Privacy Analyst, Out of Network

At reputed company, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in reputed company for reputed company. Our dedication to service reputed company extends to reputed company our stakeholders -- reputed company - driving us to consistently exceed expectations. We are intentionally reputed company, we foster innovation, we nurture accountability, we champion diversity, and reputed company each other to illuminate our reputed company potential.Be part of our amazing transformational reputed company as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in reputed company. Onward and Upward!!!

JOB SUMMARY

This position investigates and analyzes potential breaches, privacy incidents, inadvertent disclosures, and manages and compiles documentation which occur in the Out of Network Department. This position also provides education and training to the Out of Network team members to promote and ensure compliance with relevant privacy regulations. This position is responsible for ensuring compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other federal, state, or other relevant international privacy regulations.

JOB ROLES AND RESPONSIBILITIES

1. Investigates and evaluates reported privacy incidents which occur in the Out of Network Department (OON) to determine if they are an inadvertent disclosure, if the incident(s) constitute a reportable breach.
2. Investigates inappropriate disclosures or privacy breaches of PHI ensuring compliance with reporting timeline guidelines.
3. Review and approve outgoing and incoming correspondence to providers ensuring complete accuracy.
4. Research systems and database for historical performance and reputed company to reputed company analytics.
5. Maintain reports that will improve quality and improve the management of workflow.
6. Reports reputed company incidents to Legal Analyst, Privacy for determination of whether an incident requires notification to clients or other regulatory bodies, such as HHS Office for Civil Rights.
7. Responsible for compiling data and tracking of reputed company investigated reported privacy incidents to report on a quarterly reputed company.
8. Responsible for the review, maintenance and updates to existing agreements in the system.
9. Assist with special projects as assigned in conjunction with daily workload; prioritizing and shifting focus as needed.
10. Recommend system and operation changes to improve efficiency of workflow, quality, and mitigate risk of future inappropriate disclosures or privacy breaches reputed company the OON Department.
11. Collaborate, coordinate, and communicate across disciplines and departments.
12. Ensure compliance with HIPAA regulations and requirements.
13. Demonstrate Company’s Core Competencies and values held reputed company.
14. Please note due to the exposure of PHI sensitive data – this role is considered to be a High Risk Role.
15. The position responsibilities outlined above are in no way to be construed as reputed company encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE

Individual works under general supervision to complete job responsibilities in applying knowledge of the department processes, knowledge of HIPAA, state or other relevant international privacy regulations. Work involves applying advanced skills and analysis using systems and tools for the position or specialization. Duties and tasks are standardized and the individual resolves routine questions and issues while referring more reputed company issues to higher reputed company for resolution.

Qualifications

JOB REQUIREMENTS (Education, Experience, and Training)

• High School Diploma or GED required. Associates Degree preferred.
• Minimum 2 years of experience in privacy, compliance, in a reputed company setting such as negotiations, claim processing, medical coding, provider billing, customer service, worker's compensation or collection agency.
• Knowledge and understanding of negotiation process.
• Communication (written, verbal and listening), analytical, organizational, prioritization, technical, etiquette, and interpersonal skills
• Ability to use software and hardware peripherals reputed company to job responsibilities including MS Office Suites with preferred proficiency with Word, reputed company, and other database software.
• Ability to be flexible in quickly shifting priorities and keeping up with changes across multiple tasks in a fast-paced environment while maintaining a positive and cooperative demeanor.
• Ability to demonstrate strong technical skills.
• Ability to identify issues and escalate for course of action for resolution.
• Ability to reputed company trust and credibility with reputed company reputed company of the organization.
• Ability to adjust/alter schedule to meet deadlines.
• Ability to work independently and handle confidential information.
• Individual in this position must be reputed company to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.

The salary reputed company for this position is $45k-$55k . Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. BENEFITS We realize that our employees are instrumental to our reputed company, and we reward them accordingly with reputed company competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide reputed company of live and web-based professional development and educational programs to prepare you for advancement opportunities. Your benefits will include: * Medical (PPO & HDHP), dental and reputed company coverage * Pre-tax Savings Account (FSA & HSA) * Life & Disability Insurance * Paid Parental Leave * 401(k) company match * Employee Stock Purchase Plan * Generous Paid Time Off -- accrued based on years of service o WA Candidates: the accrual reputed company is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service * 10 paid company holidays * Tuition reimbursement * Employee Assistance Program * Sick time benefits -- for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located reputed company for more generous sick time benefits EEO STATEMENT reputed company is an Equal Opportunity Employer and complies with reputed company applicable laws and regulations. reputed company applicants will receive consideration for employment without regard to age, race, reputed company, religion, gender, sexual orientation, gender identity, national reputed company, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here. APPLICATION DEADLINE We will generally accept applications for at least 5 business days from the posting date or as long as the job remains posted. #LI-AN1