Open To Work
Joyce Garcia
Vancouver,WA
Work Preference
Summary
Results-driven Field Reimbursement Manager with extensive experience navigating the complex landscape of healthcare reimbursement, payer relations, and patient access. Skilled at developing reimbursement strategies, streamlining prior authorization and claim processes, and serving as a trusted liaison between providers, payers, and internal cross-functional teams. Expertise in interpreting coverage policies, educating clinical and sales teams on reimbursement pathways, and resolving barriers to patient access. Recognized for building strong payer relationships, driving process improvements, and ensuring compliant, patient-centered outcomes across diverse healthcare settings.
Professional with background in healthcare reimbursement, adept at navigating complex billing processes and regulatory compliance. Skilled in optimizing reimbursement strategies, fostering team collaboration, and driving results in dynamic environments. Known for adaptability, effective communication, and strong analytical abilities. Reliable in managing changing needs and ensuring accuracy in all tasks.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Field Reimbursement Manager
StimLabs, LLC
02.2022 - 11.2025
- Develop and implement reimbursement strategies to optimize payment for 30% quicker reimbursement for medical services.
- Analyze financial data to identify trends and areas for improvement in the reimbursement process.
- Build and maintain strong relationships with payers, government agencies, and other stakeholders.
- Provide timely and accurate reporting to senior management on reimbursement-related activities and outcomes.
- Served as a key resource to healthcare providers and internal teams on coverage, coding, and reimbursement for advanced wound care products.
- Supported field sales and clinical teams by providing payer-specific insights and resolving complex reimbursement challenges.
- Developed and implemented reimbursement strategies that increased successful claim approvals and reduced denials by 50%.
- Analyzed payer trends and reimbursement data to identify opportunities for education and process improvement.
- Delivered reimbursement training to field teams, ensuring compliance with payer policies and CMS guidelines.
- Maintained strong relationships with payers, billing vendors, and provider offices to enhance patient access and streamline reimbursement processes.
- Provided senior leadership with data-driven reporting on reimbursement trends, payer updates, and field support metrics.
- Managed the Joint Advocacy contracts management project.
Supervisor, Clinic Operations
PeaceHealth- Family Medicine and Residency Clinic
06.2019 - 02.2022
- Link mission into day-to-day work, focuses on meeting organization/departmental targets, monitors budget variances and recommends or develop plans for improvement, assure regulatory compliance.
- Recommend selection of staff, monitor and evaluate performance and accountability of staff. Evaluate competence and initiate performance improvement plans to develop staff, provide meaningful and constructive feedback.
- Work with leadership to assist in the development of policies, procedures, and enhancements to the delivery of services, and operations of the department.
- Supervise assigned caregivers with full personnel action authority. Responsible for training, coaching, mentoring and development of caregivers. Ensure the completion of mandatory training and in-services. Responsible for scheduling and time off management of direct reports.
- Delegate work and projects within team; adjust workflow to provide efficient and effective operations. Maintain alignment with the patient experience and medical group strategic initiatives.
- Provide operational support with clinical processes, policies, procedures and budget management. Assist with compliance with policies and procedures. Ensure compliance with all local, state and federal regulations and laws.
- Responsible for the development and maintenance of effective relationships within the department and working collaboratively with internal PeaceHealth customers as well as external customers, i.e. patients, families, visitors, etc.
- Provide first line problem solving for caregivers and patients for complaints, incident reporting and in the moment follow-up for issues or concerns.
- Support and carry out strategic and process improvement initiatives and projects.
Admissions Director
ManorCare Skilled Nursing and Rehabilitation
01.2019 - 06.2019
- Collaborate with Director of Nursing and Administrator to develop, manage and expand patient census.
- Manage and supervise admissions staff
- Recruit, interview, hire and manage personnel in conjunction with Skilled Nursing Facility Human Resources Department
- Direct disciplinary action and conflict resolution
- Facilitate and participate in education of staff to the Performance Metrics, working in tandem with Director of Nursing and Administrator to create action plans to meet, or exceed target measures
- Develop and manage inquiry process
- Handle inquiry calls from hospitals, families and community out-patient clinics. Along with scheduling appointments that include presentations and facility tours
- Makes sales calls outside the facility to medical, insurance, legal and financial profession, senior organizations, hospital discharge planners and other community contacts.
- Create patient contracts, review and input information into system.
- Maintain knowledge of Federal and State regulations, Medicare and Medicaid regulations and reimbursements.
- Initiate contacts and develop key relationships with all appropriate healthcare referral sources as accomplished through routine correspondence campaign, direct mail, press kits and consistent contact with referral sources through the presentation.
- Expertly coordinate all aspects of the revenue cycle including inquiry conversion, scheduling, registration, treatment authorization, documentation, coding, charge entry, billing, collections and, denial processes
- Facilitate all Vendor appointments
Program Director
Healogics Inc / PeaceHealth, Wound Healing Center
03.2017 - 01.2019
- Proficiently deliver day-to-day management oversight for the outpatient clinic with 20+ staff and 6 Physicians.
- Efficiently utilize Company’s resources to develop and implement customized policies and procedures.
- Continuously analyze systems and processes; develop and implement best practices and appropriate changes to improve outcomes in a timely manner.
- Work with hospital and company personnel to ensure availability of adequate resources, supplies, equipment, and services.
- Expertly coordinate all aspects of the revenue cycle including inquiry conversion, scheduling, registration, treatment authorization, documentation, coding, charge entry, billing, collections and denial processes.
- Initiate contacts and develop key relationships with all appropriate healthcare referral sources as accomplished through routine correspondence campaign, direct mail, press kits and consistent contact with referral sources through the presentation.
