Sabrina Bruce, Cpc, Chpc, Crcs Email & Phone Number

New London, Connecticut, United States

United States

New London/Norwich, Connecticut Area

Performs analysis to identify areas with greatest potential risk based on interviews, knowledge of the industry, prior audits, etc. Performs comprehensive compliance audits following the Annual Compliance and Auditing work plan, creates and maintains supporting documentation, recommends corrective action plans, and writes a report of findings. Tracks the status of the Annual Compliance and Auditing work plan to ensure timely completion of all audits. Prepares a monthly report for the… Show more Performs analysis to identify areas with greatest potential risk based on interviews, knowledge of the industry, prior audits, etc. Performs comprehensive compliance audits following the Annual Compliance and Auditing work plan, creates and maintains supporting documentation, recommends corrective action plans, and writes a report of findings. Tracks the status of the Annual Compliance and Auditing work plan to ensure timely completion of all audits. Prepares a monthly report for the Chief Compliance Officer regarding the status of the plan, including follow up on remedial actions and pending audits Acts as compliance consultant for management and staff to discuss audit findings and corrective actions, both orally and in writing. Promotes knowledge of appropriate medical record documentation by providing focused technical education to clinical staff.Researches billing and coding issues by using CMS and other Websites, as well as other literature.Performs an annual review of policies and procedures documentation for Compliance policies. Makes recommendations to the Chief Compliance Officer for additional policies and /or amendments. Performs the monthly sanction checking of employees, physicians, vendors, volunteers, and expansion to designated affiliated entities through chosen vendor. Annually assesses the sanction checking process and provides an annual report of such process and outcomes to the Chief Compliance Officer. Participates in outside healthcare and compliance organizations to stay informed of best practices within the industry. Keeps current with new payor pronouncements, audit guidelines, laws and regulations pertinent to the healthcare industry. Show less

New London, Ct

Patient AccountsResponsible for developing and implementing action plans to reduce aged revenue while not increasing provider liables.Manage the career, development and teamwork of over ten Billing Staff.Handle all functions of billing and processing for payment with use of billing systems such as MedeFinance, Meditech and NDC.Created new policies, procedures, and forms which resulted in quicker turnarounds on billing and collections and improved aged revenue. Solid… Show more Patient AccountsResponsible for developing and implementing action plans to reduce aged revenue while not increasing provider liables.Manage the career, development and teamwork of over ten Billing Staff.Handle all functions of billing and processing for payment with use of billing systems such as MedeFinance, Meditech and NDC.Created new policies, procedures, and forms which resulted in quicker turnarounds on billing and collections and improved aged revenue. Solid understanding of Commercial, HMO, Blue Cross, Medicaid and Medicare products.Screen, interview and hire Billing Staff.Report directly to the Billing Manager of the Revenue Cycle.Fourth hospital in Connecticut of highest operational margin in 2009.Second hospital in Connecticut for the lowest AR days in 2009. Show less

Patient AccountsResponsible for developing and implementing action plans to reduce aged revenue while not increasing provider liables.Manage the career, development and teamwork of over ten Billing Staff and Lab Registrars.Handle all functions of billing and processing for payment with use of billing systems such as MedeFinance, Meditech and SSI.Created new policies, procedures, and forms which resulted in quicker turnarounds on billing and collections and improved aged revenue.… Show more Patient AccountsResponsible for developing and implementing action plans to reduce aged revenue while not increasing provider liables.Manage the career, development and teamwork of over ten Billing Staff and Lab Registrars.Handle all functions of billing and processing for payment with use of billing systems such as MedeFinance, Meditech and SSI.Created new policies, procedures, and forms which resulted in quicker turnarounds on billing and collections and improved aged revenue. Solid understanding of Commercial, HMO, Blue Cross, Medicaid and Medicare products.Screen, interview and hire Billing Staff.Report directly to the Director of the Revenue Cycle. Show less

Maintain call distribution system by configuring the telephone PBX to automatically distribute calls uniformly among Customer Service Representatives.Make necessary changes in staffing based on day of week, other anticipated events, and PBX data.Monitor productivity of Customer Service Representatives and generate reports for feedback to Senior Management as well as staff.Monitor service calls to observe employee demeanor, technical accuracy, and conformity to company… Show more Maintain call distribution system by configuring the telephone PBX to automatically distribute calls uniformly among Customer Service Representatives.Make necessary changes in staffing based on day of week, other anticipated events, and PBX data.Monitor productivity of Customer Service Representatives and generate reports for feedback to Senior Management as well as staff.Monitor service calls to observe employee demeanor, technical accuracy, and conformity to company policies.Answer questions and recommends corrective services to address customer complaints.Determine work procedures, prepare work schedules, and expedite workflow.Manage the career and development of over thirty Customer Service Representatives. Show less

Development and execution of ReNew workstation for Annuity New Business Representatives.Perform regression testing of workstation and components.Execute test plans to meet time sensitive deadlines.Manager, Customer Service/Correspondence/Complaint

Address daily issues with staff and communicated to ManagementMonitor calls of Customer Service Representatives and provide feedback for development of staffDeveloped and executed TRA new annuity product in its entirety