Health System Specialist

4 weeks ago


Mountain Home AFB, United States Department Of Defense Full time
Summary

About the Position: This position is located at Mountain Home Air Force Base, Elmore, ID.

This is a Direct Hire Solicitation.



Duties
  • Manage implementation and compliance of Health Information Portability and Accountability Act (HIPAA) provisions, Privacy Act constraints, and all other applicable Protected Health Information (PHI) laws and regulations.
  • Determine impact of patient privacy on the organization by analyzing federal, state, agency and local laws, regulations, and policies.
  • Coordinate with personnel to ensure they have a complete understanding of policies, procedures, and legal requirements regarding Protected Health Information (PHI).
  • Analyze information to determine and/or verify the occurrence of a violation; present results and recommendations for action to leadership and applicable legal authorities.
  • Advise beneficiaries, outside agencies, providers and medical professionals on matters related to health benefit programs, such as TRICARE, available to active duty, retired members and their dependents.
  • Evaluate debt collection and billing issues for patients using a formal documentation process for tracking and resolution of issues.
  • Conduct patient information privacy risk assessments to identify non-compliance with federal, state, local and departmental laws, policies and regulations.
  • Advise on range of available benefits and entitlements as well as information on eligibility requirements, options, limitations covered by the TRICARE health care managed program.
  • Conduct privacy training for all medical and professional, support and volunteer staff, contractors and other third parties.


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