Robert Nero Email and Phone Number

- Manages and documents current workflows within the Office of Medical Policy & Technology Assessment. Works to identify areas of opportunity for efficiency and risk, developing recommendations for changes/new procedures.- Assists with the day-to-day management of OMPTA digital content and content management workflows.- Performs lights-on content maintenance and contributes content to Elevance digital properties.- Works with OMPTA team and respective business partners to understand and document their objectives. Develops optimized solutions leveraging the company’s content management system (CMS).- Partners with digital product teams to develop medical policy websites for new markets along with the rebranding of existing websites.

- Guided participating research sites through all phases of a clinical trial. - Served as the main point of contact for sites to ask questions on study design and troubleshoot issues. - Assessed feasibility of potential research sites for participation in various clinical trials. - Developed site materials, training documents, and job aids for site use on clinical trials. - Collaborated with data management team to conduct quality control of clinical information entered in electronic data capture (EDC) systems to ensure overall accuracy of the data entered by research sites. - Managed and tracked regulatory documentation in the study trial master file to ensure documentation is up to date and accurate.

- Updated trial management systems, facilitated the scheduling of study meetings, and maintained site contact information.- Worked as part of a team to develop and implement various MicroSoft SharePoint websites to store, organize, and share information.- Tracked and accurately reported clinical trial payments to government sponsors.- Acted as a facilitator for various publication and presentation committees in the approval process of research manuscripts, abstracts, and presentations.

-Processing of release requests from various locations/persons (Other healthcare facilities, law firms, government agencies, insurance agencies, past and present patients/guardians) coming into DHMC. Interpretation of patient records and determination of what information will be released to requestor.-Coordinating research, risk, and HEDIS requests for approval. Working with outside contractors to grant and establish access to DH Epic system and serve as liaison for contracted reviewers.-Report generation, data abstraction, and interpretation through DH Epic system.

-Working with HIM and Analytic IT departments regarding improvement of current release of information process.-Working with facility’s EPIC EMR to improve health records pulled and abstracted from DH hospital database. -Process improvement involving release of information capturing of data and forms development.

- Gained experience in duties of medical records department including release of information policies, maintaining patients’ medical records, and reporting information to state for public health records.- Exposed to EPIC Software through the lens of both the clinical (front-end) & IT (back-end) settings.- Clintrax/3M encoder software experience in selection & submission of ICD/CPT codes for billing.

-Involved generating, sending, retrieving, & documenting home health forms (POCs, F2Fs, Verbal Orders).- Interpreted medical records, ICD-10 codes, & existing home health forms to ensure accuracy of documentation for correct reimbursement from Medicare.- Followed up with physician offices for documentation and non-compliant form retrieval for reimbursement to Medicare.- Used Homecare Homebase software for tracking documentation, exposure to eSolutions for RAP/final billing to Medicare.

- Helped with coordination of large scale group events (typically greater than 100 people) in park. Responsibilities included setting up outdoor venue, helping in execution of event, and serving as liaison for groups. - Sales experience through cold-calling potential clients for group events at the park. - Additional experience creating order forms through excel, assembling/mailing ticket packages, and running cash register for group sales window at entrance of the park.

- Maintained relations with corporate sponsors for theme park. Responsibilities included running and organizing promotions and giveaways for companies, placing advertising around the park, and exit sampling products for companies.- Responsible for advertising around the park involving ad placement and photography, repair/replacement of ads, and reporting breakdowns of digital advertisements to Six Flags Corporate Alliance.