for the Clinical Studies. Interfaced with users daily in resolving operational and software application problems. Wrote code to patch and redesigning ineffective code, test scripts, functional specifications, SOP. Performed remote and on-site support, monitored and troubleshooted hardware/software problems. Developed tools to validate, track, report on data required for corporate product development. Turned requirements into system design. Project management.

Electronic Health Record, Websphere, SeeBeyond, MQ, FTP, Enterprise Service Bus, Impact, MUMPS/Cache, UNIX/AIX,

Open VMS, Cloverleaf, ANTRIM, Sybase e-Biz Impact/Neon Interface Engine

KAISER PERMANENTE, LOS ANGELES, CA

3/96 – 1/98 Senior Programmer/Analyst

Instruments interface, serial device connectivity. Provided both help desk and on-call support the South CA Kaiser Laboratory System. Developed the new statistical reports. Participated in the everyday support of the application system: fixing bugs, archiving the data, and programming enhancements. Programmed and documented the Laboratory Quality Control Management Sub-System to be used in conjunction with Kaiser's Laboratory System, residing on DEC Alpha's and PDP's. DSM, OpenVMS, RUBICON

SPECIALTY LABORATORIES, SANTA MONICA, CA

10/95 - 3/96 Senior Programmer/Analyst

Supported the Laboratory System. Performed code, test and implementation tasks. Provided database directions and consulting during the application development life cycle. Developed the result interface system in HL7 format. Involved in setting up the laboratory instruments so they can communicate to the host machine. Enhanced statistical reports, screens, solved system problems.

DSM, M/SQL, UNIX/AIX, RUBICON

UNIVERSITY OF CALIFORNIA, SAN FRANCISCO

3/94 - 10/95 Programmer/Analyst II

Supported the Pathology, Radiology Laboratories and Operating Room Scheduling systems. Modified routines for inclusion of additional groups (data entry & reporting), modified existing screens using IDX Screen Generator, worked on auto-query system, interfaced patient Billing with SQL query results and modified reports. Diagnosed and corrected bugs in a Hospital Radiology System. Conferred with users. Trained users in daily operations, at their site. Provided on-call application support. Maintained programs, manuals, and technical documentation.

MIIS, Open M, DSM, IDX, EPIC, Meditech, UNIX

EDUCATION: UNIVERSITY OF MOSCOW

M.S. degree in Computer Science

M.A degree in Accounting and Finance

California State University, Northridge Certified Internet Webmaster.

InterSystems, course in M/SQL.

UCLA, Course in Developing ORACLE applications, PL/SQL.

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