Connie Daniel Email & Phone Number

Sachse, Tx, Us

Sachse, Tx, Us

Plano, Texas

Define, analyze, problem resolution, system testing, requirements mgt, creating translation maps and EDI implementation projects to enable clients to streamline processes.• Recognized as Subject Matter Expert for HIPAA/X12/Healthcare(HC) related questions by internal team/clients• Assist clients/team in problem resolution• Provide new employee onboarding/HC training for new team members.• Document requirements for implementing the CORE rules.• Create business requirements/translations maps based on client specs/client collaboration.• Coordinate/participate in internal audits based on HIPAA/HP security regs. Assist in resolution to audit findings to ensure regs were brought into compliance. • Analyze HIPAA Privacy/Security/HITECH/OMNIBUS regs to determine system/procedural changes/creation required to ensure compliancy w/federal regs.• Provide recommendations on clearinghouse product enhancements and define product enhancements required to support HIPAA transactions/code set editing requirements.• Coach/mentor team members to ensure team success.• Primary contact for clients; Responsible for researching/resolving reported HIPAA violations. • Establish/communicate safeguards to clients regarding HIPAA Privacy/Security.• Mitigate harmful effects of improper disclosures of ePHI/PPI; Responsible for verifying security access for systems housing ePHI/PPI• Monitor conformance against HIPAA/HP security regulations.• Responsible for reviewing system/access logs for improper activity• Responsible for reviewing Policy Compliance Management reports to ensure servers were compliant with HIPAA/HP security regulations. • Create Business Case Justifications to document how non-compliant findings are being monitored to ensure no violations are encountered.• Ensure ePHI/PPI data is not downloaded to non-certified environments/systems by reviewing data files housed w/in the systems.• Perform mini audits ensuring implemented policies/procedures are being followed.

Develop and maintain the organizational privacy and security policies, plans, and procedures; Provide information system security and privacy training; Review incident reports and make recommendations for improving the privacy and security practices; Receive notification in the event of a security or privacy incident; Conduct audits to ensure the application of privacy and security practices; Participate in leadership review of incident reports and make recommendations for improvement; Work with organization PMs in ensuring their assigned SLAs have proper information system security requirements; Schedule risk assessments and HIPAA evaluations; Ensure organizational roles and responsibilities include privacy and security roles and responsibilities; Monitor business associate contracts and activities to insure adherence to privacy and security policies; Coordinate and administer the HP portion of any program authorized by DMA for the correction or amendment of PHI data.

Called upon to assist other members in the Translation group with researching issues, solving customer’s complaints, interacting with the customer and presenting recommendations to improve their processing and coding solutions; Responsible for the coding of translation maps that will be used to translate a customer's data to either X12 or a proprietary format; Defines scope, plans, and deliverables for assigned components

Working on the Customer Support/Production Center (CSC) responsible for addressing production issues as well as interacting with the customers; Production Environment Technical Lead (PETL) over the CSC; Called upon to assist other members with researching issues, solving Customer’s complaints and helping with on call duties.

Created forms in Visual Basic for Microsoft Outlook in the CIS group

Responsible for collecting outstanding receivables for EDS using Access software; transferred files through EDS*NET for updating Access tables; fixed problems that occurred in Access for the Collection s team; processed monthly reports for Management; ran queries using Q & E

Keyed Petty Cash reports in CAS; processed Credit Card Recovery checks; keyed Cash receipts; backup for Repeat Pay; backup for manual checks; Preformed audits on expense reports and sundry invoices; compiled audit findings and concerns on spreadsheets; ran the error report after the audits were completed; processed Credit Card Recovery checks; Setup vendors on Electronic Funds Transfer (EFT); interfaced with vendors for EFT problems; corrected vendor’s 1099 status and tax id numbers; maintained 1099 table; processed Credit Card Recovery checks and manual checks; maintained Control tables; researched problems relayed to George Gowan from different vendors

Ensured all cycles ran efficiently; monitored cycles using TSO facilities; corrected and resolved problems during production cycles

Maintained system libraries through creating, cataloging, deleting and labeling tapes; ensured checks were printed; performed data processing for the Army

Eds Opd, Computer Operator

Aa, Computer Science

Graduated