Katrina Perkey

Experience

• 

  Norton Healthcare

  Mar 1998 - Nov 1999

  Systems Analyst
• 

  Corvus Digital Solutions

  Nov 1999 - Feb 2003

  Systems Manager
• 

  Humana

  Feb 2003 - now

  • Accountable for all Medicare, Medicaid, Commercial, Military and Provider electronic data interchange (EDI) transaction processing including claims and encounters, claim payments, claim status, eligibility and benefits, authorizations & referrals, enrollment, coordination of benefits and premium processes ensuring accuracy, timeliness and compliance to federal regulations.Success: Collaborated with clinical and provider business partners in redesigning the Authorizations & Referrals process making the 278 EDI transaction HIPAA regulatory compliant for the company.Success: Influenced senior leadership to modernize the front-end EDI processes.• Efficiently lead, drive goals and objectives for large department spanning 8 teams and over hundred resources located across the globe. Success: Transformed department of 8 people supporting incoming EDI claims to 8 teams of 100+ people supporting 3 critical capabilities for the company; EDI, Imaging, and Encounter Submissions to support strategic corporate goals. • Identified an enterprise imaging need and influenced key business areas to invest millions in imaging capabilities for Pharmacy, Medical Records Management, Clinical, and Customer Care saving the company millions.Success: Led team that created state of the art image merging service that enabled industry leading electronic medical record capability for the company. • Responsible for 100% oversight of day to day processes, contracting, accuracy and timeliness and compliance to federal and state regulations for Medicare and Medicaid encounter submissions.Success: Collaboration across multiple IT and business areas designing and developing state of the art cloud based encounter management system that submits over 130M claims to CMS a year successfully contributing to billions of revenue for Medicare Risk Adjustment. Show less

  • Associate Director

    Nov 2021 - now

  • Technology Manager (EDI, Imaging, Encounter Submissions)

    Jul 2012 - Nov 2021

  • Technology Project Manager

    Feb 2003 - Jun 2012