Configured POS, PPO,  HMO, Medicare,  Medicaid, Indemnity and ASO benefit packages. 

 

Provided Beginning & Advanced Benefit Configuration Training.

 

Completed PCP & Specialty  capitation arrangements. 

 

Provided Capitation Training and Certification.

 

Set up provider pricing, loaded fee schedules, configured outlier DRGs. 

 

Provided Pricing Configuration Training.

 

Implemented AMISYS® for startup company; provided project management, configuration  and general  decision –making guidance. 

 

Programmed Aged A/R reports.

 

Provided project management and testing support for new releases and expanding functionality.

 

Configured Indemnity  billing and premium rates.

 

Trained Config staff to extract data for reporting/auditing/testing.

 

Wrote reports & extracts for trouble -shooting, auditing, documenting.

 

Assessed Provider Reimbursement staff and processes. 

 

Participated in numerous conversions in all phases of planning, design, development, testing and go-live.