Melinda Garcia
Fresno,CA
Summary
Assisted teams in achieving project goals through reliable collaboration and support. Developed strong relationships with colleagues to foster a positive work environment. Contributed to quality outcomes while seeking opportunities for personal and professional growth.
Overview
26
26
years of professional experience
Work History
PROVIDER RELATIONS SPECIALIST
County of Fresno, Behavioral Health Dept.
02.2019 - Current
- Initiating and maintaining effective channels of communication with service providers and clients.
- Recruit and train contract providers in mental health authorization and claim reimbursement procedures.
- Perform annual provider credential renewal reviews, including conducting site visits, and report to the Mental Health Plan Credentialing Committee.
- Analyze provider practice patterns to minimize books and information materials for clients and the public.
- Assist private providers with plan inquiries, problems, claim reimbursement and provider/client satisfaction issues.
ADMITTING INTERVIEWER II
Count of Fresno, Behavioral Health Dept.
08.1999 - 02.2019
- Obtain information by interviewing person seeking mental health services and determine financial responsibility and assign appropriate billing codes.
- Respond to questions in person, by telephone or writing regarding mental health services.
- Update insurance registration and account demographic information from clients.
- Adhere to policy and procedures related to records, privacy regulation regarding healthcare reform.
- Verify Medi-cal insurance information for mental health clients, including foster care children and upon discharge for clients from hospitals and medication referrals.
- Complete appropriate forms necessary to establish client’s chart and to ensure proper billing of any and all identified payers.
Education
Diploma - undefined
California State University of Fresno
Fresno, CA01.1995
Skills
- Collaborated with team members to achieve project goals Supported customer service initiatives to enhance client satisfaction Assisted in office administration tasks to maintain efficient operations Facilitated medical billing and coding processes to ensure accurate records Demonstrated dependability in completing assigned duties Utilized critical thinking skills to solve problems effectively Managed multiple tasks simultaneously to meet deadlines
Timeline
PROVIDER RELATIONS SPECIALIST
County of Fresno, Behavioral Health Dept.
02.2019 - Current
ADMITTING INTERVIEWER II
Count of Fresno, Behavioral Health Dept.
08.1999 - 02.2019
Diploma - undefined
California State University of Fresno