Mary Claypool

Mary Claypool Email and Phone Number

Healthcare Professional @ Digital Simplistics
lenexa, kansas, united states
Mary Claypool's Location
Tonganoxie, Kansas, United States, United States
Mary Claypool's Contact Details

Mary Claypool personal email

n/a
About Mary Claypool

20+ years designing solutions for claim adjudication systems. Experience as both, payer and provider, for pharmacy, professional, and facility processes and systems. Exceptional knowledge of HIPAA Security and Privacy Guidelines, Medicare Part B and Part D, DUR, compound drugs, dual insurance and the more complex issues arising during on-line claim transactions between providers and payers. Extensive work with 835 5010 and NACHA financial transaction standards.Strong knowledge of transaction code sets and layouts, including ICD-9, CPT, RARC, CARC, DRG, DUR, NCPDP Transaction Code Sets, SnoMed, NDC, Medi-Span, and NACHA.Experience with several desktop applications including Microsoft Office Suite (Access, Excel, Outlook, Paint, PowerPoint, Project, Publisher, Sharepoint, and Word), Quality Center, Toad for Oracle, and Crystal Reports, as well as many proprietary Healthcare applications.

Mary Claypool's Current Company Details
Digital Simplistics

Digital Simplistics

View
Healthcare Professional
lenexa, kansas, united states
Website:
speedscript.com
Employees:
16
Mary Claypool Work Experience Details
  • Digital Simplistics
    Quality Assurance
    Digital Simplistics Jan 2016 - Present
    Lenexa, Ks
  • Mckesson
    Business Analyst
    Mckesson Jan 2008 - 2014
    - Fulfill Statements of Work (SOWs) for enhancements to McKesson’s PBM product, ProHELPDESK and integrated applications, including ProFINANCIAL. - Identify and prioritize requirements for internal and external client enhancement requests, then design comprehensive solutions. Steps included testing existing functionality, determining front and back end development, database, batch, scripts, and providing use cases to address requirements and test cases to demonstrate functionality of proposed solutions.- SME for ProFINANCIAL, batch extract and load programs, claim reprocess, EOBs, Member EOBs, User Security module, and CMS Plan Finder file projects.- Experience working with large relational databases; including claims warehouse, table normalization projects, batch programs, and running queries. - Ability to work independently, multi-task, and manage multiple projects simultaneously, while being mindful of SDLC and SLA requirements. - Participated in CMMI Level II Certification efforts. Participated in implementing processes resulting in greater accountability for all areas in our division, improved communication between all areas and improved BSA processes and documentation, including life cycle documentation and storage processes, peer reviews within the BSA team, design reviews with the Development team, and test case reviews with the QA team.
  • Solid Datasystems, Inc.
    Pharmacy Software Vendor - Co-Owner
    Solid Datasystems, Inc. 1993 - 2007
    Job responsibilities included all aspects of managing a pharmacy software vendor company.- Overseeing pharmacy software vendor operations.- Customer support for up to 100 pharmacies using SOLID/RX, including troubleshooting hardware and software issues - Providing on-site training to pharmacist owners and their staff.- Publishing monthly newsletters for pharmacy clients. - Ordering product through distributors and overseeing product fulfillment to customers with UPS and the use of UPS software. - Working with insurance, CMS, Medicaid and Medicare help desks, and switch companies to resolve complex insurance issues (DUR, dual insurance, contracts and reimbursement concerns) for pharmacy clients. - Identify enhancement opportunities to align with organizational goals and develop project plans to implement enhancements.- Monitor Federal and State (Kansas, Missouri, and Nebraska) mandates and work with stakeholders and organization resources to implement changes required to ensure system compliance.- Project Manager for all enhancements throughout the Software Development Life Cycle, including problem identification, analysis and design phase, development phase, testing phase, release management, and documentation.- Led SOLID DataSystems staff and users in compliance with updated NCPDP Transaction Code Sets, HIPAA Privacy and Security Rule of 2003, implementation of Medicare Part D in 2006, and software certification efforts when indicated.

Mary Claypool Skills

Healthcare Information Technology Hipaa Software Documentation Business Analysis Requirements Gathering Sdlc Healthcare Process Improvement Sharepoint Healthcare Professional Services Management Program Management Requirements Analysis Hipaa Privacy And Security Software Design Testing Informatics Quality Assurance Medi Span Databases Nacha Ach Input File Structure 5010 Transaction Standards And Code Sets Ncpdp D.0 Transaction Standards And Code Sets Batch Design Troubleshooting Real Estate Cms Plan Finder Files Release Management

Mary Claypool Education Details

Frequently Asked Questions about Mary Claypool

What company does Mary Claypool work for?

Mary Claypool works for Digital Simplistics

What is Mary Claypool's role at the current company?

Mary Claypool's current role is Healthcare Professional.

What is Mary Claypool's email address?

Mary Claypool's email address is ma****@****att.net

What schools did Mary Claypool attend?

Mary Claypool attended University Of Phoenix.

What are some of Mary Claypool's interests?

Mary Claypool has interest in Animal Welfare, Children, Disaster And Humanitarian Relief.

What skills is Mary Claypool known for?

Mary Claypool has skills like Healthcare Information Technology, Hipaa, Software Documentation, Business Analysis, Requirements Gathering, Sdlc, Healthcare, Process Improvement, Sharepoint, Healthcare Professional Services, Management, Program Management.

Who are Mary Claypool's colleagues?

Mary Claypool's colleagues are Jennifer Marshall, Justin Schick, Chris Selby, Katherine Briggs, Sally Deweese, Bryan Munoz, Chris Heath.

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