Crystal Garcia
Island HealthCare Solutions
Honolulu,HI
19
years of professional experience
Medical billing and accounts receivable professional with track record of ensuring accurate and timely billing processes. Known for focus on team collaboration and achieving results, while adapting to changing needs. Proficient in patient account management and resolving billing discrepancies with professionalism and precision.
Work History
Team Lead, Accounts Receivable,
1 Year 4 Months- Manage accounts receivable to ensure timely payment processing.
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Utilized billing software to track outstanding payments and follow-up on overdue accounts.
- Leveraged billing software to monitor outstanding payments and conducted follow-ups on overdue accounts.
- Managed updates to patient accounts in billing system, ensuring accuracy for invoicing and reimbursement.
- Supported reconciliation of patient accounts, identifying discrepancies for resolution.
- Recorded payments into billing system for accurate financial tracking. and collections on a regular basis.
- Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
- Facilitated communication between patients, insurance companies, and billing office to resolve billing inquiries.
- Participated in training sessions to enhance understanding of medical billing regulations.
- Communicated with insurance providers to resolve denied claims and resubmit.
- Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.
- Processed and reviewed high-volume accounts receivable transactions for accuracy and compliance.
- Led training sessions for new staff on billing procedures and best practices to enhance team performance.
- Managed multiple priorities effectively by maintaining strong organization skills while handling competing deadlines within a fast-paced environment.
- Collaborated with management to develop strategic initiatives aimed at improving service lines.
- Analyzed operational data to identify trends and drive continuous improvement initiatives across departments.
- Trained new team members by relaying information on company procedures and safety requirements.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Coached team members in techniques necessary to complete job tasks.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
Medical Biller, Accounts Receivable, Team Lead
2 Years 7 Months- Processed medical claims with high accuracy and attention to detail.
- Utilized billing software to manage accounts receivable efficiently.
- Ensured compliance with healthcare regulations and billing guidelines.
- Collaborated with healthcare providers to resolve claim discrepancies promptly.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Streamlined billing operations through process improvements, enhancing overall efficiency.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Monitored outstanding claims, following up to ensure timely reimbursements.
- Managed appeals process for denied claims, achieving successful reimbursements from insurance companies.
- Implemented quality control measures to identify errors prior to claim submission, reducing rejections.
- Adhered to established standards to safeguard patients' health information.
- Implemented comprehensive audit system for billing procedures, identifying and rectifying process gaps.
- Posted payments and collections on a regular basis.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
AR Collection Specialist
2 Years 4 Months- Managed collection processes for overdue accounts, enhancing cash flow stability.
- Reviewed and corrected billing discrepancies to maintain accurate patient accounts.
- Processed medical claims efficiently to ensure timely reimbursement from insurance providers.
- Communicated with patients to resolve outstanding invoices and negotiate payment plans.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Shared insights in departmental meetings to enhance medical billing efficiency and revenue generation.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Maintained up-to-date records of billed services and payments to support overall office organization.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions.
- Verified accuracy of accounts payable payments, resulting in 68% reduction in payment errors and check reissues.
- Trained and mentored junior staff on best practices in AR billing operations.
- Collaborated with cross-functional teams to streamline invoicing procedures and reduce errors.
- Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.
- Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.
- Established effective relationships with insurance company representatives to expedite claim processing times and increase reimbursement rates.
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Assisted with staff training on updated medical coding systems, ensuring accuracy across all team members'' workloads.
- Organized and filed all necessary documentation related to medical billing procedures, maintaining a streamlined office environment conducive to efficient operations.
- Streamlined the billing process for increased efficiency by implementing new software solutions.
- Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.
- Implemented quality assurance measures to minimize errors in data entry, leading to increased claim approval rates from insurers.
- Checked patient insurance coverage to confirm eligibility for services.
- Organized and maintained accurate patient information and medical records in the system.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Utilized various software programs to process customer payments.
- Participated in training sessions to enhance understanding of medical billing regulations.
- Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Collected payments and applied to patient accounts.
- Posted payments and collections on a regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Acted as a point of contact among patients, insurers, and billing staff to streamline processes.
- Responded to customer concerns and questions on a daily basis.
- Adhered to established standards to safeguard patients' health information.
- Learned to manage accounts receivable to ensure timely payment processing.
- Maintained confidentiality of patient information by adhering to strict HIPAA regulations throughout the billing process.
- Led audits of billing practices, identifying areas for enhancement in accuracy and efficiency.
- Managed accounts receivable, ensuring compliance with regulations and industry standards.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Investigated coding discrepancies in CPT and ICD-10 to ensure compliance and accuracy in reimbursements.
Medical Biller
1 Year 8 Months- Managed billing processes for patient accounts, ensuring timely claims submission and accuracy, which facilitated quicker reimbursements.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Facilitated timely payments from insurance providers by submitting accurate and complete claims, enhancing revenue flow.
- Analyzed billing data to identify trends and discrepancies, driving strategic decisions for revenue optimization.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Submitted charges promptly to ensure accurate billing and revenue capture.
- Resolved discrepancies in accounts receivable reports, leading to improved cash flow management and financial reporting.
- Organized filing system for patient records, expediting access to essential documents.
- Organized filing system for patient records, expediting access to essential documents when needed.
Floral Designer
5 Years 4 Months- Designed custom floral arrangements for various events, enhancing client satisfaction and brand reputation.
- Collaborated with clients to determine design preferences, ensuring alignment with their vision and event themes.
- Managed inventory of flowers and supplies, optimizing stock levels to minimize waste and maintain freshness for client orders.
- Trained junior staff on floral design techniques, fostering skill development and promoting team efficiency.
- Developed seasonal display concepts that enhanced visual appeal and attracted new clientele to the shop.
- Adapted quickly to changing trends in the floral industry, acquiring new skills as needed to effectively serve diverse client needs.
- Adapted quickly to changing trends in the floral industry, acquiring new skills to effectively serve diverse client needs.
Education
No Degree - Medical Coding
- Relevant Coursework: Inpatient & Outpatient Coding
- Professional Development: CPT, HCPCS and ICD-10
Certificate of Technical Studies - Medical Billing And Coding
- 3.5 GPA
High School Diploma
- 3.6 GPA
- Extracurricular Activities: Student Body Rep for Junior and Senior Class
- Professional Development: ROP - Retail and Sales
Skills
ICD-10 proficiency
Critical thinking
HIPAA compliance
Claim submission
Denial management
Medical terminology
Collections experience
Payment posting
Teamwork and collaboration
Billing and collection procedures
Accomplishments
- Supervised team of 5 staff members.
- Achieved lowering inaccurate write offs by completing audits with accuracy and efficiency.
Timeline
Team Lead, Accounts Receivable,
Island HealthCare Solutions
05.2025 - CurrentRead More
Medical Biller, Accounts Receivable, Team Lead
HealthCare Outsourcing Network
05.2022 - 12.2024Read More
AR Collection Specialist
Cade Medical
05.2017 - 09.2019Read More
Medical Biller
Inland Physicians Billing Services
12.2012 - 08.2014Read More
Floral Designer
Stater Brothers Markets
11.2007 - 03.2013Read More
Career Step
No Degree from Medical Coding
Read More
UEI College
Certificate of Technical Studies from Medical Billing And Coding
Read More
Chaparral High School
High School Diploma
Read More