 IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLI Supported McKesson (HBOC Plus2000) ADT, Patient Accounts and Medical Records Created production Patient Accounts reports in COBOL with IMS data bases and VSAM files. Create payment and adjustment posting programs in COBOL with IMS data bases

CoreLink is IT company for Blue Cross Blue Shield of ND, WY and Nebraska.  Unisys Mainframe, COBOL, DMSII, WFL, COMS, CANDE, Agile Team lead for CTG Service Delivery Team Create process in COBOL programs to allow bypass of specific key data and install in multiple programs. This allows any program this is install in to be able to bypass records causing issues by a simple update through an online process instead of putting code in the program that would have to then be removed… Show more CoreLink is IT company for Blue Cross Blue Shield of ND, WY and Nebraska.  Unisys Mainframe, COBOL, DMSII, WFL, COMS, CANDE, Agile Team lead for CTG Service Delivery Team Create process in COBOL programs to allow bypass of specific key data and install in multiple programs. This allows any program this is install in to be able to bypass records causing issues by a simple update through an online process instead of putting code in the program that would have to then be removed.  Work on multiple RX Claims projects. Create process in COBOL program to handle duplicate RX accumulators and Accumulators in error so they can be reprocess through batch process daily instead of having to be fixed manually through online process.  Handle all technical interviews to build staff of 10 consultants and Client Service Manager. Handle technical interviews and perform all on-board training for nine additional Consultants Assisted with CSM duties first two months. Show less

Senior Consultant for multiple clients

IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLICreated COBOL batch HL7 interface from Cerner to HBOC PMAS system. This included reading the HL7 files, editing the data and building the IMS data base segments for all ADT transactions in PMAS system* Create COBOL programs for post payment process to read 835 formatted Lock Box file and post payments for Medicare, Medicaid, Commercial and Patient payments to IMS data bases. * Authored online interface from… Show more IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLICreated COBOL batch HL7 interface from Cerner to HBOC PMAS system. This included reading the HL7 files, editing the data and building the IMS data base segments for all ADT transactions in PMAS system* Create COBOL programs for post payment process to read 835 formatted Lock Box file and post payments for Medicare, Medicaid, Commercial and Patient payments to IMS data bases. * Authored online interface from CARE system to HBOC written in ADSPLUS. The interface took O/P pre-admits, admits, discharges and E/R admits and discharges from the CARE system and updated the HBOC system. * Enhanced online interface from CARE system to HBOC to include the insurance modules. This included adding, updating, deactivating, reprioritizing payers and financial class changes, to include the updating of the MSP for Medicare payers* Setup HBOC archive and purge jobs. Modify purge process to store purge date on historical IMS data base. Created restore process that allows the user to request an account to be restored through an online process written with ADSPLUS. Created COBOL batch programs process that only requires the operator to submit one job. That job will then build and submit the JCL with sort parameters for each year that has an account to be restored. This eliminating the need for the operator to know what tape data set the accounts are located on to do the restore *Served as technical lead on installation of HBOC PMAS release 10.5, 6.0, 6.1 and 7.0 for ADT, Patient Accounts and Medical Records. *Key player in closing down HBOC. Including meeting with user Management teams and IT Management team to determine functionality and reports necessary to maintain system as it winds down. Meeting with outside Vendors to help choose a platform to store HBO instead of mainframe. Including modifying production run schedule and removing jobs as they become obsolete. Show less

 IBM Mainframe, COBOL, JCL, DB2, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, SQL Support UCLA Home Grown ADT system written in COBOL and ADSPLUS. Support McKesson (HealthQuest) ADT and Patient Accounting system written in COBOL 24/7 Oncall support for ADT applications and HeathQuest applications system Created production ADT reports using COBOL with DB2 and VSAM files. Create HealthQuest programs to recreate Rebill and Mail date files with COBOL and VSAM files. Create… Show more  IBM Mainframe, COBOL, JCL, DB2, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, SQL Support UCLA Home Grown ADT system written in COBOL and ADSPLUS. Support McKesson (HealthQuest) ADT and Patient Accounting system written in COBOL 24/7 Oncall support for ADT applications and HeathQuest applications system Created production ADT reports using COBOL with DB2 and VSAM files. Create HealthQuest programs to recreate Rebill and Mail date files with COBOL and VSAM files. Create HealthQuest file splitting program to handle payment reversals with COBOL and VSAM files. Show less

 IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLI Modified COBOL billing program to place CPT4 codes with modifiers on the UB92 for selected inpatients. This required updates to the Service Master, Third Party, UB92 form macro and COBOL billing program PCIBILL Created a COBOL program that would process accounts that reimbursement had been recalculated after the original bill. The program would recalculate the contractual adjustment and update IMS data bases… Show more  IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLI Modified COBOL billing program to place CPT4 codes with modifiers on the UB92 for selected inpatients. This required updates to the Service Master, Third Party, UB92 form macro and COBOL billing program PCIBILL Created a COBOL program that would process accounts that reimbursement had been recalculated after the original bill. The program would recalculate the contractual adjustment and update IMS data bases without the users having to request rebills for the accounts. This eliminating the printing of unnecessary bills and save user time Key player in the successful install of HBOC PMAS release 10.4 for ADT, Patient Accounts, Medical Records and Clinical Care System, to include, but not limited to, the process of merging the code, all levels of testing , development of the ‘go live’ plan and on site support during the ‘go live’ Upgraded all billing programs and statement programs Responsible for merging the Toledo modification of the old BTS version of COBOL program On-The-Move to the new batch COBOL version Responsible for setting up all batch schedules for each of the testing sessions, to ensure that all the daily, weekly, monthly and yearly jobs were run at the appropriate time so that the correct reports were available to verify the accuracy of the system test Show less

 IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLI Maintaining billing system, applying all state and federal regulatory code changes as well as site required modifications. Supervise the maintenance of service master and third party data bases, including prorations and contractual adjustment programs Responsible for all Patient Accounts system modifications. This includes the analysis, time estimating, attending of all meetings with P.A. management team… Show more  IBM Mainframe, COBOL, JCL, IMS, VSAM, CICS, TSO/ISPF, FTP, ADSPLUS, ODLI Maintaining billing system, applying all state and federal regulatory code changes as well as site required modifications. Supervise the maintenance of service master and third party data bases, including prorations and contractual adjustment programs Responsible for all Patient Accounts system modifications. This includes the analysis, time estimating, attending of all meetings with P.A. management team, writing of specifications and writing new COBOL and ADS programs Create charging system that allow direct posting from any department from dynamic charge screens that are tailor for each department. The process allows the charge screens to be created and modify by the user through online process and request to have screen generator run. This removed the programming staff from the maintenance of these charges screens Develop system to meet hospital requirements for restructuring from a traditional nurse station with ancillary charging to a decentralized environment with sub-ancillaries though out the hospital. This included development of multiple charging and ordering processes that allowed revenue to be routed to any of the 25 different cost centers under each nurse station or any cost center of the sub-ancillaries. This was done with both COBOL batch programs and ADSPLUS online programs.  Key member of install team for IBAX release 87.2 for ADT, Patient Accounts and Medical Records systems. This was a conversion from the NDC system Key member of install team for IBAX release 10 for same systems plus CCS. This was a full upgrade of all IBAX systems consisting of over 18,000 modules Show less