Anthony Garcia
Rio Rancho
Summary
Dynamic professional with extensive experience in medical claims processing at Concentrix, adept at navigating complex insurance claims and healthcare billing. Known for exceptional customer service and creative problem-solving skills, consistently improving operational efficiency and client satisfaction. Proven ability to adapt and thrive in fast-paced environments while maintaining compliance with HIPAA regulations.
Overview
11
11
years of professional experience
Work History
Medical Claims Processor
Concentrix
07.2022 - Current
- Managed large volume of medical claims on daily basis.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Paid or denied medical claims based upon established claims processing criteria.
- Reviewed provider coding information to report services and verify correctness.
Group Home Worker
Onyx Supportive Living
01.2020 - 06.2022
- Assisted patients with personal care, social interaction and emotional support.
- Administered first aid and CPR in emergency situations.
- Prepared healthy meals, maintained clean environments and laundered clothes.
- Organized and provided medication at set times.
Tech Support
Convergys
02.2017 - 12.2019
- Provided professional services and support in a dynamic work environment.
- Resolved problems, improved operations and provided exceptional service.
- Strengthened communication skills through regular interactions with others.
US Army
U.S Government
10.2015 - 08.2016
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Versatile professional with strong problem-solving skills and history of adapting to diverse challenges. Applies innovative solutions and technical expertise to deliver exceptional results. Committed to streamlining processes and advancing organizational objectives.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Worked effectively in fast-paced environments.
Customer Service Representative
Alliance Data
01.2014 - 10.2015
- Responded to customer requests for products, services, and company information.
- Maintained up-to-date knowledge of product and service changes.
- Identified and resolved discrepancies and errors in customer accounts.
- Responded proactively and positively to rapid change.
- Educated customers about billing, payment processing and support policies and procedures.
- Followed-through on all critical inter-departmental escalations to increase customer retention rates.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Education
High School Diploma -
Rio Rancho High School
Rio Rancho, NM05-2011
Skills
- Insurance claims processing
- Electronic health records (EHR)
- Insurance claims
- Customer service
- Knowledgeable in [software]
- Call center operations
- Creative problem solving
- Healthcare billing
- Complaint resolution
- Call management
Timeline
Medical Claims Processor
Concentrix
07.2022 - Current
Group Home Worker
Onyx Supportive Living
01.2020 - 06.2022
Tech Support
Convergys
02.2017 - 12.2019
US Army
U.S Government
10.2015 - 08.2016
Customer Service Representative
Alliance Data
01.2014 - 10.2015
High School Diploma -
Rio Rancho High School
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