Joy Long Email & Phone Number

Virtual

Indianapolis, Indiana Area

Greenfield Indiana

Compliance and Privacy/Security Officer - 23 long-term care facilities in Indiana, Iowa, and Texas. Duties: maintain complete knowledge of state and federal health insurance, HIPAA, HITECH, Stark, Anti-kickback, human resource and other applicable laws; conduct Security Risk Assessments for all facilities and corporate offices and develop corrective action plans as needed; provide tools to maintain regulatory compliance in all business aspects of long-term care facility business; investigate and resolve employee/resident/family calls to the Compliance Hotline (complaint line); revise current/write new policies/procedures as needed; oversee employee training program; publish monthly compliance newsletter; various other duties.

Dallas/Fort Worth Area-Home But Chapter Nationwide

DragonSlayer Strategies specializes in empowerment & transformation. We have a division that specializes in helping health care providers take on the regulatory compliance and reimbursement (cash and insurance) dragons. We also coach individuals on recognizing/assessing their obstacles (dragons) and finding the wisdom to know when/how to fight...or when to embrace those dragons. We help individuals and businesses choose the right armor and weapons to transform their lives.

Indianapolis, Indiana Area

Duties: maintain complete knowledge of Indiana health insurance laws/regulations; maintain complete knowledge of federal employer health plan law/regulation (including HIPAA, COBRA, ERISA); maintain knowledge of ICD and CPT coding practices; monitor provider and insurer community for trends in coding and claims processing problems; oversee review and approval of all health insurance products to be sold in Indiana by health/life insurance companies; perform as Department liaison with the federal Department of Labor and Department of Health and Human Services; perform as consultant to legislators, providers, employers, consumers and other government agencies; educate Department staff, other State and federal agency staff, legislators, regulators, consumers, providers, employers, insurance companies and agents through one-on-one contact, public presentations, in-service trainings, development of written materials, and creation of website information; participate in the drafting and interpretation of state legislation and interpretive publications; participate in the drafting and interpretation of model legislation/regulation through the National Association of Insurance Commissioners (NAIC); participate in the development of Department policies/procedures; perform as consultant to Department staff for resolution of provider and consumer complaints, including enforcement action against insurance companies and agents; represent Department with participation on various government committees; troubleshoot various consumer, provider, employer and company issues to ensure appropriate administration of policies, certificates and plans; review and certify for licensing independent review organizations, utilization review agents and medical claims review agents; analyze HMO HEDIS data and develop Report Card; review and approve/disapprove HMO and other insurer grievance and appeals procedures.

Indianapolis, Indiana Area

Duties: maintain complete knowledge of laws/regulations pertaining to Medicare, certain Medicaid programs, Medicare supplement insurance, long term care insurance, employer group insurance; develop program rules and policies incorporating federal and state required details; develop, recruit members and implement the Indiana Medicare Partners program; develop long and short term goals for program as a whole and individual aspects of the program (including participation with development of program goals at federal level); evaluate program performance and make recommendations for change; educate consumers, employers, companies, agents, and providers on various senior insurance topics through public presentations and development of written materials; assist with supervision of four Regional Managers (independent contractors) and 300+ volunteer counselors including recruitment, review, training, disciplinary actions, retention; develop manual and other training materials to educate counselors, contractors and a variety of Department staff, legislators, other agency staff; budget preparation and tracking; grant writing.

Education record

Bachelor Of Science (Bs), Education, Communications, Theatre, Developmental Disabilities, 3.95

Activities and Societies: Speech Team, Debate Team, Theatre, Chorus, various volunteeringSeveral degrees in various subjects.

Ma - Pending, Healthcare Compliance/Paralegal

Pending Masters