John R.

Prendergast
1304 Waldo Way
Twinsburg, Ohio 44087
Ph: (330) 405 - 6313
E-mail: jpfd0464@westpost.net
Healthcare Technology Professional
Results oriented Healthcare Technology professional with over twenty years exper
ience well versed in all aspects of healthcare clearinghouse operations and thir
d party billing and eligibility applications provides leadership in improving op
erational efficiency. Providing leadership in IT development projects that deliv
er value-add services to product lines. Facilitates change management in the con
tinuously changing regulatory environment in a variety of managerial roles.

CORE SKILLS
Electronic Claims Processing Team Building Healthcare Transactions
Electronic Data Interchange (EDI) Consensus Building Clearinghouses
Performance Improvement Cross-Functional Team Leadership HIPAA
Customer-Driven Management Patient Accounting Legal Issues and Policies
Project Management Reimbursement Program Third Party Billing
Team Leadership Regulatory Compliance Six Sigma Greenbelt
Project Management Methodology Process Modeling
Administrative Healthcare Transactions
CAREER ACCOMPLISHMENTS
a Awarded Recognizing Exceptional Healthcare Network Accreditation Commission (R
EACH) Award in 2009 for project integrating disparate and manual enrollment proc
esses saving $1,000,000 over 4 years.
a Successfully managed project for consolidation of clearing house operations sa
ving $6,000,000 annually.
a Led design, planning, and implementation of technology solution for first thir
d party claims processor in state of Ohio resulting in 85% market saturation for
processor.
a Increased revenues $60,000 per month through integration of McKesson and Relay
Health systems creating a larger value-add claims processing system.
a Facilitated and led Electronic Healthcare Network Accreditation Commission acc
reditation effort processing with 96% average passing rate.
a Led requirements and specifications definition effort for bottom up redesign o
f clearinghouse operations onto a real-time architecture.
a Achieved 1.5 hour turn-around time on 1, 500,000 claims transactions a week fo
r claims processing with confirmation to payer destination.
John R. Prendergast Page 2
CAREER HISTORY
SELF-EMPLOYED CONSULTING, TWINSBURG, OH
2010 - present
Independent Healthcare Executive providing guidance and support within the Healt
hcare Technology sector and specifically within the EDI and revenue Cycle Manage
ment Categories.
 HEALTHCARE INFORMATION TECHNOLOGY CONSULTANT
CSI Network Services, Inc. Providing expertise and Project Management services
for implementation of EDI translation engine into CSI network infrastructure. I
n addition providing analysis and recommendations regarding electronic remittanc
e processing issues as well as other areas of potential improvement throughout C
SIas revenue cycle
CAMERON CONSULTING, PITTSBURGH, PA
2009 - 2010
Regional full service Information technology consulting firm located in Pittsbur
gh, PA. specializing in recruiting for short-term consulting contracts, contract
-to-hire, and full-time employees
HEALTHCARE INFORMATION TECHNOLOGY CONSULTANT
Provided PNC Healthcare consulting services reviewing and recommending changes t
o the requirements for a claims processing system being developed within the PNC
bank infrastructure. Evaluated and recommended changes to multiple requiremen
ts documents intended to build full Revenue Cycle processing system from the gro
und up.
MCKESSON CORPORATION, HIGHLAND HEIGHTS, OHIO
2007 - 2009
McKesson Corporation provides services and products to health care providers and
payors. From pharmaceuticals and supplies to sophisticated medical workflow sol
utions, our offerings help customers reduce costs, streamline processes and, mos
t importantly, improve patient care and medication safety.
DIRECTOR OF OPERATIONAL EXCELLENCE
Partnering with the Vice President of Operational Excellence, developed the visi
on, implemented the plan, and effectively shaped the process improvement organiz
ation. Provided guidance and assistance in driving improvements and increased op
erational efficiencies in the RelayHealth Provider organization.
PER-SE TECHNOLOGIES, HIGHLAND HEIGHTS, OHIO
2000 - 2007
Per-Se Technologies, Inc. offered connective healthcare solutions to physicians,
hospitals, and pharmacies in the United States. It operated through three divis
ions: Physician Solutions, Hospital Solutions, and Pharmacy Solution. Acquired b
y McKesson Corporation
VICE PRESIDENT REQUIREMENTS 2005 - 2007
Responsible for the requirements and specifications for major Athena project. T
he Athena project was an effort created to re-design, from the bottom up, all as
pects of clearinghouse operations into an extensible real-time architecture.
VICE PRESIDENT OPERATIONS 2002 - 2005
Responsible for all aspects of organizations clearinghouse operations. Responsib
ilities extended from development of the applications that received processed an
d reconciled transactions with our various trading partners to the support and a
udit teams that reconciled those transactions to the IT people responsible for m
aintaining those systems. Served as the Divisional HIPAA compliance liaison.
MANAGER OF OPERATIONS 1990 - 2002
Operational manager with nationwide responsibilities. Focus included creating an
d maintaining existing payer connections. Expanded involvement in HIPAA to a na
tional role and began performing as a Consultant for other business units with P
er-se Technologies. Joined Board of Directoras of A.F.E.H.C.T. Led team charged
with creating transform programs to convert proprietary data into ANSI standards
. Led project that created new processes for auditing claims transactions in rea
l-time.
EDUCATION
American Intercontinental University, Atlanta, GA - Bachelor's of Business Admin
istration