- Recruit, interview, hire and manage personnel in conjunction with the hospital’s Human Resources Department
- Direct disciplinary action and conflict resolution
- Motivate staff with frequent recognition, performance discussions and events, which have resulted in high morale, and friendly customer services by staff
- Skilled in staff problem-solving, and negotiating solutions to performance and attendance problems
- Oversight of all clinic maintenance and improvements
- Collaborate with Clinical Coordinator and Medical Director to develop, implement and manage a continuous Performance Improvement Program (PIP).
- Conduct monthly Panel Physician meetings; attend quarterly Director DASH meetings and training.
- Effectively guide and mentor employees on defining career and job-related goals and objectives.
- Competently present CareConnect support and efficiently troubleshoot issues for Providers, RNs, Mas, and scheduling staff.
- Supervise timecards, PTO request and FMLA of clinic support staff and physicians.
- Review and analyze PNL statements
- CareConnect Super User
- Oversee staff development of continuing education, training and timely completion of annual competencies
Office Coordinator
Healogics Inc / PeaceHealth, Wound Healing Center
10.2014 - 03.2017
- Supervise and coordinate all front, and back-office activities, necessary to provide excellent patient focused care
- Liaison between clinic support staff, and management
- Acts as patient advocate when necessary, maintaining adherence to clinical and organizational policies
- Create and Maintain schedule for PARS, Referral Coordinator, Nursing staff and Providers
- Maintained office equipment and office supplies, and ordered as appropriate.
- Answered phones, greeted customers, routed calls to appropriate staff, and scheduled patient appointments.
- Efficiently obtained insurance information from customers, obtain insurance verification for services.
- Coordinated Patient Ancillary Testing with other hospital departments.
- Entered patient charges and verified charges, and reconciled charges as directed.
- Assembled new patient charts, maintained and filed existing patient charts, spotted check charts for data completeness and signatures.
- Performed data entry into proprietary database and data entry into hospital data systems (patient registration) as directed.
- Expertly audited data entry and generated reports as directed.
- CareConnect Super User
Certified Medical Assistant/Hyperbaric Technician
PeaceHealth, Wound Healing Center
01.2012 - 10.2014
- Assisted in scheduling patients for tests, initial and follow up appointments.
- Maintained patient files, records, and other information including entry of data into electronic medical record.
- Collaborated with a variety of personnel and departments to ensure smooth clinic operations.
- Efficiently cleaned and maintained the equipment according to infection control standards.
- Maintained continuous quality improvement duties and chart audits.
- Performed an inventory check and maintained a record of supplies and laundry items.
- Administered hyperbaric oxygen therapy and diagnostic testing to patients of the Wound Healing Center.
- Expertly delivered educational wound and healthcare information to patients.
- Reviewed all department safety incidents, collected information regarding equipment/patient safety, reported relevant incidents to the staff and periodically provided in-service training related to hyperbaric.
Internal Medicine and OBGYN Medical Assistant
Marianas Physicians Group
01.2003 - 09.2007
- Checked patient’s blood pressure, weight, height, and recorded in EMR.
- Recorded patient’s medical history, family history, surgical history, reproductive history, allergies, medications, and other pertinent “Face sheet” information in EMR.
- Collected urine specimen if necessary and recorded results.
- Efficiently roomed the patient with appropriate instructions.
- Maintained work area, exam room, supplies, medications, and immunizations.
- Assisted Provider with any exam room procedures.
Education
MBA - Healthcare Management
Southern New Hampshire University
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Medical Assistant Certificate Program - undefined
Everest Career College
Skills
- Reimbursement & Payer Strategy: Prior authorizations, coding / billing / CPT codes / J codes / ICD-10, appeals, payer policy analysis Site of service Reimbursement, Buy and Bill
- Provider & Patient Access: Benefits investigations, Field education, Access issue resolution
- Data & Compliance: Proficient in EMR systems, KPI reporting, CRM Utilization, CMS compliance, Payer trend analysis
- Field Operations: Territory management, Quality control management, Medical Terminology, Healthcare Management, Cross functional collaboration
Accomplishments
Increased reimbursement turnaround time 30% in 2 months.
Reduced claim denials 50% in 4 months.
Awarded Field Reimbursement Manager of the year.
Developed key relationships with healthcare providers increasing patient referrals by 45%.
Awarded Clinic Supervisor of the year.
Certification
- Field Reimbursement Manager of the Year 2024
- Clinic Operations Supervisor of the Year 2021
- Leadership and Management Program Director Training- Jacksonville, Florida (July 2017)
- The National Society of Leadership and Success (May 2017)
- Healogics- Hyperbaric Technician and Safety Director Training- Jacksonville, Florida (Sept 2012)
- Certified Medical Assistant (May 2012)
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Field Reimbursement Manager
StimLabs, LLC
02.2022 - 11.2025
Supervisor, Clinic Operations
PeaceHealth- Family Medicine and Residency Clinic
06.2019 - 02.2022
Admissions Director
ManorCare Skilled Nursing and Rehabilitation
01.2019 - 06.2019
Program Director
Healogics Inc / PeaceHealth, Wound Healing Center
03.2017 - 01.2019
Office Coordinator
Healogics Inc / PeaceHealth, Wound Healing Center
10.2014 - 03.2017
Certified Medical Assistant/Hyperbaric Technician
PeaceHealth, Wound Healing Center
01.2012 - 10.2014
Internal Medicine and OBGYN Medical Assistant
Marianas Physicians Group
01.2003 - 09.2007
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Medical Assistant Certificate Program - undefined
Everest Career College
MBA - Healthcare Management
Southern New Hampshire University