Alexis Garcia
Chandler,AZ
Summary
With over 20 years of experience managing corporations in positions requiring exceptional project management involving medical billing. Directs, leads, and inspires staff to implement and achieve strategic goals to maximize revenue generation. Brings an array of established business experience and skill set from insurance billing experience to facilitate day-one productivity.
Overview
19
19
years of professional experience
Work History
Director of Revenue
DermRight Dermatology
07.2021 - 05.2023
- Managed the daily operations of support staff, assigned, and monitored workflow in coordination with eligibility, authorizations, charges, and credentialing
- Act as subject matter expert (SME) and provide training or mentorship to new and/or current employees
- Managed escalated emails, calls, and tasks
- Provided coaching, completed, and delivered annual reviews and appropriate merit increases for the billing department
- Facilitated effective resolutions to complex billing issues with health plans
- Maintained fee schedule updates to ensure maximum reimbursement
- Obtained/maintained provider contracts
- Conducted regular audits to identify and rectify billing discrepancies, improving accuracy and minimizing revenue leakage
- Worked in conjunction with other Billing staff to assure timely completion of billing functions
- Developed, directed, implemented, and maintained policies and procedures of RCM based on needs of the practice
- Provided critical analysis of RCM statistics highlighting opportunities of improvement
- Maintained KPI goals and pursued continuous improvement.
- Identified issues regarding delayed or incomplete payments and followed through to resolution.
RCM Manager
My Dr Now
01.2017 - 05.2021
- Responsible for directing and coordinating the overall functions of billing and coding to ensure maximization of cash flow
- Responsible for reporting weekly AR numbers via excel with AR bucket breakdowns
- Arranged mass follow up projects to hit targeted goals
- Maintained relationships with provider representatives to resolve payment discrepancies
- Hired and trained new employees
- Completed clearing house rejections
- Had direct communication with the coding department to ensure clean claim submissions
- Researched and implemented coding changes
- Managed the daily functions of 13 employees to maintain accuracy
- Provided training on prior authorizations and retro authorizations.
General Manager
Thousand Cranes
07.2010 - 09.2016
- Experience managing up to 35 providers/practices
- Managed up to 50 employees
- Interviewed, hired, and trained new staff
- Analyzed, researched, and resolved customer issues
- Managed the reconciliation of accounts receivable (A/R) daily and consistently met target goals
- Sustained a good business relationship with clients including physicians and their practice
- Responsible for giving employees direction on how to manage their assigned provider's A/R
- Developed, implemented, and maintained company policies and procedures.
Follow Up Manager
09.2006 - 07.2010
- Kept all providers A/R over 90 under 10% of total A/R
- Remained current with CPT/HCPCS and ICD-10 coding terminology
- Arranged mass follow up projects to improve providers A/R.
Biller
01.2004 - 09.2006
- Entered charge and payment info for multiple providers
- Responsible for appealing denials of service to improve provider's A/R
- Responsible for taking patient phone calls and resolving customer issues or complaints.
Skills
- Thorough understanding of time management, initiative-taker, and goal driven
- Clear verbal and written communicator with both internal employees and external contacts
- Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook)
- System experience: Carecloud, DrChrono, and multiple payer portals
- Clear understanding of full cycle revenue requirements and takes initiative to make improvements and deliver results
- Comprehensive knowledge of "Explanation of Benefits", insurance claim processing, Aging Reports, ICD-10's, HCPCS with Medicare, Medicaid, Other Government, and Commercial payers
Professional References
- Ashley Hennessey, Office Manager, Thousand Cranes & DermRight Mobile Dermatology, 480-529-9711, 8
- Desiree Hansen, Office Manager, Thousand Cranes & MYDRNOW, 602-332-1674, 6
- Ivonne Lopez, Director of Revenue, My Dr Now, 602-642-4145, 2
- Kristie Gory, AR Representative, My Dr Now, 408-307-4022, 2
Timeline
Director of Revenue
DermRight Dermatology
07.2021 - 05.2023
RCM Manager
My Dr Now
01.2017 - 05.2021
General Manager
Thousand Cranes
07.2010 - 09.2016
Follow Up Manager
09.2006 - 07.2010
Biller
01.2004 - 09.2006
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