Laura Garcia
Corpus Christi,TX
Summary
Detail-oriented Insurance Coordinator offering 6 years of experience navigating insurance options in both long- and short-term care facilities. Well versed in Medicare requirements with notable success maximizing reimbursements while optimizing revenue cycle management. Attentive listener with patient-first attitude to insurance plan selection, supporting patients through routine, preventive and long-term care. Team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Payment Posting Specialist/ Insurance Coordinator
United Surgical Partners International
06.2023 - Current
- Interface with patients and families, physicians and staff
- Update patient demographics/information in system
- Verify insurance benefits, obtaining proper authorization from insurance carrier
- Determine what funds to collect upon admission
- Notify patients of monies due and document in billing system
- Pulls payment information from Surgery Center bank account for Electronic Funds Transfers (EFTs) to post to PAS
- Prepares batches daily
- Posts all daily payments including, over the counter money, mail, credit card payments, and EFTs to PAS and verifies the system batch totals equal combined documents
- Balance and Close all batches daily
- Works rejections in Zirmed daily
- Follow-up on current aging denials and payor issues to assist collector
- Notifies supervisor of trends with insurance coverage, incorrect contract information, or any insurance and/or coding updates
- Maintains working relationship with billing coordinator, collection specialist, and scheduler to ensure charges are correct at time of billing and to limit scheduling errors
- Provide relief to Admitting, Office Assistant, Insurance Verifier and Scheduling, and month end processing as required
- Other duties as required or requested by chain of command.
Customer Service Representative
Frost Bank
06.2022 - 06.2022
- Answer inbound calls in an effort to assist troubleshooting issues
- Fulfilling customers request in quick response time
- Managing priorities to meet customer needs efficiently and accurately using Frost Core Values; Integrity, Caring and Excellence
- Customer Service
- Telephone Customer Service
- General Banking knowledge
- Online Banking Experience
- Proficient in Microsoft Computer Applications (Word, Excel, Access, PowerPoint, and Project)
- Telephone Etiquette
- Sales.
Patient Access Rep
Driscoll Children's Hospital
09.2018 - 06.2022
- Eligibility Team - Verify Medicaid, Commercial and Third Party insurances using RTE and web portals
- Cross trained in Referral Management - Create referrals for all Clinics, Upload documents using Nitro
- Update patient's chart electronically using EPIC Software
- Pre-Service Team - Call Patient's to Confirm / Reschedule appt.'s
- Transfer calls to Clinics, Answer phone calls, Create Estimation sheets for Radiology and Rehab, Defer Radiology and Rehab, Complete IBM's and 8242's and Inform parents about MyChart App
- Perform Word Processing duties using Microsoft Word, Microsoft Office, Excel 2016 and Microsoft Outlook
- Customer Service Skills
- Team player, I work well with others and by myself.
Patient Access Specialist
TLC Complete Care Emergency
04.2017 - 09.2018
- Greet Patients
- Process Payments / Collect Payments
- Verify Insurances
- Answer Telephones
- Scan Files in Patient's Chart
- Schedule Appointments
- Leadership Skills
- Customer Service Skills
- Perform word processing duties using Microsoft word, Microsoft office, Excel 2016 Microsoft Outlook.
Front Office Coordinator
The Doctors' Center Urgent Care
03.2016 - 03.2017
- Greet Patients
- Process Payments / Collect Payments
- Open / Close Duties
- Scan / Fax Files
- Answer Telephones
- Schedule Peer to Peer Appt's
- With Physician
- Check in / Check Out Patients
- Schedule Corporate Patients
- Handle Correspondence
- Worker's Comp Experienced
- Verify Insurances
- Intake Medical Records Request
- Corporate Experience.
Medical Office Specialist / Receptionist
Pediatrics
01.2016 - 03.2016
- Greeter
- Answering Phones
- Scheduling appointments
- Collect Payments
- Electronic medical record experience
- Open/Close Duties
- Scan/Fax files electronically
- Verify Insurances
- Intake Referrals
- Check In / Out Patients.
Medical Office Specialist
Pain Management
09.2015 - 12.2015
- Greeter
- Scan/Fax Files
- Answer Phones
- Intake Referrals
- Schedule appointments
- Collect Payments
- Update and Organize Patient Records
- Corporate Experience.
Education
Diploma -
Brightwood College
01.2016
Diploma -
Innovative Approaches To Education
04.2015
Skills
- Insurance Verification
- Data entry proficiency
- Payment Collection
- Mail Sorting
- Correspondence
- Word Processing
- Discrepancy Reconciliation
- HIPAA Compliance
- Payment reconciliation
- Medical Billing Expertise
- Claims Processing
- Patient account management
- Collections
- Accounts receivable management
- Medical coding knowledge
- Records organization and review
- Customer Service
- Team Collaboration
- Decision-Making
- Microsoft Office
- Payment Transactions
- Billing and Invoicing
- Account Reconciliation
- Payment Processing
- Collections processing
Certification
Certified Insurance Coding Specialist through National Association of Health Professionals (NAHP)
Personal Information
Title: PATIENT ACCESS REPRESENTATIVE , INSURANCE COORDINATOR
Timeline
Payment Posting Specialist/ Insurance Coordinator
United Surgical Partners International
06.2023 - Current
Customer Service Representative
Frost Bank
06.2022 - 06.2022
Patient Access Rep
Driscoll Children's Hospital
09.2018 - 06.2022
Patient Access Specialist
TLC Complete Care Emergency
04.2017 - 09.2018
Front Office Coordinator
The Doctors' Center Urgent Care
03.2016 - 03.2017
Medical Office Specialist / Receptionist
Pediatrics
01.2016 - 03.2016
Medical Office Specialist
Pain Management
09.2015 - 12.2015
Diploma -
Brightwood College
Diploma -
Innovative Approaches To Education