Summary
Overview
Work History
Education
Skills
Languages
Certification
STC Partnership
Toastmaster International
Timeline
Generic

Blanca L Garza

Edinburg,Texas

Summary

20 plus years of experience in Management with an in depth supporting and enhancing operations with a decisive leadership style and strategic approach to decision making. Knowledgeable business practices in the Revenue/AR Cycle industry. Dynamic Patient Accounting Revenue Manager with a strong focus on training, conflict resolution, and organizational excellence. Successfully implemented programs that enhanced staff performance and optimized departmental workflows.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Patient Accounting Revenue Manager

South Texas Health System-ROC
Edinburg, Texas
12.2021 - 02.2026
  • Managed staff schedules to optimize workflow across departments and promoting a positive work environment.
  • Developed training programs for new staff on hospital policies and procedures.
  • Resolved patient complaints by collaborating with Central Business Office and support teams, like Risk Management and Administration.
  • Monitored hospital KPI performance metrics such as Quality, Accuracy, Estimates and Productivity scores linked to financial results within Experian.
  • UKG timekeeping training and implementation with employees for accurate timesheets/payroll
  • Facilitated communication between different departments within the organization to ensure alignment on goals and objectives.
  • Recruited, hired and trained new Support Staff in Verification, Financial Counseling and Central Scheduling Departments.
  • Directed, supervised and evaluated clerical personnel inclusive of counseling/coaching.
  • Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
  • Maintained awareness of government regulations, health insurance changes and financing options.
  • Key in implementing Talkdesk IVR, training including other UHS Hospitals.
  • Worked with Registration/Admitting Management to research and implement goals to reduce denials.
  • Ensured invoicing and accruals for Third Party Eligibility Agencies were accurate and timely.
  • Worked with Out of State Medicaid enrollment agency.

Assistant Director Revenue Cycle

South Texas Health System
Edinburg, TX
7/9/17 - 11.2021
  • Oriented, trained, and directed staff to achieve objectives.
  • Mentored new employees on industry practices and business operations.
  • Monitored team compliance with safety and health guidelines.
  • Handled incoming and outgoing mail, email and faxes.
  • Coached and guided direct reports on day-to-day operations and company policies and procedures.
  • Oversaw staff, financials and key performance indicators to manage business operations.
  • Developed department performance goals and methods for achieving milestones.
  • Generated reports to provide data for corrective actions and improvements.
  • Participation in Denials Meetings and Trained Denials Analyst.
  • Evaluated key business metrics and recommended adjustments to policies and procedures.
  • Reported Monthly Accruals
  • Update and Maintained Upfront Cash Goal
  • Developed Productivity Standards for Financial Counselors
  • Provided Education to Department Directors on Reconciling Charges

Revenue Cycle Manager

South Texas Health System
Edinburg, TX
4/10/11 - 7/8/17
  • Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
  • Recommended offer acceptances and installment payment plans.
  • Analyzed and reported on billing cycle data to inform management.
  • Kronos-Payroll
  • Reconciliation Reporting and Training
  • Oversaw complete lifecycle of revenue operations.
  • Served as Liaison between CBO and Facilities facilitating customer complaints.
  • Work collaboratively with CBO and Corporate Foundations to communicate coding and reimbursement updates.
  • Denials Management Monthly Reporting with Leadership and Corporate
  • System Admin for Various payer Portals

Manager Patient Accounts

South Texas Health System
Edinburg, TX
8/3/09 - 4/9/11
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
  • Directed work of team of 4 Financial Counselors handling Front End collections.
  • Oversaw Third Party Agencies, and all other accounting functions.

Patient Accounting Supervisor

South Texas Health System
Edinburg, Texas
9/2/07 - 8/2/09
  • Developed and maintained Policies and Procedures
  • Directed work of team of 4 Financial Counselors handling Front End collections.
  • Selected, trained, assigned, scheduled and coached employees and communicated job expectations.
  • Managed daily operations within Financial Counseling office by supporting continuous delivery of excellent services and care.
  • Utilized active listening skills to quickly resolve problems and escalated larger issues to Manager.

Supervisor

South Texas Health System
Edinburg, Texas
1/23/05 - 9/1/07
  • Led and motivated 6 employees through supervision, training and coaching on duties and daily operational activities.
  • Recruited well-qualified candidates to fill vacancies.
  • Facilitated peer-to-peer conflict resolution.
  • Initiated training and education programs for supporting healthcare staff.
  • Delivered consistent coaching and mentoring to improve job efficiency.
  • Managed CAshiers, Collectors and Financial Counselors
  • Payroll/Kronos Timekeeping for Staff- monitoring OT/Productivity
  • Oversight of Third Party Agency

Asst Financial Counselor

South Texas Health System
Edinburg, Texas
4/22/01 - 1/22/05
  • Assisted patients without healthcare coverage to find resources, services and assistance needed.
  • Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
  • Interviewed patients and families, answering questions regarding financial process during such sessions.
  • Documented all gathered information and details from discussions with patients and providers using TMHP, CEI.
  • Answered clients' questions regarding details of financial plans and strategies and explained data in easy-to-understand terms.
  • Interviewed clients to determine income, expenses, financial objectives and risk tolerance in order to develop successful financial plans.

Financial Counselor

HCA- Rio Grande Regional
McAllen, Texas
3/1/00 - 4/21/01
  • Assisted patients without healthcare coverage to find resources, services and assistance needed.
  • Interviewed patients and families, answering questions regarding financial process during such sessions.
  • Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
  • Documented all gathered information and details from discussions with patients and providers using TMHP.

Financial Counselor

South Texas Health System
Edinburg, Texas
1997 - 2000
  • Assisted patients without healthcare coverage to find resources, services and assistance needed.
  • Interviewed patients and families, answering questions regarding financial process during such sessions.
  • Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
  • Liaised between physician, patient and insurance carrier to verify that each party had necessary information.

Education

Some College (No Degree) - General Curriculum

Pan American University
Edinburg

Skills

  • Training and development
  • Issue and conflict resolution
  • Systems and automation applications
  • Computer skills
  • Organizational skills
  • Time management

Languages

Spanish
Native/ Bilingual

Certification

  • ACA CAC Training - Certified from 2013 through 2015

STC Partnership

Contact for STC Student Practicum Hours. One Student was hired as a result of this collaboration as the Denials Analyst.

Toastmaster International

Member 2008

Member 2021

Timeline

Patient Accounting Revenue Manager

South Texas Health System-ROC
12.2021 - 02.2026

Assistant Director Revenue Cycle

South Texas Health System
7/9/17 - 11.2021

Revenue Cycle Manager

South Texas Health System
4/10/11 - 7/8/17

Manager Patient Accounts

South Texas Health System
8/3/09 - 4/9/11

Patient Accounting Supervisor

South Texas Health System
9/2/07 - 8/2/09

Supervisor

South Texas Health System
1/23/05 - 9/1/07

Asst Financial Counselor

South Texas Health System
4/22/01 - 1/22/05

Financial Counselor

HCA- Rio Grande Regional
3/1/00 - 4/21/01

Financial Counselor

South Texas Health System
1997 - 2000

Some College (No Degree) - General Curriculum

Pan American University
Blanca L Garza