Open to opportunities

Thomas Spriggs

@thomasspriggs

Detail-oriented Accounts Receivable and customer service professional with 16+ years in healthcare support and financial services.

United States

Message

What I'm looking for

I’m looking for a compliance-driven role where I can verify insurance eligibility, resolve billing/claims issues, and use Epic, Citrix, and Excel to improve revenue-cycle accuracy and customer outcomes.

I’m a detail-oriented Accounts Receivable and customer service professional with 16+ years of experience in healthcare support, financial services, and front-line customer relations. I’m skilled in verifying insurance coverage, obtaining patient information, and processing claims documentation with accuracy, confidentiality, and compliance at the center of how I work.

In my current Accounts Receivable Specialist role, I verify patient insurance eligibility through Citrix portals and payer websites, review Explanation of Benefits and Electronic Remittance Advice, and post accurate payments. I investigate and resolve claim denials, rejections, and underpayments to recover revenue, coordinate appeals for reimbursement, and ensure compliance with HIPAA and payer-specific billing guidelines. I also use Excel to track AR metrics, reconcile accounts, and produce reports.

Previously, I’ve supported patient access and scheduling by maintaining patient waitlists in Epic, prioritizing openings by clinical urgency, and correcting registration errors to improve data accuracy. I’ve also brought underwriting and claims-adjacent expertise from consumer lending (document review, credit decisions, compliance/regulatory requirements) and Patient Advocate work, where I handled high-volume calls and interfaced with health insurance providers (HMO, PPO, Medicaid, Medicare, and TPL) to support medical claims processing.

Experience

Work history, roles, and key accomplishments

Current

Assistant Event Planner

Current

Cherishable Moments

Jan 2013 - Present (13 years 4 months)

Served as the primary client point of contact for events, supporting service promotion and engagement planning. Assisted with setup and cleanup and trained/supervised front-office staff across cash handling, customer service, and switchboard recordkeeping.

Client Liaison Event Planning Promotion Assistance Cash Handling Customer Service Switchboard Recordkeeping

Accounts Receivable Specialist

Change Healthcare / Optum

May 2022 - Feb 2026 (3 years 9 months)

Verified patient insurance eligibility via Citrix portals and payer websites, reviewed EOBs/ERAs, and posted accurate payments. Investigated and resolved claim denials, rejections, and underpayments, ensuring HIPAA and payer-specific billing guideline compliance.

Insurance Verification Citrix Underpayments HIPAA compliance Excel reporting Revenue Cycle Management

Patient Access Representative

Unknown (Patient Access)

Jul 2019 - May 2020 (10 months)

Handled high-volume phone lines, triaged scheduling requests, and routed urgent calls to clinical staff. Managed waitlists and arrival audits in Epic, corrected registration and appointment conflicts, and coordinated urgent consults to improve patient access.

Epic Patient Scheduling Triage Waitlist Management Arrival Audits Appointment Conflict Resolution Patient Record Updates

Customer Service Specialist

Dyson / Canada

Jul 2019 - May 2020 (10 months)

Resolved customer inquiries in an effective and timely manner while maintaining high-quality service and productivity. Provided hands-on technical diagnosis and resolution of mechanical problems and identified sales prospects for new products and upgrades.

Customer Service Technical Troubleshooting Diagnosing Mechanical Product Knowledge Sales Prospecting

Indirect Underwriter / Lending

Lending Solutions

Jan 2017 - Jan 2019 (2 years)

Analyzed consumer credit reports and reviewed supporting documents to evaluate risk for indirect lending applications across multiple states and regions. Made and communicated credit decisions (approve/decline/counteroffer) in compliance with underwriting guidelines and regulatory requirements.

Credit Reports Risk Assessment Compliance Requirements Underwriting

Patient Advocate (Claims Support)

Claims Services

Jan 2015 - Jan 2016 (1 year)

Supported hospital staff and patients by retrieving documentation required for processing inpatient and outpatient medical claims. Managed high-volume inbound calls and outbound calls to obtain and verify patient insurance information, keying details into a database and coordinating with HMO/PPO/Medicaid/Medicare/TPL providers.

Insurance Verification HMO PPO Coordination Medicaid Medicare TPL Support Subrogation And Pre Existing Claim Support

Night Auditor

DoubleTree by Hilton Worldwide

Jan 2014 - Jan 2016 (2 years)

Produced daily and monthly reports covering room occupancy totals, daily transactions, and revenue figures for management review. Completed batch processing to settle credit charges and ensured third-party reservation processing while assisting guests with reservation updates and check-in/check-out for 428 rooms.

Batch Processing Credit Charge Settlement Guest Check in Check out Guest Accommodation Support

Front Office Associate

Chicago-O'Hare Hotel

Jan 2011 - Jan 2012 (1 year)

Assisted guests with hotel check-in/check-out and answered inquiries about products and services. Maintained effective guest-facing front desk support throughout daily operations.

Front Desk Operations Guest Check in Check out Customer Service

Front Office Associate

DoubleTree Guest Suites

Jan 2008 - Jan 2010 (2 years)

Assisted guests with check-in/check-out and responded to guest inquiries. Analyzed and reported monthly sales, guest comments, and compliment reports and transported guests to their desired destinations.

Front Desk Operations Guest Check in Check out Responding To Guest Inquiries Sales Reporting Guest Comment Reporting Compliment Reporting