Jennifer Phares

Jennifer Phares Email and Phone Number

Manager of Informatics at Leading Edge Administrators @ Leading Edge Administrators
new york, new york, united states
Jennifer Phares's Location
Greater Phoenix Area, United States
Jennifer Phares's Contact Details
About Jennifer Phares

QUALIFICATIONS SUMMARYIn-depth knowledge of the healthcare industry, skilled in technical assessment, management and data mapping. Adept at articulating complex technical concepts to users of varying technical understanding. Skilled in communications, data analysis, developing business requirements, Use Cases, User Stories and User Interface Mockups. Experience includes working with many types of healthcare data (clinical, pharmaceutical, and claims), knowledge systems (terminologies) and data quality. Effective public relations skills, including delivering formal presentations, written communications and conducting classroom training. Recognized accountable achiever who goes out of their way to excite stakeholders, take initiative and work autonomously.KEY COMPETENCIESProduct Owner: Experienced in SDLC - leading the design, development and implementation of enterprise-wide business processes and software initiatives utilizing Agile and Waterfall. Responsible for creating, building and then operating new revenue generating opportunity in the Medicaid payer market.EDI: XML, ANSI ASC X12: 837 (Claims: Institutional/Professional/Dental), 835 (Claims Payment) 834/270/271 (Eligibility), 276/277 (Claim Status), 278 (Authorizations), NCPDP D.0, CORE and Real Time PBM.Technical Skills: Microsoft Office (Word, Outlook, Excel, PowerPoint, Project and Visio), Jira, SQL and JSON.

