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Software Engineer Resume Profile

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Richmond, VA

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HEALTHCARE APPLICATIONS PROGRAMMER/ANALYST

I am a highly qualified technology professional with a wide range of experience in healthcare IT. I have thirteen years of experience in M/Cache and the healthcare industry. I provide technical solutions that align with the needs of the business to streamline processes/workflow which ultimately results in both increased productivity and revenue.

Highlights
  • Conversions
  • Interfaces
  • Data/Business/Systems Analysis
  • Implementations and Upgrades
  • Technical Specifications
  • Reports
  • Claims Electronic and Paper
  • Troubleshooting
  • Mass Data Clean Up/Updates
  • Testing and Documentation

Technology Summary

Applications

Microsoft Office, Microsoft Front Page, HTML, HL7, GE Centricity Business

Languages

Cache, M/MUMPS, DSM

Systems

Windows, Unix, VMS

Strengths

Organized Self-Motivated Self-Taught Laser Focus Problem Solver

Multi-Tasking Team Player Quick Learner Communicator Loyal
Professional Experience Confidential

Software Engineer

Support:

  • Revised Managed Care CMS/UB Referral Matching logic for electronic claims EDI 4010 and 5010 submissions . Automation of Managed Care Overpayment Letter process. Both resulted in significant reduction in manual business processes resulting in increased revenue.
  • Resolved a long existing issue which caused claims rejections
  • Various other custom projects to assist customer in meeting business needs

Installations:

  • Conversions: Convert demographic, insurance, and provider data into GE Centricity Business GECB from legacy system to meet customer specifications fixed length or delimited formats
  • Interfaces: Interface GECB to/from other applications for registration/demographic/insurance, and ordering data using Cache Web Services and GE Healthcare Objects XML
  • Development and support of custom data elements utilized in claims
Confidential

Senior Programmer Analyst

  • MSI Application Lead performed code reviews and source code management
  • Development and support of MSI HIPAA 837 electronic insurance submissions Dental, Institutional, and Professional ASC X12N submissions
  • MSI Registration data conversions for Blackstone Valley CHC in Pawtucket RI, Lowell CHC in Lowell MA, and Providence CHC in Providence RI
  • Managed, scheduled, and implemented upgrades for all MSI clients
  • Created, tested, and ran numerous data clean up/update utilities saving MSI clients thousands of man hours potentially spent if done manually
  • Mayo Clinic in Rochester MN Performed maintenance programming for Mayo's Antrim system for lab resulting and reporting. Also assisted with Mayo's lab interfaces and updates for Y2K
Confidential

Assistant Manager

Confidential

Reservation Agent

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