Sansharee Trimble, Cham Email & Phone Number

Hartford, Connecticut Area

 Improve care coordination throughout the care journey by streamlining, standardizing, and automating end-to-end patient referral process seamlessly Recruiting and onboarding, coaching, mentoring and developing high performing individuals that function well in a team environment  Ensure staffing levels are appropriate to handle the incoming volumes while also meeting the needs of the team members and the business. Promoting the company culture, mission and values; and ensuring consistent compliance with all state and federal regulations Implements new operational models with an interactive approach. Evaluates the effectiveness of improvements. Reviews actual operating expenses compared to budget and coordinates staff schedules to meet the office needs while controlling personnel expense. Develop and critically evaluate workflows/SOP; making recommendations to improve work procedures within the department Attend Leader meetings, clinical meetings, steering committees, and patient experience cohorts Monitor fiscal year goals and KPI’S and develop action plans that foster continuous improvement

Hartford, Connecticut Area

• Oversees and manages the daily operations of the administrative and clinical departments• Effectively communicating with providers and cultivating positive relationships • Mentoring, teaching, and coaching staff to be a high performing office team • Accountable for achieving organizational and access goals and attaining sustainable business results focusing specifically on revenue, profit, and practice growth for the office• Promoting the company culture, mission and values; and ensuring consistent compliance with all state and federal regulations• Implements new operational models with an interactive approach. Evaluates the effectiveness of improvements• Reviews actual operating expenses compared to budget and coordinates staff schedules to meet the office needs while controlling personnel expense• Interviews, hire, complete the new employee orientation checklist, create performance improvement plans, conducts annual performance reviews • Attends and actively participates in Practice Manager meetings, provider meetings, steering committees, and patient experience cohorts• Completes all necessary personnel forms such as change records, position replacements, payroll records, PTO requests, and absenteeism records• Completes special projects, reports, mileage and other reimbursement requests

299 Carew Street Suite 210 Springfield, Ma 01104

Revenue ManagementBilling and Coding Credentialing

299 Carew Street, Suite 210 Springfield, Ma 01104

• Responsible for managing all administrative and operational functions associated with the medical office and staff• Ensuring a smooth and efficient operation, inventory control, patient relations, and patient flow. • Oversees and manages the daily operations of the medical office including staff scheduling, cash reconciliation, charge entry, and operational checks and balances. • Entering charges during the billing process; cross referencing procedure and diagnosis codes for possible edits and denials• Reviewing follow up reports to ensure Accounts Receivable is optimally liquidated, denials are minimized, refunds are issued, and customer service is conducted. • Interviews, hires, orients, trains, supervise and evaluate office staff• Responsible for optimizing staffing resources and monitoring work flow• Developing performance improvement plans and conducting annual performance reviews• Reviews the operational budget and expenditures. Works to ensure that site stays within the budget parameters• Prepares monthly reports, statistical summaries, to include counter measures, recommendations, and action plans• Assist with strategic planning future growth, identifying new lines of business and additional streams of revenue and new methods to mitigate costs• Involved with community agencies in an effort to promote health awareness for children• Reviewing fee schedules and contracts; following up with hospital’s ACO • Conducting patient interviews to identify the need for behavioral health counseling • Corresponding with community and state agencies for the benefit of the patient's well-being and safetyganization.

East Hartford, Ct 06108

Account Manager/Certified Professional Coder, 9/2002-10/2013 Integrated Physician Management ServicesEast Hartford, CT 06108• Maintaining the day-to-day revenue cycle management and acting as a liaison between the team, consultants, and clients• Serving as the client’s contact for all billing activities• Answering the client’s questions, researching problem accounts and directing the team in a professional manner on the tactic to resolve• Meeting with clients to report on productivity, collections, procedures, patient accounts, or to address questions or concerns• Addressing pending items including charges, payments, denials, and following up to make sure a resolution is met• Developing, monitoring, and updating billing rules for insurances, specialties, and customer specific policies; maintaining individual client manuals • Providing specialty billing and coding recommendations to clients and sharing the information amongst the team• Self-educating within the medical specialty regarding new rules, coding updates, and changes pertaining to Medicare, HIPPA guidelines, and sharing with the team members and clients • Conducting spot audits on accounts for payment and coding accuracy• Working with insurance companies and adjustors to resolve problem accounts, refilling and reopening claims, and making decisions on adjustments • Reviewing pre-collection accounts for monthly agency turnover • Monitoring month end closing process to ensure all charges, payments, and other required tasks have been completed before the last day • Producing month end close reports and Executive summaries for the clients• Contributing to the startup process for new business coming on board• Identifying the needs, initiating credentialing projects, and serving as the liaison for the client• Assisting with new hire training and acting as a mentor to Team Leaders and Client Service Associates