Jennifer Phares's Current Company Details
Leading Edge Administrators

Leading Edge Administrators

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Manager of Informatics at Leading Edge Administrators
new york, new york, united states
Employees:
45
Jennifer Phares Work Experience Details
  • Leading Edge Administrators
    Manager Of Informatics
    Leading Edge Administrators Jun 2022 - Present
  • Zelis
    Electronic Data Interchange Specialist
    Zelis Jul 2021 - Jun 2022
  • Mphasis
    Senior Product Consultant
    Mphasis Oct 2019 - Jul 2021
    Phoenix, Arizona Area
    Perform client implementations on the Javelina Payer Platform which encompasses oversight of all aspects of those projects.• Liaison between the client and Development/Business Analyst teams utilizing User Stories, User Interface Mockups and Traceability Matrix for enhancements• First line triage for client vendor implementations, issues during implementation and post go live support• EDI Transaction Subject Matter Expert tasked with mentoring Javelina peers • Compile and analyze application data against incoming data utilizing SQL queries• Provide consultant led demonstrations for qualified prospects on behalf of the Sales/Marketing Department, as well as support for completion of Requests for Proposal
  • Revint Solutions
    Underpayment Recovery Manager
    Revint Solutions Apr 2019 - Aug 2019
    Remote Position In Nashville - Corporate Office In Philadelphia
    Manager of multiple project teams that offer underpayment solutions through identification and recovery of underpaid or denied dollars.• Create value for clients through utilization of clinical audits, contract modeling, charge capture and trend analysis• Own project profitability by balancing staffing needs with annual revenue projections• Responsible for training, development and daily direction of 10 - 12 team members across 3 - 5 client engagements• Responsible for oversight and quality assurance on final client deliverables as well as coding and process change recommendations• Prepare and present detailed revenue cycle evaluations and recommendations for national clients
  • Change Healthcare
    Recovery Services Manager
    Change Healthcare Feb 2016 - Apr 2019
    Greater Nashville Area, Tn
    Responsible for providing operational leadership and management within the Medicaid Third Party Liability (TPL) business unit.• Perform technical implementation of TPL billing services for new Medicaid Managed Care clients, production control (file management, processing optimization), change management, and customer support• Oversee the operations of recoveries and payables as well as Business Analyst• Responsible for assuring appropriate management practices, maintenance of appropriate staffing levels, competency assessment, staff orientation, ongoing education and development in all areas of responsibility• Functional Owner of EDI • Subject Matter Expert on HIPAA, NCPDP and Payer specific transactions• Attend Daily Scrum meetings, worked closely with Scrum Master and provided input during Backlog Grooming and Sprint Planning
  • Change Healthcare
    Business Analyst Iv
    Change Healthcare Aug 2015 - Jan 2016
    • Compose business requirement and functional specifications for NCPDP D.0, 835 and 837 Transactions• Manage discussions between the product owner and the technical team to drive definition and implementation of business requirements • Oversee project timelines and communicate with management staff and clients to ensure projects progress satisfactorily• Fulfill EDI Subject Matter Expert role in HIPAA X12 transactions for projects including proposals, development, discovery, requirements, technical approaches and key deliverables
  • Eldorado Computing, A Division Of Mphasis
    Senior Edi Business Analyst
    Eldorado Computing, A Division Of Mphasis Dec 2009 - Aug 2015
    Remote Position In Nashville - Corporate Office Located In Phoenix, Az
    Provide software support for healthcare payers including third party administrators, insurance companies, self-fundedemployers and PPO’s• Compose business requirement and functional specifications for 278, 820, 835 and 837 Transactions• Function as Project Manager for 5010, ICD10, State Based Health Insurance Exchange and Marketplace & CORE Phase III implementation• Evaluate and document software changes• Perform quality assurance of software modifications• Provide Subject Matter expertise on HIPAA X12 4010/5010 transactions, CMS Reporting and ICD9/10
  • Dell
    Business Analyst
    Dell Mar 2005 - Sep 2009
    Phoenix, Arizona Area
    Provide consulting and software support to Physician Practices in the Catholic Healthcare West organization.• Focus on improving end-results and productivity of physician revenue cycle processes• Responsible for EDI and maintenance of HCFA/UB formatting• Operate as a liaison between the technical team and the end-user departments• Developed training material including policy and procedure manuals• Audited processes to ensure they were properly implemented and produce desired effect
  • Entrees Made Easy
    Small Business Owner Of Meal Preparation Franchise
    Entrees Made Easy Mar 2006 - Oct 2008
    Responsible for all business and management activities.• Coordinated and supervised build out of facility including locating real estate, approving architect design, supervising contractor progression, and final approval of site release• Responsible for hiring and management of all employees• Organize all events and media contacts for Grand Opening event and other events• Establish business relationships with vendors and arrange best possible deals for all franchisees• Create and maintain initial customer relationships and educate staff on customer service best practices• Create & maintain a cohesive team of staff members and address any issues that arise promptly and effectively• Responsible for maintaining accounting books on a daily and monthly basis. Institute and maintain investor communications and relations• Operate, manage and run small business franchise from concept through first year of operation• Build customer base by networking, marketing, and advertising in local market• Establish Customer Service policies and teach excellence and “can do” attitude to employees• Continue to build an outstanding reputation for Entrees Made Easy as the #1 Meal Preparation company in the Phoenix area• Create and improve daily operations processes to increase productivity while maintaining a clean and sanitary environment• Manage, train, schedule, and evaluate skills and progress of employees in addition to hiring and firing as needed
  • Sage
    Support Analyst
    Sage Apr 2001 - Mar 2005
    Remote Position In Phoenix - Corporate Office Located In Little Rock, Ar
    Provide software support as well as consulting services for physician practices. Emphasis on sales of custom reports, electronic remittance and interfaces to eliminate manually processes and increase productivity.• Software and hardware support of PCN Health Network, Intergy and Cognos products • Develop and design support presentations for national user conferences• Participate in BETA testing of software updates and upgrades• Responsible for sales demonstrations which emphasize financial reporting, accounts receivable management, and patient retention
  • Tenet Healthcare
    Training & Development Manager
    Tenet Healthcare Mar 1997 - Apr 2001
    Led a team of trainers & support specialist that had a clear focus on process improvement to increase revenue.• Worked closely with Account Receivable Director to develop processes to increase revenue• Project Manager of financial audits, procedure implementation and quality assurance• Develop, implement and administer training manuals and tools • Ensure the integrity and adherence of policies and procedures in a consistent and efficient manner• Positions held at this company: Accounts Receivable Specialist & Accounts Receivable Manager

Jennifer Phares Skills

Requirements Analysis Business Analysis Hipaa Edi Process Improvement Sdlc Healthcare Reimbursement Integration Software Documentation Sharepoint Quality Assurance Testing Healthcare Information Technology Crm Revenue Cycle Healthcare Customer Service Healthcare Analytics Project Management Team Management U.s. Health Insurance Portability And Accountability Act Software Development Life Cycle Business Process Improvement

Frequently Asked Questions about Jennifer Phares

What company does Jennifer Phares work for?

Jennifer Phares works for Leading Edge Administrators

What is Jennifer Phares's role at the current company?

Jennifer Phares's current role is Manager of Informatics at Leading Edge Administrators.

What is Jennifer Phares's email address?

Jennifer Phares's email address is je****@****lis.com

What are some of Jennifer Phares's interests?

Jennifer Phares has interest in Children, Environment, Disaster And Humanitarian Relief, Animal Welfare, Health.

What skills is Jennifer Phares known for?

Jennifer Phares has skills like Requirements Analysis, Business Analysis, Hipaa, Edi, Process Improvement, Sdlc, Healthcare Reimbursement, Integration, Software Documentation, Sharepoint, Quality Assurance, Testing.

Who are Jennifer Phares's colleagues?

Jennifer Phares's colleagues are Patricia “trish” Peeler, Johnson, Kesha Johnson, Jessica Cosme, Marc Leb, Nino Nadirashvili, Jasmin Branham, Aamy Harrison.

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