- Avid Reader
- Exploring famous landmarks, historical sites, and cultural attractions in a new destination
- Learning new cooking techniques and expanding my culinary skills
- Music
- I enjoy sketching and drawing, which helps improve my creativity and attention to detail
Sandra Groom
Grapevine,Texas
Summary
Experienced with third-party billing processes and claim resolution. Utilizes attention to detail and analytical skills to ensure accurate billing and timely payments. Track record of maintaining compliance with regulations and improving operational efficiency.
Overview
18
18
years of professional experience
Work History
Third Party Billing Specialist
Conifer Healthcare Solutions
08.2023 - 02.2025
- Processed third-party billing claims with accuracy and attention to detail.
- Managed documentation for insurance verification and payment resolution.
- Collaborated with healthcare providers to ensure timely claim submissions.
- Resolved discrepancies in billing through effective communication with clients.
- Streamlined billing processes to enhance efficiency and reduce errors.
Patient Service Specialist
Baylor Scott and White Healthcare
01.2017 - 01.2023
- Responsible for scheduling patients for busy cardiology Practice. Obtain and verify demographics, verify insurance benefits and collect patient financial responsibility. Answer all incoming phones and work as a direct liaison between patients and clinical staff.
Patient Service Specialist
Kadlec Medical Center
01.2013 - 01.2016
- Schedule diagnostic tests including, X-ray’s, MRI, CT scans and mammograms. Verify insurance benefits and create an estimate of patient’s responsibility.
- Assisted patients with insurance verification processes to streamline administrative workflows.
- Facilitated communication between patients and healthcare providers, ensuring clarity and understanding of services.
Service Department Coordinator
Action Electric
01.2007 - 01.2012
- Schedule clients for electrical service, create work orders and purchase orders for jobs. Answered all incoming phone calls and direct to the correct party.
- Managed scheduling and resource allocation for service team to optimize workflow.
- Developed and maintained service tracking systems to monitor progress and ensure timely responses.
Skills
- Creativity
- Strategic leadership
- Strong organizational skills
- Analytical problem solving
- Collaborative teamwork
- HCPCS coding
- HIPAA compliance
- Accounts receivable
- Claims processing
- Patient account management
Accomplishments
- Collaborated with team of 11 in the development of Lurie Childrens Hospital project.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Proficient in epic EMR
Interests
Timeline
Third Party Billing Specialist
Conifer Healthcare Solutions
08.2023 - 02.2025
Patient Service Specialist
Baylor Scott and White Healthcare
01.2017 - 01.2023
Patient Service Specialist
Kadlec Medical Center
01.2013 - 01.2016
Service Department Coordinator
Action Electric
01.2007 - 01.2012
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