Melissa Garcia

Managed and provided support to contracted provider types within the New Mexico market. Specializing in physician, hospital, and ancillary provider types.

• Established strong relationships with key stakeholders in the healthcare industry, positioning the organization as a trusted partner in patient care.
• Promoted a culture of continuous improvement within the provider relations team, regularly soliciting feedback from healthcare providers and incorporating suggestions into strategic plans.
• Coordinated educational events for providers aimed at increasing awareness of regulatory changes as well as best practices in patient care delivery.
• Reduced waste and pursued revenue development strategies to keep department aligned with sales and profit targets.
• Collaborated with cross-functional teams to address contractual issues, ensuring timely resolution and minimizing disruption to services.
• Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.

• Spearheaded initiatives aimed at optimizing collection efforts for insurance payments, improving overall collection rates.
• Optimized charge capture processes, resulting in increased net revenue for the organization.
• Reduced outstanding accounts receivable balances through diligent follow-up and expert negotiation skills.