Vicki Prather Email & Phone Number

Remote - Horsham Pa

Austin, Texas Area

Austin Texas

Direct implementation of NextGen Healthcare software including NextGen Financial, Nextgen Ambulatory and NextGen Hospital services for hospitals and clinics while leading a diverse team comprised of remote and local talent.

Austin Texas

As the Clinical PM Analyst, I lead the Clinical Build team in loading client data in the NextGen Hospital application. As we progress through the implementation of the product, I work with the Project Manager and the client to insure the correct configuration has been delivered.

Responsible for testing of web based software development employing Agile Software Development processes.Testing lead for Agile team Participant in CCHIT Certification projectTesting lead for software patching processMaintain test cases for current and new feature developmentProduce education material of new features for internal training

Austin, Texas Area

Promoted to manage development teams charged with new product QA. Supervised release testing of all new applications providing a final approval for bug-free, fully functional clinical applications. Oversaw all new staff recruitment, resource allocation and employee assessment functions. Built and mentored cohesive, qualified teams committed to meeting schedule and budgetary needs. Created testing plans, project documentation and test cases.Key ContributionsAuthored company procedures in support of QA operations.

Responsible for testing of all web based software development regarding Acute Care Clinical Documentation, Hospital Laboratory and PDA/Mobile applications.Key ContributionsManaged Offshore Testing resource

Misys Healthcare Systems is the fifth largest provider of healthcare practice management systems in the country. M. Transaction Services is the Clearinghouse Division for all seven subsidiaries processing more than five million transactions per week. Responsible for implementing and testing all payer transaction connections transmitting 4.2 million claims transactions and 950,000 remit transactions per week. Directed staff of 6 Business Analysts responsible for designing and developing over 600 Payer Transactions.Key Contributions Oversaw effort that achieved Level 6 accreditation for the 837 format with ClarEDI. Managed payer transition project to migrate to the ANSI 4010A1 format required by HIPAA Regulations.

Directed staff of 12 programmers responsible for maintaining system functions as well as those responsible for coding transactions formats for more than 600 payers in the pre-HIPAA format.Key ContributionsIntroduced process to track and report weekly programming statistics.

Lead Project Analyst during conversion attain Financial Transation Processing with Mede America.

Transitioned into the team responsible for the ongoing process of reviewing and designing the new payer products. Supported remittance transactions for twelve payers. Exceeded payer developments goals. Gathered payer requirements for electronic process of healthcare claims and remittance.Key ContributionsProvided requirements for the development of more than 40 payers in varied formats prior to HIPAA

Instigated proactive practices to quickly resolve claims rejections and improve customer satisfaction. Created and edited client notifications regarding claims processing issues. Reviewed unconfirmed transmission files. Monitor Payer reports during format conversion Oversaw notices from secondary clearinghouse regarding delayed files. Updated Bundled Coding Initiatives with programming staff Key Contributions Contributed to increase in client satisfaction via faster claims processing

Key ContributionsIncreased efficiency in billing professional claims transactions electronically for numerous provider offices.

Round Rock Texas

Maintained Accounts Receivable and Accounts Payable at four doctor practice Key ContributionsImplemented new practice management system within 2 months of start of employment.

Maintained relationship with two major accounts billing Emergency Physician and CRNA anesthesia claims. Key ContributionsDiscovered under-billed CRNA anesthesia claims for patient accounts in a major area hospital.Implemented process that resulted in the recovery $250,000 of under-billed claims.

Processed claims for for 6 provider groups. Assisted those groups in selecing and implementing practice management software for electronic claims processing.