Marcelino Garcia
Fairfield,United States
Summary
Highly motivated and dependable People Manager with over 10 years of progressive experience in operational management and support. Proven track record of driving efficiency, streamlining processes, and contributing to team success in fast-paced environments. Recognized for strong leadership, a collaborative approach, and an unwavering work ethic. Seeking an opportunity with a forward-thinking organization that values professional growth, interpersonal excellence, and the ability to tackle complex challenges with confidence and competence.
Overview
1
1
Certification
19
19
years of professional experience
Work History
Billing Manager
University of California, Berkeley
United States
07.2025 - Current
- Experienced Billing and Collections Manager with a proven track record in overseeing medical billing operations within optometry and healthcare settings. Skilled in claims management, denial resolution, financial reporting, and team collaboration. Committed to improving operational efficiency, ensuring compliance, and supporting high-quality patient care. Oversee processing of claims, including ACH payments, ERA payments and processing EPIC reports.
- -Managing Billing department team.
- -Manage invoicing and payment processes for affiliated clinics, ensuring timely and accurate billing practices.
- -Resolved denied insurance claims and implemented strategies to minimize future denials, optimizing revenue recovery.
- -Generated and analyzed financial reports to assess billing performance, identifying opportunities for process improvement.
- Collaborated with specialty providers and cross-trained staff to enhance billing procedures and conducted team trainings to ensure compliance with best practices.
- Key Achievements:
- Streamlined claims and denial resolution workflows, improving turnaround time and accuracy.
- Strengthened collaboration across multi-disciplinary teams, fostering a more efficient and supportive work environment.
Patient Services supervisor
University of California, Berkeley School of Optometry
Berkeley, California, United States
07.2024 - 07.2025
- Key Skills & Responsibilities
- -Staff Supervision & Development
- Supervised, trained, and evaluated front office, scheduling, and clinical support staff
- Provided mentorship and promoted ongoing professional development
- Ensured compliance with University policies and regulatory standards
- -Patient Services & Support
- Oversaw patient intake, scheduling, and clinic flow to enhance the patient experience
- Addressed patient inquiries and concerns with a customer-first approach
- Coordinated billing and insurance verification processes
- -Operational Efficiency
- Managed daily clinic operations, including staff schedules and patient appointments
- Streamlined workflows to improve efficiency and reduce wait times
- Maintained accurate, confidential patient records in compliance with HIPAA
- -Collaboration & Communication
- Acted as a liaison between patients, faculty, and internal departments
- Facilitated effective communication across staff, faculty, and students
- Contributed to departmental meetings and process improvement initiatives
- -Quality Improvement
- Monitored patient satisfaction and implemented service enhancements
- Supported the development of quality control standards and best practices
- -Compliance & Reporting
- Ensured adherence to all legal, regulatory, and university standards
- Prepared reports on staffing, patient services, and operational metrics
Billing Specialist
University of California, Berkeley
Berkeley, California, United States
07.2023 - 07.2024
- Prepare and submit insurance claims to medical and vision insurance providers as well as produce patient statements.
- Assist in verifying the completeness and accuracy of charge-captured information by reviewing daily schedules and charts for appropriateness and completeness of charges, PQRS, and meaningful use data.
- Using the Practice Management System, generate and scrub claims resolving issues in a timely manner.
- Generate claims batches and transmit to carrier electronically.
- Review claims transaction reports to capture detail related to denials.
- Identify and make corrections to denials, alerting Clinic Administration, and IT of chronic denials due to coding errors.
- Resolve issues related to rejected claims and rebill claims.
- Review and resolve any claims that have been on HOLD status to resolve payment or billing issues.
- Process EOBs and monitor claim and patient payments.
- Post payments to visits in the electronic medical records system upon receipt of payment for claims.
- Process claim balances to secondary payors or patient balances as required.
- Correct and resubmit denied claims as required.
- Monitor unpaid claims and follow up with insurance carriers in a timely manner to ensure payment.
- Generate regular reports on the status and completeness of insurance and patient-responsible balances, payments and adjustments
- Assist in credentialing/paneling faculty with insurance carriers.
- Maintain accurate rosters of providers per insurance carriers as assigned.
- Train peers and/or clinic colleagues (faculty, staff, students) as necessary.
- Monitor billing email and assist with patient correspondence in a timely manner.
- Assist in credentialing/paneling faculty and residents with insurance carriers.
- Maintain accurate rosters of providers per insurance carriers as assigned.
- Communicate roster status as required to ensure patients are scheduled with credentialed providers.
Borrower Guidance lead Specialist
Scratch
San Francisco, California, United States
02.2023 - 07.2023
- Working closely with other members of our operations teams to identify process improvements and help fill gaps to better assist and Confidently support borrowers in handling detailed loan-level research items.
- Managing call center agents to delivery an outstanding Customer Support
- Processing indirect and direct Credit disputes
- Processing Subpoenas and making sure we are following compliances
- Assisting Borrowers with multiple request and making sure to prioritized self-service
- Working on designing QA operations to ensure accuracy and find opportunities for internal teams
- QA operations to ensure accuracy and find opportunities for internal and international partners
- Assisting with billing Working closely with other members of our operations teams to identify process improvements and help fill gaps to better assist and Confidently support borrowers in handling detailed loan-level research items.
- Processing indirect and direct Credit disputes
- Processing Subpoenas and making sure we are following compliances
- Assisting Borrowers with multiple request and making sure to prioritized self-service
- Working on designing QA operations to ensure accuracy and find opportunities for internal teams
- QA operations to ensure accuracy and find opportunities for internal and international partners
- Assisting with billing
- Skills: Interpersonal Skills
- Communication
- Financial Education
- Administration
- Advocating for Customers
Senior Operations Specialist
SeedFi
06.2022 - 02.2023
- Operations process developer, manager, and owner for SeedFi’s 2 call centers (Mexico and US, grew from 20 to 150 agents). I specialized in developing our Quality Assurance and Escalation processes and procedures, and went from performing each process myself to scaling it out for our teams.
