Summary
Overview
Work History
Education
Skills
Certification
Education Certifications
Volunteer Community Service
Timeline
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Sandra Roman

Somerset,TX

Summary

20+ years of experience as a Billing, Coding, Marketing Manager maximizing financial results, productivity, and quality. Expertise in daily accounts receivable operations, collections, customer satisfaction, compliance, account management and growth. Detail-oriented and highly organized with strengths in leadership, prioritization, managing deadlines, collaboration, teamwork, communications, and results.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Billing Manager

Advanced Imaging Services
01.2008 - Current

Company Overview: A Mobile X-Ray/Ultrasound organization catering to immobile patients of nursing homes, assisted-living facilities, rehabilitation centers, hospice, and home health care agencies in South Central Texas.

  • Recruited to verify insurance/billing/coding and was promoted to Billing Manager to lead the billing department
  • Successfully collected from one insurance carrier $250,000 from past due pending accounts
  • Patient/facility collections by mail and phone calls monthly. Negotiated and secured appropriate payment.
  • Managed marketing for Dialysis Centers and Nephrologists Offices to increase X-Ray and Ultrasound orders monthly including negotiating contracts
  • Responsible for efficient and effective Medicare, Medicaid, and Insurance credentialing/billing/coding
  • Prepared and submitted accurate claims to insurance providers
  • Insurance, and patient posting on Centricity and Touchstone software
  • Supervise the billing department for efficiency, effectiveness, and alignment to the organizations mission
  • Manage account receivables
  • Prepare monthly facility invoices using QuickBooks and Touchstone
  • Maintain financial audits for the President/Vice President
  • Lead critical customer issues and supported Spanish-speaking customers
  • Manage all processes to ensure Medicare compliance including HIPAA
  • Notarize affidavit of medical records for law offices
  • A Mobile X-Ray/Ultrasound organization catering to immobile patients of nursing homes, assisted-living facilities, rehabilitation centers, hospice, and home health care agencies in South Central Texas.

Optometrist Assistant / Sales Associate

Eyetx Vision Center
01.2005 - 03.2008

Company Overview: A full-service eye care provider.

  • Conducted visual acuity test on patients
  • Used high-tech equipment for vision work up
  • Billed electronic claims to VSP for frames and lenses
  • Scheduled patient appointments and processed documentation for prescription glasses, contact lenses, and other optical products.
  • Specialized in educating patients how to use and clean soft contact lenses properly to avoid eye infections
  • Assisted patients in selecting appropriate optical products, including prescription glasses and contact lenses.
  • Took correct measurements required for lens

Patient Collections

NCO Financial Systems
01.2000 - 01.2004

Company Overview: A debt collector for the healthcare industry.

  • Successfully conducted patient collections of high balance accounts
  • Effectively managed challenging customers with past due accounts while maintaining positive tones and relationships
  • Conducted high volume outbound calls
  • Answered inbound calls pertaining to customers delinquent accounts
  • Negotiated and secured appropriate payment arrangements
  • Exceeded monthly quotas
  • Processed customer payments and arrangement
  • Adjusted patients negotiated rate
  • A debt collector for the healthcare industry.

Education

Bachelor of Science - Healthcare Management

Texas Tech University Health Sciences Center
Lubbock, TX
08-2024

Associate of Applied Science - Science

Palo Alto College
San Antonio
05-2021

Skills

  • Medicare/Medicaid/Insurance Billing
  • Claim Entry
  • Patient/Insurance Posting
  • EOB Knowledge
  • Knowledge ICD-10 Codes/CPT Codes
  • HIPAA Compliance
  • Electronic Claim Submission
  • Paper HCFA CMS-1500 Claim Submission
  • QuickBooks
  • GE Centricity EMR software
  • MS Access
  • Ability to Serve and Inspire others
  • Medicare/Medicaid/Insurance Credentialing
  • Staff Training and Supervision
  • Revenue Cycle
  • Customer Service
  • Marketing
  • Insurance/Facility Contracts
  • Fluent in Spanish
  • Detail Oriented
  • Insurance Denials/Appeals
  • Touchstone Software
  • Strong Communication
  • Microsoft Office (PowerPoint, Word, Excel)

Certification

  • CNP - Certified Notary Public, TX

Education Certifications

  • Texas Tech University Health Sciences Center, Bachelor of Science in Healthcare Management
  • Palo Alto College, Associate of Applied Science


Volunteer Community Service

  • The National Kidney Foundation
  • The National Pancreas Foundation
  • You Are Not Forgotten Mural honoring Vietnam Veterans, which has been recognized by The State of Texas

Timeline

Billing Manager

Advanced Imaging Services
01.2008 - Current

Optometrist Assistant / Sales Associate

Eyetx Vision Center
01.2005 - 03.2008

Patient Collections

NCO Financial Systems
01.2000 - 01.2004

Bachelor of Science - Healthcare Management

Texas Tech University Health Sciences Center

Associate of Applied Science - Science

Palo Alto College