Healthcare Claims Processing Automation by Horace LawrenceHealthcare Claims Processing Automation by Horace Lawrence

Healthcare Claims Processing Automation

Portfolio project
Horace Lawrence
Client: Consolidated Healthplans Inc.
Job Title: Technical Consultant / Software Engineer
Summary: The client processes EDI data received to determine the validity of claims and what payments should be made. The process was highly manual and time-consuming. This situation resulted in a high-stress environment, with many supervisors/managers having to work long hours to fulfill their other responsibilities.
 
Actions:
Constructed a tool to manage the EDI process.
Trained less-experienced developers on how to improve and maintain software quality. 
Established coding standards appropriate to the business of the client.
 
Accomplishments:
Managers could now proactively manage the EDI process and fulfill their other responsibilities in a normal workday.
Instituted a new software development process to produce and maintain high-quality software in support of the business.

0 likes · 7 views · Jul 19, 2023

Created custom web application to automate EDI data processing. Established coding standards to ensure that the quality of the software is maintained.

Tags