Cynthia Garcia
Chicago,IL
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
22
22
years of professional experience
Work History
Billing Follow-up Rep
Advocate Aurora Health Care
01.2018 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Used data entry skills to accurately document and input statements.
- Monitored outstanding invoices and performed collections duties.
- Generated accounts payable reports for management review to aid in financial and business decision making.
Medicaid Biller and Collector
Conifer Healthcare Solutions
11.2013 - 11.2016
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
Patient Representative
Advocate Lutheran General Hospital
05.2010 - 11.2013
- Verified any changes or data updates to patient records and checked insurance information at each appointment.
- Observed all facility rules and regulations regarding patient data to promote confidentiality and integrity.
- Informed patients of excessive wait times and offered to reschedule appointments.
- Monitored patient flow throughout day to maintain appointment times and schedules.
Reimbursement Specialist
CVS/caremark
06.2006 - 10.2010
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Prevented delays and claim denials by correcting information prior to submission.
Customer Service Representative
Medix Staffing
01.2005 - 06.2006
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Receptionist
ENT Specialists
06.2001 - 05.2006
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Kept reception area clean and neat to give visitors positive first impression.
- Answered phone promptly and directed incoming calls to correct offices.
Billing Technician
CDW
01.2005 - 11.2005
- Offered administrative and customer service support to customers.
- Researched billing and payment application errors.
- Assisted HR and accounting teams with special projects.
- Managed invoicing and payment processing operations.
- Processed customer invoices, credit memos and payments within established timelines.
- Handled account payments and provided information regarding outstanding balances.
- Generated daily, weekly and monthly reports for billing department.
Education
Associate of Applied Science - Medical Insurance Coding
Oakton Community College
Des Plaines, IL05.2006
Skills
- Customer Service Process Improvement
- Account Follow-Up
- Debt Determination
- Electronic Patient Medical Record
- Insurance Understanding
- Basic Medical Terminology
- Insurance Claim Regulations
- Healthcare Common Procedure Coding System (HCPCS)
- Bilingual
- knowledge of various Microsoft programs
- Knowledge of Word and Excel programs
- Knowledge of Epic program
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Billing Follow-up Rep
Advocate Aurora Health Care
01.2018 - Current
Medicaid Biller and Collector
Conifer Healthcare Solutions
11.2013 - 11.2016
Patient Representative
Advocate Lutheran General Hospital
05.2010 - 11.2013
Reimbursement Specialist
CVS/caremark
06.2006 - 10.2010
Customer Service Representative
Medix Staffing
01.2005 - 06.2006
Billing Technician
CDW
01.2005 - 11.2005
Receptionist
ENT Specialists
06.2001 - 05.2006
Associate of Applied Science - Medical Insurance Coding
Oakton Community College
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