Phillip Roesch

I’m Phillip Roesch, a systems-focused professional with a strong background in healthcare billing operations and security. At KidsPeace Corporation, I currently serve as the primary administrator for Optum's Assurance Reimbursement Management software, where I oversee system configuration, automation, claim processing, and data integrity between EHR and clearinghouse platforms. I drive reporting at multiple cadences and manage support operations to ensure timely payment resolution.

Prior to this, I worked as a Security Engineer at CertiK, where I audited decentralized financial applications, reviewed smart contract code for vulnerabilities and efficiency, and led business onboarding to align project teams with security best practices. My dual experience in healthcare technology and smart contract auditing reflects a unique ability to manage complex systems, ensure data accuracy, and secure digital infrastructure. I hold a B.S. in Computer Science with minors in Applied Mathematics and Data Science from Wentworth Institute of Technology.

Billing System Analyst

KidsPeace Corporation, Schnecksville, PA Dec 2023 - Current

• Primary system administrator of Optum's Assurance Reimbursement Management clearinghouse software
• Configure user access and permissions, claim filters and routing, and system automation and reporting
• Uphold data connect from myEvolv EHR to Assurance clearinghouse and to payers
• Script routines to modify claim data entering Assurance Reimbursement Management
• Publish billing reports using Microsoft Excel at ad hoc, weekly, monthly, quarterly, and yearly intervals
• Manage Optum support tickets to troubleshoot reported issues and missing payment status
• Engage with Optum account executive regarding available software solutions
• Process regular billing in Netsmart myEvolv Electronic Healthcare Record
• Maintain services and locations, and insurance plan information and rates in Netsmart myEvolv
• Conduct User Acceptance Testing for software upgrades, ensuring functionalities before upgrading

Software Consultant

B&B Custom Pools Inc, Emmaus, PA Oct 2023 - Dec 2023

• Documented iON Pool Care management software defining business uses and writing training guides - Trained office and field staff on software usage while teaching best practices and assisting on site - Saved office over 10 hours weekly invoicing customers through QuickBooks integration
• Digitalized paper management system, improving reporting and tracking

Security Engineer

Certified Kernel Technologies, New York, NY May 2021 - Apr 2023

• Audited decentralized financial applications to verify intended whitepaper implementation and security
• Reviewed Solidity smart contract code business logic to enforce best practices and optimize gas efficiency
• Enforced rules for exchanges, farm platforms, auctions, token drops, vesting schedules and custom uses - Published findings to clients and consumers in reports outlining security consideration and resolutions - Shared internal blogs and presentations about security practices, recent incidents, and new technology - Participated in on-call rotation responding to live security events and assist public relations teams - Mentored junior auditors and performed review of preliminary audit reports - Lead business team on-boarding, describing the auditing process and basic security principals - Participated in capture the flag challenges as CertiK team to build brand and gain knowledge

Bachelor of Science in Computer Science Wentworth Institute of Technology, Boston, MA

• Minor in Applied Mathematics and Minor in Data Science
• Graduated Magna Cum Laude, GPA 3.73/4.0, Dean's List 5 Semesters
• Coursework: Software Engineering, Financial Mathematics, Machine Learning, Blockchain Technologies

Research Assistant

Wentworth Institute of Technology, Boston, MA Jan 2019 - Jul 2021

• Reviewed academic papers to learn background on graph network measurements and pattern matching - Recorded over 5GB of live tweet data using python to create a secure, uninterrupted connection - Processed data for text and filtered into sequences and analyzed significance using big data techniques
• Published and presented 2 papers in undergraduate journal at Computing Conference 2021:
• Alsaif, H., Roesch, P., Othman, S. (2021). Analyzing Co-occurrence Networks of Emojis on Twitter. In: Arai, K. (eds) Intelligent Computing. Lecture Notes in Networks and Systems, vol 284. Springer, Cham.
• Roesch, P., Franco, C., Bernier, W., Othman, S. (2022). Automatic Extraction of Emojiset. In: Arai, K. (eds) Intelligent Computing. Lecture Notes in Networks and Systems, vol 283. Springer, Cham.