Sandy Bartal Email & Phone Number

Richmond, Virginia

Richmond, Virginia

Defines and documents TPA and payer business functions and processes.Identify, define and document business needs and objectives, current operational procedures, problems, input and output requirements and levels of system access.Acts as a liaison between programming and client in the analysis, design, configuration, testing and maintenance of systems to ensure optimal operational performance.Analyzes feasibility of and develops requirements for new workflows and enhancements to… Show more Defines and documents TPA and payer business functions and processes.Identify, define and document business needs and objectives, current operational procedures, problems, input and output requirements and levels of system access.Acts as a liaison between programming and client in the analysis, design, configuration, testing and maintenance of systems to ensure optimal operational performance.Analyzes feasibility of and develops requirements for new workflows and enhancements to existing system; ensures the system design fits the needs of the users.Identifies opportunities for improving business processes.Participates in testing of new system functionality.Provides technical assistance in training, mentoring and coaching professional and technical staff. Show less

Richmond, Virginia

Manage and oversee all components of the repricing system.Evaluate user needs and system functionality.Design and program logic tables to automatically adjudicate claims.Maintain and configure fee schedules, custom tables and other contractual elements needed for complete claim automation.Work closely with software vendor to develop and customize programs to fit business needs.Mentor and train staff with newest system technologies.