Robert Barkley Email & Phone Number

Greater Pittsburgh Area

Relocated to Maryland

Greater Pittsburgh Area

 Primary Function is HIPAA EDI functions; 835(ERA)-Claim Payment Advice, 835(EFT) – Electronic Funds Transfer, 837I/P- Claims, 278-Request for Review, 270/271-Inquiry & Response Handle all inquiries regarding Electronic claim files and Electronic claim payment files. Responsible for all aspects of the Navinet Open implementation, including all aspects of requirements testing (e.g. testing plan, scenarios, testing outcome, and identifying defects). Performed UAT and defect… Show more  Primary Function is HIPAA EDI functions; 835(ERA)-Claim Payment Advice, 835(EFT) – Electronic Funds Transfer, 837I/P- Claims, 278-Request for Review, 270/271-Inquiry & Response Handle all inquiries regarding Electronic claim files and Electronic claim payment files. Responsible for all aspects of the Navinet Open implementation, including all aspects of requirements testing (e.g. testing plan, scenarios, testing outcome, and identifying defects). Performed UAT and defect management. Serve as Subject Matter Expert and Functional lead in supporting Navinet Open/ Legacy processes Identify data requirements and implementation of the upcoming HIPAA Version 5010 electronic transactions Field incoming problem tickets and open Clarify cases for end users to resolve application issues  Create and maintained Translate Tables Analyze business operations and user requests, make recommendations for process improvements and system solutions, and facilitate their design and implementation Responsible for testing, training of new system implementations and Lines of Business Conduct staff meetings on new and upcoming changes to process, policies and procedures Provide implementation support for the analysis, design, configuration and testing of new application functionality Assist Corporate Compliance Officer on investigations, tracking, and reporting all HIPAA issues involving data exchange Show less

Greater Pittsburgh Area

 Electronic Data Interchange (EDI) coordinator Using Seagate Crystal to create custom daily/month A/R Clarity Reports  Work with all Payers regarding receiving & review Electronic Files (Claredit, Paper remit) Responsible for Technical support on Medipac, Epic, Medtech, VDE systems Responsible for updating and creating new Policies and Procedures Worked with all Payer file movement groups (Highmark, Medicare, WebMD) Researched, and solving of employee/system… Show more  Electronic Data Interchange (EDI) coordinator Using Seagate Crystal to create custom daily/month A/R Clarity Reports  Work with all Payers regarding receiving & review Electronic Files (Claredit, Paper remit) Responsible for Technical support on Medipac, Epic, Medtech, VDE systems Responsible for updating and creating new Policies and Procedures Worked with all Payer file movement groups (Highmark, Medicare, WebMD) Researched, and solving of employee/system errors  Conduct staff meetings on new and upcoming changes to process and procedures Handled all inquiries regarding system errors, functionality, and enhancements needed Show less