1. RASHEEDAH WALI
Experience
2012-Present
Yale New Haven Hospital
I.T. Epic Professional Billing Analyst
• Analyze workflows and understand policies, procedures and constraints of the business
operation. Analyze new releases to determine how workflow should be modified.
Configure, build and install.
2011-2012
Collaborative Laboratory Service-St Francis Hospital, Hartford Ct
Systems Analyst
• Responsible for quality testing and training end users on new Mitem Corporation software
“Elaborate” for the hospital. registration
• Experience managing exception log and aborted messages
2000-2011
Quest Diagnostics Wallingford, CT
I.T. Physician Implementation Analyst
• Responsible for the management of I.T. projects for the implementation of client
interfaces.
• Provides guidance and assistance to the sales organization regarding interfacing and
integration requirements.
• Participates in direct interaction with clients and clients' vendors, ie. Experience with
vendors such as Allscripts, ECw, Misys, etc
• Coordinates software issues, hardware requirements, communications requirements and
data mapping requirements.
• Designs and participates in test plans. Accountable for development and
implementation activities for testing and quality assurance to meet project delivery
schedule.
• Implements CPU interfaces using the standard procedures and work plans. Plans and
validate project testing strategy and provides advice on prioritization of testing activities
in support of identified risks
• Collaborates across multiple cross functional teams to skillfully execute milestones and
deliverables in a timely manner.
• Manages implementation and integration of quality principles and processes for the
implementation of quality interfaces and I.T. processes.
• Communicates technical information to sales team and clients
• Maintains documentation and metrics on all interface implementations.
• Initiates and conducts kick of calls with clients and vendors.
• Troubleshoots software and interface issues. Opens and resolves tickets in Peregrine
application pertaining to problems with client interfaces
• Experience with project management. Ensures quality methods and procedures are
executed.
• Acts as a single point of contact for client for post implementation of interfaces
• Troubleshoots client and vendor related issues pertaining to client interface
• Experience with HL7 specs
• Experience with hub and vpn tunnel connectivity for client interfaces
• ▪Experience with vendors such as Allscripts, ECw, Springchart, Integrate
• Build test compendium
2. • Run physician utilization reports
Quest Diagnostics Wallingford, CT
I.T. Implementation Coordinator
• Responsible for scheduling analysts for connectivity products
• Interaction and follow-up with providers, sales, vendors, and analysts for connectivity
products
• Responsible for entering and updating background information for connectivity products
• Responsible for maintaining Eform, LIS, QLS, Torol Admin, and Portal Admin, Epre, and
Care360 applications
• Troubleshoot and resolve client connectivity problems
• Coordination and implementation of all communications pertaining to connectivity
products, i.e. Phone, dsl, cable modem communications, and cabling
• Ensure patient historical results are available to clients where possible
• Act as a single point of contact with clients and sales for status of installation and service
• Effective verbal and written communicator with technical and non-technical individuals
• Experience with Web based applications and Care360
• Experience with trouble shooting technology related issues
• Experience with customer service and project management
• Experience with exception and error logs
• Trained clients and peers on LIS and Web based applications
Billing Coordinator
• Follow-up on patient/insurance claims for patient, insurance, Medicare, Medi-Cal *
Medicaid carriers
• Customer service phone calls both received and outgoing from patients, insurance
carriers and clients
• Billing of co-pays, deductibles, some secondary insurances
• Retrieval of test request forms and microfilm
• Edit procedure to ensure proper information for billing
• Responsible for recovering bad debt
• Investigated and resolved missing and incorrect insurance information
• Investigated and resolved missing diagnoses codes
• EDS, Multiplan insurances, CHN
• ICD 9 coding, Hicfa
• Client Service Representative
• Answer high volume of phone calls in call center for medical laboratory.
• Give patient results and lab test requirements to doctors and phlebotomists.
• Investigate and solve problems for clients.
1999-2000
TPA North Haven, CT
Customer Service/Claims Processor
• Data Entry
• Claims Investigation
• Answer Telephones
1994-2000
Yale New Haven Hospital New Haven, CT
3. Secretary
• Billing, typing, and general office responsibilities
• Answer multi-line telephone
Admitting Expediter
• Assist in the complete process of admitting patients.
• Process patient information for admission.
• Scheduling and transport patients
• Benefits Representative
• Liaison between the medical benefits office and insurance companies.
• Processed reimbursement account claims for employees.
• Maintained employee medical benefits and tax annuities records.
1988-1992
Burger King Supervisor
• Supervision of first shift employees
• Scheduled employees
• Payroll
• Cash audits
• Trained new employees
Education
• B.S. Degree Albertus Magnus College
• A.A. Degree, Albertus Magnus College
• Achieved 4.0 GPA and graduated “Magna Cum Laude”
• Epic Professional Billing Certification
• Epic Professional Billing Claims Certification
Experience
• Microsoft Office
• Excel
• Idx
• LIS
• Billing
• Eform
• Peregrine
• Sunquest
• SFS QB Registration
• Elaborate
• CPU interface project implementation skills
• ASTM
• HL7 message
• Knowledge of operations within a clinical (hospital or physician)
• Project Management skills.
• I.T. experience since 2005
Interests/Achievements
• Achieved 4.0 GPA and graduated “Magna Cum Laude”.
• Interests are singing and jogging.