Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Sabrina Butten

Brooklyn,USA

Summary

Compliance professional with strong foundation in regulatory adherence and risk management. Skilled in policy implementation, team collaboration, and fostering environment of continuous improvement. Known for reliability, adaptability, and results-driven approach. Strong communicator with expertise in developing and executing compliance programs to ensure organizational integrity.

Overview

7
7
years of professional experience

Work History

Clinical and Compliance Supervisor

Ultimate Care Inc
04.2023 - Current
  • Supervise and guide team members to ensure tasks are completed efficiently and in compliance with established protocols.
  • Oversee and manage the process of requesting and handling medical records in a timely and accurate manner.
  • Organize, delegate, and monitor team tasks to maintain workflow and meet deadlines.
  • Ensure proper handling, organization, and distribution of medical documents within the team.
  • Responsible for printing, faxing, and distributing clinical documentation to appropriate parties.
  • Handle and submit patient safety concerns to the contract as needed.
  • Manage patient referrals, ensuring submission to relevant healthcare providers.
  • Oversee and submit durable medical equipment requests in compliance with patient needs and insurance requirements.
  • Review and submit daily reports to management, summarizing team activity and progress.
  • Complete and submit RN vouchers for payroll processing, ensuring accuracy in timekeeping and compensation.
  • Monitor and manage incoming emails and calls, addressing and escalating issues as necessary.
  • Generate and submit Vesta hospitalization reports to the relevant departments.
  • Respond to Vesta-related incidents promptly, ensuring proper documentation and follow-up actions are taken.
  • Mail discharge summaries to physicians, ensuring proper and timely delivery of patient information.
  • Upload patient consents to their medical profiles in the system, ensuring all documentation is accurate and complete.

Fraud Compliance Coordinator

Ultimate Care Inc
02.2023 - 04.2023
  • Ensure compliance in fraud cases, reducing incidents through proactive monitoring.
  • Collaborate with teams to streamline fraud detection processes, enhancing efficiency.
  • Analyze data to identify patterns, contributing to improved fraud prevention strategies.
  • Develop and implement cutting-edge monitoring techniques, proactively addressing potential fraud risks and strengthening overall compliance framework.
  • Meticulously review and assess fraud cases, ensuring strict adherence to compliance standards and contributing to robust risk mitigation strategies.

Pre-Biller/Payroll

Heart To Heart Home Care Agency
05.2022 - 01.2023
  • Leveraged e-Paces, HHA Exchange, and Med-flyt to verify patient insurance, managing 50-100 daily calls in English and Spanish for efficient operations.
  • Optimized caregiver schedules and patient hours based on authorizations, while generating and analyzing daily reports using Microsoft Excel.
  • Educated caregivers and patients on mobile app usage for clocking and reporting, enhancing communication and streamlining processes.
  • Meticulously reviewed timesheets, investigated Medicaid/Medicare fraud cases, and provided comprehensive clerical support to ensure compliance.
  • Delivered top-tier administrative support, efficiently managing phone calls, guests, and mail to promote excellence in office operations.
  • Optimized caregiver scheduling based on authorizations, leveraging data analytics to enhance resource allocation and operational efficiency.

Front Desk Receptionist

Psychiatric Center For Families In Crisis
09.2019 - 04.2022
  • Checked patient insurance, demographic and health history to keep information current using e-Paces and Microsoft Office spreadsheets.
  • Helped patients complete necessary medical forms and documentation.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
  • Transcribed phone messages and relayed to appropriate personnel.

Administrative Assistant

Morgan Cash
10.2018 - 08.2019
  • Perform background checks for clients looking to apply for a loan or grants using TLO.
  • Managing office duties and work completion of employees based on daily threshold.
  • Researching and inputting clients information into CRM system and recording data using Microsoft Office spreadsheets.
  • Overseeing office performance and making proper adjustments, if needed, to improve daily work output and office comfortability.
  • Monitored and directed incoming mail and prepared outgoing mail.
  • Reduced intake processes time by developing application tracking and filing systems.

Health Insurance Advisor

Maximus
06.2018 - 10.2018
  • Answering 70 to 100 calls daily (in both English and Spanish) from clients looking to enroll, acquire information, and change their health plans.
  • Using CRM, multiple computers, and screens to accurately obtain and provide information.
  • Enroll clients in a health plan through the Marketplace, Human Resources Administration, and/or the Local Department of Social Services.
  • Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Make outbound calls to follow up with customer complaints, qualifications, or expirations.

Education

Associate of Science -

New York City College of Technology of The City University of New York

High School Diploma -

Williamsburg Charter High School

Skills

  • Organizational Skills
  • Microsoft Office
  • Customer Service
  • Employee Training
  • Insurance Verification
  • Scheduling
  • HIPAA Compliance
  • Office Management
  • Time Management
  • Conflict Resolution
  • Team Collaboration
  • Attention to Detail

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Clinical and Compliance Supervisor

Ultimate Care Inc
04.2023 - Current

Fraud Compliance Coordinator

Ultimate Care Inc
02.2023 - 04.2023

Pre-Biller/Payroll

Heart To Heart Home Care Agency
05.2022 - 01.2023

Front Desk Receptionist

Psychiatric Center For Families In Crisis
09.2019 - 04.2022

Administrative Assistant

Morgan Cash
10.2018 - 08.2019

Health Insurance Advisor

Maximus
06.2018 - 10.2018

High School Diploma -

Williamsburg Charter High School

Associate of Science -

New York City College of Technology of The City University of New York

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