Sabrina E. Frazier, CPPM
Pooler,GA
Summary
Experienced director/manager with a track record of successfully directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends, and industry regulatory requirements, enabling informed decision-making and driving success. Demonstrated ability to lead and achieve desired outcomes through analytical business planning and day-to-day problem-solving.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Billing Liaison
ExperCARE Urgent Care
05.2023 - 08.2024
- Transitioned workers comp billing in-house and significantly reduced Workers Comp A/R and improved workflow processes
- Maintain and develop monthly RCM reports for management
- Act as a liaison between the clinics and the billing company
- Process patient refunds
- Work with employers regarding employer paid services
- Identified and corrected processing errors by billing company
- Identified opportunities for front desk training based on eligibility errors
Billing Specialist
PBCP (Physician Billing, Credentialing and Privileging Services)
01.2022 - 05.2023
- Follow up with commercial insurance carrier on unpaid FQHC claims
- Scrub claims prior to submission
- Attend monthly meetings
- Remote
Office Manager
Coastal Ear Nose and Throat, LLC
05.2021 - 01.2022
- Manage eight employees at two locations
- Balance daily collections
- Post payments and charges
- Make and cancel appointments
- Check/verify patient eligibility using online resource tools
- Conduct monthly staff meetings
- Interview and hire new staff
- Assist patients with billing questions
Billing Specialist
PBCP (Physician Billing, Credentialing and Privileging Services)
12.2020 - 05.2021
- Review and correct errors on scrubbed claim
- Follow up with insurance companies to resolve unpaid claims
- Attend monthly meetings
- Remote
Benefit Consultant
Aflac
08.2020 - 01.2021
- Sell Aflac products to clients
- Conduct prospecting calls
- Attend weekly meetings
- Conduct decision maker and employee presentations
- Complete enrollment process with employees
- Contact for all employees with coverage questions
Client Representative
Strategic Healthcare Partners, LLC
10.2019 - 07.2020
- Prepared client agendas to meet the needs of the client
- Conducted weekly team meetings to review open items and resolve issues
- Assisted clients with COVID education and helped them to attain PPP and HHS funding
- Helped develop a training manual for client representatives
- Reviewed client financial reports and analyzed feedback to clients
- Assisted CAH client clean up old AR
- Developed strong relationships with clients by establishing trust and understanding their unique requirements.
Director of Reimbursement
Optim Orthopedics
01.1990 - 07.2019
- Managed 20+ employees and three managers in four departments (billing, accounts receivable, charge posting and coding)
- Reduced data entry errors on the front desk by more than 25%
- Improved staff productivity up to 100% in one month
- Implemented a successful incentive program for front desk staff
- Created a monthly dashboard to assist in monitoring practice performance
- Report monthly wRVU totals to CEO and physicians
- Implemented CareCredit as a payment option for patients
- Reviewed and gave feedback to CFO and CEO on payer contracts
- Performed provider performance analysis
- Created and staffed a new position, Managed Care Analyst, to monitor insurance carrier payments compared to Optim’s existing contracts using NHXS
- Approve and code Reimbursement department invoices for AP department
- Responsible for reviewing delinquent accounts over $500.00 before adjusting and reporting monthly to three collection agencies for three databases
- Guest speaker at several GE Centricity Group Management User Conferences
- Project leader for AthenaNet software implementation
Operations Assistant
Healthcare Resources and Consultants
01.1998 - 01.2000
- Monitored twelve satellite offices (multi-specialty) by visiting and conducting monthly audits of patient charts, cash drawers, and encounter tickets, various reports, etc
- And providing written reports to physicians and immediate supervisor monthly
- Identified and offered written and verbal solutions to problems at each office location
- Provided training and created instruction manuals on policies and procedures and Medical Manager Software for front desk staff and office coordinators
- Conducted quarterly Office Coordinator meetings using PowerPoint presentations
- Responsible for creating, updating, and maintaining a physician and insurance information database to be used daily by entire organization
Insurance Department Supervisor
HRC, Georgia Specialty Associates, Orthopedic Center, Orthopedic Associates
01.1994 - 01.1998
- Supervised 15 employees billing and collecting for five different specialties (Orthopedic, ENT, General Surgery, Urology and Plastic Surgery)
- Created Insurance/Collections manual and various departmental forms
- Reported ‘bad debt’ accounts to Equifax
- Consistently met or exceeded collection goals for each division
Insurance Clerk
Orthopedic Associates
01.1991 - 01.1994
- Billed and collected for Medicare, Medicaid, workers compensation, indemnity, HMO, and PPO plans
- Provided computer and insurance training for front desk staff
- Contacted insurance companies and resolved problems to get claims paid
File Clerk
Orthopedic Associates
01.1990 - 12.1990
- Responsible for locating and filing charts
- Accurately filed hospital and miscellaneous paperwork in charts
- Received and processed requests for Medical Records according to company guidelines
Education
Childcare and Development -
Savannah Technical Institute
Savannah, GA01.1990
General and Advanced Studies -
Windsor Forest High School
Savannah, GA01.1988
Skills
- Revenue Cycle Management
- Medical Claim Billing
- MSO Experience
- Public Speaking
- Staff Training
- BI Utilization
- Microsoft 365
- Issue Resolution
- Verbal and written communication
- Policies and procedures implementation
- Influencing skills
- Team Collaboration
- Goal Setting
- Interpersonal abilities
- Proficient in Experity, ECW, Athena, Centricity Practice Management
References
Available upon request.
Certification
- CPPM AAPC February 2022
Timeline
Billing Liaison
ExperCARE Urgent Care
05.2023 - 08.2024
Billing Specialist
PBCP (Physician Billing, Credentialing and Privileging Services)
01.2022 - 05.2023
Office Manager
Coastal Ear Nose and Throat, LLC
05.2021 - 01.2022
Billing Specialist
PBCP (Physician Billing, Credentialing and Privileging Services)
12.2020 - 05.2021
Benefit Consultant
Aflac
08.2020 - 01.2021
Client Representative
Strategic Healthcare Partners, LLC
10.2019 - 07.2020
Operations Assistant
Healthcare Resources and Consultants
01.1998 - 01.2000
Insurance Department Supervisor
HRC, Georgia Specialty Associates, Orthopedic Center, Orthopedic Associates
01.1994 - 01.1998
Insurance Clerk
Orthopedic Associates
01.1991 - 01.1994
Director of Reimbursement
Optim Orthopedics
01.1990 - 07.2019
File Clerk
Orthopedic Associates
01.1990 - 12.1990
Childcare and Development -
Savannah Technical Institute
General and Advanced Studies -
Windsor Forest High School
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