Debra M Garcia
San Antonio,TX
Summary
Detail-oriented RAC Coordinator with expertise in multitasking, data entry, and customer service. Proven ability to manage audits and resolve issues efficiently.
Overview
16
16
years of professional experience
Work History
RAC Coordinator
University Hospital of San Antonio
5800 Farinon Dr.
09.2019 - 01.2026
- Work Commercial, Managed Medicaid and Traditional Medicaid Audits
- Word and Excel used on daily basis
- Data Entry new audits
- Work spreadsheets and reports
- Maintained Audit Log of all audits
- Maintain status and follow up on audits in process
- Request medical records as needed
- Appeal and Research denials
- Apply and calculate adjustments for closure or refund
- Worked with other departments as needed to resolve issues
Managed Care Appeals/Denial Specialist
Nix Hospital
San Antonio, TX
05.2013 - 09.2019
- Work Commercial Denials and Commercial Audits
- Word and Excel used on a daily basis for collections, denials, and payments
- Work with ATB Report and spreadsheets
- Request Medical records and send out within time limitations
- Perform research to determine if appeals needed
- Maintain Appeals log daily
- Work contractual adjustments for resolution of accounts and refunds
- Secondary billing if needed
- Collection experience with Commercial, Managed Medicare, and Managed Medicaid
- Communication with Supervisors, Utilization Management, and other departments as needed
Collections Clerk
Fresenius Medical Care
San Antonio, TX
09.2009 - 05.2013
- Manage daily operation of insurance collections for Dialysis services
- Work AR reports & spreadsheets
- Prepare medical necessity Appeals
- Able to identify and resolved coding discrepancies
- Data Entry
- Analyze, identify, & research error and correct
- Prepare and submit packets for adjustments
- Secondary billing
Education
High School Diploma -
John F. Kennedy H.S.
San Antonio, TX05-1983
Some College (No Degree) - Computer Science
San Antonio College
San Antonio, TXSkills
- Multitasking and organization
- Customer service
- Data entry
- Decision-making
- Scanning
- Faxing
- Working with calculator
- Able to work with Insurance websites to upload or retrieve information
Timeline
RAC Coordinator
University Hospital of San Antonio
09.2019 - 01.2026
Managed Care Appeals/Denial Specialist
Nix Hospital
05.2013 - 09.2019
Collections Clerk
Fresenius Medical Care
09.2009 - 05.2013
Some College (No Degree) - Computer Science
San Antonio College
High School Diploma -
John F. Kennedy H.S.