- Managed SeedFi’s Quality Assurance program across servicing, collections, customer credit disputes, document review, and fraud review. Built and ran the feedback process with managers and agents to improve their performance week over week. Agent scores (their adherence to prescribed policies and procedures) improved over 100% on average in the first two months of rolling out each quality assurance program.
- Helped our product and engineering teams to better streamline our customer’s document submission process and agent review thereof.
- Rolled out improved agent training to better maintain consistent performance as we grew our call center from 20 to 150 agents. Training improvements focused on process standardization, agent testing, and compliance requirements.
- Owned one-off and highly sensitive customer interactions, new processes, and interactions with compliance sensitivities (military benefits, bankruptcies, credit score disputes, etc.)
- Billing multiple lender platforms
Operational Specialist
Operational Specialist
San Francisco Bay Area
12.2021 - 02.2023
- Established project priorities and schedules, in line with strategic plans and operating objectives. Provided specialized advice, facilitation, and support to management and staff, in the development and implementation of effective systems, procedures, programs, and/or practices.
- Rolled out QA, increasing agents' scores from 0.75 to 2.75 in the first 2 months.
- QA operations to ensure accuracy and find opportunities for internal and international partners.
- Conducted quality assurance reviews of files for staff, participants, and co-locators/partners.
- Verified the integrity of all regulatory compliance
- Weekly reports for National and International Collections centers
- Performed monthly file audits on cases reviewed and submitted by relationship managers to ensure accuracy, as well as coaching opportunities.
- Reviewed and processed loan documents for loan applications and updated processes driving effective results.
- Recruited QA team members
- Rolled out training for a team of 20 and expanded to 120 agents on the team.
Capital One Associate
Capital One
11.2016 - 12.2021
- Lead customer experience to navigate our products digitally and solve problems in an ethical and professional manner.
- Performed as interim manager in between manager’s transition, delivering a great customer and associates experience
- Certified as a money workshop facilitator delivering over 20 workshops per month
- Social Media content creator to drive traffic, increasing traffic by 30%
- Partnered with local businesses, non-profits organizations, and charities to plan events to deliver financial literacy
- QA
- Trained customers on using digital Banking tools to allow them to manage accounts on their own time.
- Performed as interim manager in between manager’s transition, delivering a great customer and associates experience
- Call Center Support during the pandemic
- Managed associate’s schedules to meet business needs
- Branch engage champion, to create events to help educate customers on their financial responsibilities
- Team Building
- HR
- Engineering Support across our Cafes and Branches to meet Associate’s requests
General Manager
Merry Maids Corporate
Concord, California
03.2019 - 01.2020
- Dependable Manager leading a team of 35 to success and taking responsibilities to meet tight deadlines.
- Hired and trained multiple members of new staff for team member positions
- Developed new game plans to increase monthly revenue by 20%
- Spearheaded cross-functional initiative to achieve higher Customer counts and revenue growth by working with other companies to cross merchandise services
Assistant Manager
Rolls Deli Cafe
California
05.2007 - 04.2016
- Managed a staff of 14 employees and oversaw general operations between the front and back of the house to ensure tasks were completed in a timely manner.
- Well Manage team
- Designed and implemented open/Closing procedures
- Admin and Billing
- Quality and regulatory maintenance
- Counsel and discipline
- Payroll
- Recruiting
Education
Business Administration and Management - General
University of California, Irvine Division of Continuing Education
Concord, California12-2020
Business Administration and Management - General
Diablo Valley College
01-2016
Business Administration - Business
CBTis 44
01-2008
Skills
- Billing Process
- Risk Management
- Payroll
- HR as a Business Partner
- Project Leadership
- Human Resources Foundations
- Understanding Business
- EPIC
- Compulink
- Noridian
- Google Suit
- Powerpoint
- Zendesk
- E-Oscar
- Digital Banking
- Loan Pro
- Notion
- Linear
- Speedchex
- Select Bank Card
- Bilingual English & Spanish
- Certified Financial Facilitator
- Social Media
- Community Leadership
- Human Resources Trained
- Union Represented employees management
- Healthnet
- Payconex
- Medical Billing & Collections Management
- Insurance Claims & Denials Resolution
- Financial Reporting & Analysis
- Revenue Cycle Optimization
- Cross-Functional Team Collaboration
- Staff Training & Development
- Training
Certification
Project Leadership
LinkedIn Learning ⋅ Course Certificate
Initiating and Planing
University of California, Irvine Division of Continuing Education
HR as a Business Partner
LinkedIn Learning ⋅ Course Certificate
Understanding Business
Project Management Institute
Foundation of Project Management
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Billing Manager
University of California, Berkeley
07.2025 - Current
Patient Services supervisor
University of California, Berkeley School of Optometry
07.2024 - 07.2025
Billing Specialist
University of California, Berkeley
07.2023 - 07.2024
Borrower Guidance lead Specialist
Scratch
02.2023 - 07.2023
Senior Operations Specialist
SeedFi
06.2022 - 02.2023
Operational Specialist
Operational Specialist
12.2021 - 02.2023
General Manager
Merry Maids Corporate
03.2019 - 01.2020
Capital One Associate
Capital One
11.2016 - 12.2021
Assistant Manager
Rolls Deli Cafe
05.2007 - 04.2016
Business Administration - Business
CBTis 44
Business Administration and Management - General
Diablo Valley College
Business Administration and Management - General
University of California, Irvine Division of Continuing Education