Mary Claypool Email & Phone Number

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.

Listed skills include Healthcare Information Technology, Hipaa, Software Documentation, Business Analysis, and 24 others.

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  University Of Phoenix

  Information Technology With Business Systems Analysis Concentration