Robert Cook Email & Phone Number

Louisville, Ky

Plans, implements and assigns Engineers to all EDI system and network configurations to meet business requirements. Coordinates and schedules Engineers responsible for monitoring and operating our EDI systems and networks. Manages relationships with our Business, Information Technology and Vendors. Provides capacity planning and preventative maintenance for EDI systems. Designs technical solutions to integrate new technologies. Participates in projects as subject matter expert for EDI systems. Incorporates business continuity and disaster recovery requirements into our daily operations and coordinates and plans for our annual Disaster Recovery and Failover Test. Serves as the technical escalation for EDI and Operations issues and requirements for review of production EDI networks and systems. Provides problem solving, analysis, research and testing associated with EDI systems and networks. Provides outage and incident recovery services. Develops, recommends and oversees EDI Support standards.

Louisville, Ky

Manage the NGS EDI Technical Support staff of 19 associates responsible for Electronic Data Interchange across all Medicare Part A, B and DME MAC contracts held by NGS ensuring compliance with all Centers for Medicare and Medicaid Services regulations, WellPoint Standards of Ethical Business Conduct and the NGS Core Values. Manage the CMS Change Request (CR) and Joint Signature Memorandum (JSM) Compliance and Reporting for EDI, Coordination of Benefits and Coordination of Benefits Contractor Support, E-Commerce Marketing/Outreach Initiatives, Gateway and Clearinghouse Reconciliation and Support, Help Desk Level III Support and Release Testing activities for all NGS contracts in multiple Data Centers, Gateways and Clearinghouses. Represent NGS at meetings with Centers for Medicare and Medicaid Services and other national standards development meetings (e.g. ASC X12 Standards Development and Workgroup For Electronic Data Interchange Meetings

Louisville, Ky

Managed the EDI Information Systems Support staff of 32 associates responsible for Coordination of Benefits and Coordination of Benefits Contractor, Electronic Commerce Consulting, EDI Enrollment, EDI Helpdesk, EDI Provider Verification and EDI Release testing for all contracts held by AdminaStar Federal, Inc. and Anthem East Medicare ensuring compliance with all Centers for Medicare and Medicaid Services regulations, Anthem Standards of Business Conduct and the AdminaStar Federal, Inc. Core Values. Managed activities related to CMS Change Request (CR) and Joint Signature Memorandum (JSM) Compliance and Reporting for EDI, Coordination of Benefits and Coordination of Benefits Contractor Support, E-Commerce Marketing/Outreach Initiatives, Gateway and Clearinghouse Reconciliation and Support, Help Desk Level III Support and Release Testing activities for all NGS contracts in multiple Data Centers, Gateways and Clearinghouses while promoting the growth of Electronic Commerce (E-Business/EDI) inbound and outbound transactions for all lines of business with our provider and trading partner communities.

Louisville, Ky

Managed and provided key input to the Health Care Financing Administration by participating in multiple technical advisory groups responsible for implementing the Health Insurance Portability and Accountability Act. Managed activities of multiple Electronic Data Interchange projects related to Health Care Financing Administration action plans, transmittals and compliance. Represented the Electronic Data Interchange Unit at Hospital Association Meetings, Gold Star Vendor User Group Meetings and various other Provider/Sender/Vendor Meetings. Managed the Electronic Data Interchange Medicare Part “A” Outpatient Prospective Payment System project. Managed the Electronic Data Interchange Medicare Part “A” Claim Level Expansion Project. Managed the migration of the Illinois Medicare Part “A” EDI submitters from the Health Care Services Corporation into the AdminaStar Federal, Inc data center.

Provided turnkey computer systems to Medical offices in Indiana, Illinois, Kentucky and Ohio. Installed and built all personal and mini-computer systems from components. Experienced at installing and training customers on systems using AIX, DOS, Unix, Windows, Windows 95 and Xenix operating systems. Developed and presented customized training sessions for our Medical Manager customers. Coordinated and scheduled all on-site service by Alliance Medical Corporations technical service specialist. Provided 24-hour hot-line support.

Louisville, Kentucky Area

Provided support to physicians offices with electronic claims transmission problems. Developed a bulletin board system that allows vendors and providers to access Medicare specifications, documentation, agreement forms and bulletins 24 hours per day seven days per week. Served as a co-chair of the American National Standards Institute (ANSI), Health Care Task Group (TG2), Claims Payment Advice Work Group (WG3). Attended development and planning sessions with representatives of the Health Care Financing Administration (HCFA) and assisted in the development of HCFA's Electronic Data Interchange (EDI) migration plan.

Radcliff, Ky

Provided turnkey computer systems to Medical and Dental offices in a six-state radius. Installed and built all personal and mini-computer systems from components. Experienced at installing and training customers on systems using AIX, DOS, Unix, Windows and Xenix operating systems. Developed and presented customized training sessions for customers on Word Perfect and most other major personal computer applications. Provided 24-hour hot-line support and on-site problem resolution, with 90 percent of all problems being resolved over the telephone. Experienced in installing, testing and supporting electronic claims systems in several states.

Louisville, Ky

Provided network hardware, software, application, and telecommunications support to all customers on an IBM 3090-500J mainframe system. Installed, configured and maintained mux, modems, IBM 3174 and 3274 controllers, SNA networks and T1 networks. Provided second level support to all Helpdesk personnel located in PNC's three data centers. Experienced at utilizing data scopes, patch panels, Netview, VTAM, CICS, and LPDA to identify and resolve customer problems.

Louisville, Ky

Supervised the daily operation of a Honeywell DPS-8 mainframe and Prime 750 mini-computer. Provided customer support to Major League Baseball's Scouting Bureau and over a hundred other time-sharing customers using a wide variety of applications. Coordinated all maintenance with field engineers. Maintained all customer data file's and backup tapes. Modified and maintained existing FORTRAN and COBOL source code.

Savannah, Georgia Area And Germany

Installed, diagnosed and repaired Honeywell DPS-8 mini-computers. Developed a comprehensive two-week training program for all computer operators.

Bachelors Degree, Computer Science

Associate'S Degree, Sacred Literature