Monica Garcia
San Antonio,TX
Summary
Detail-oriented Pre-Cert Coordinator Lead with proven success in customer service, data entry, and decision-making. Enhanced patient satisfaction through effective communication and collaboration.
Overview
24
24
years of professional experience
Work History
Pre-Cert Coordinator Lead
Texas Pain Partners PLLC.
San Antonio, TX
04.2025 - Current
- Supported billing processes by verifying insurance information.
- Processed authorization requests efficiently, ensuring compliance with policies and procedures.
- Resolved patient inquiries and concerns promptly, enhancing overall satisfaction with services provided.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Collaborated with department heads to develop strategic plans aligning with overall company objectives, fostering a unified approach toward shared goals.
- Assisted in training new staff on authorization protocols and system navigation.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
Benefits Coordinator Lead
UT Health Cranial Program
San Antonio, TX
01.2017 - 02.2025
- Facilitated patient registration by accurately inputting and verifying personal information.
- Scheduled evaluation appointments, deliveries, and follow-up appointments. Coordinated appointment schedules to facilitate evaluations and deliveries. Assisted in managing appointments for evaluations and follow-ups.
- Executed submission of prior authorization pre-determinations and pre-certifications as required.
- Facilitated submission of appeals as necessary to ensure compliance with regulations.
- Explained medical benefits to parents and patients, addressing inquiries and providing essential information for effective healthcare navigation.
- Participated in monthly revenue and operations meetings to enhance organizational performance.
- Oversaw maintenance of private pay collection and refund reports in collaboration with billing department.
- Processed invoice payment requests for cranial helmets to ensure timely vendor compensation.
- Managed procurement of office and lab supplies to ensure operational efficiency.
- Directed training and performance evaluation of medical office receptionist and scheduler to maintain high standards of patient care.
- Addressed and resolved patient complaints to ensure satisfaction and improve care delivery.
Front Office Administrator
Level 4 O & P
San Antonio, TX
04.2010 - 01.2017
- Oversaw appointment scheduling and ensured timely confirmations. Managed calendars and facilitated appointment confirmations.
- Managed high-volume phone call operations across multiple lines.
- Executed scanning processes for medical records to ensure accurate digital documentation.
- Facilitated discussions on insurance benefits with parents to clarify patient responsibilities.
- Executed weekly bank deposit transactions to ensure accurate financial record-keeping.
- Compiled and analyzed weekly reports for management meetings.
Patient Registration Representative
Facial & Oral Surgery Associates
Arlington, TX
06.2009 - 02.2010
- Checked in patients and facilitated check-out processes. Supported patient flow by managing check-in and check-out activities. Assisted in the administrative tasks of patient check-in and check-out.
- Scheduled and confirmed appointments to maintain organizational efficiency. Assisted in managing appointment schedules to enhance productivity.
- Validated medical and dental insurance coverage for clients.
- Formulated and executed comprehensive treatment plans for patient care.
- Processed daily deposits accurately and efficiently. Assisted in managing routine cash flow operations. Supported financial transactions with precision.
- Facilitated lunch and learn sessions for referring physicians to enhance collaboration.
Front Desk Receptionist
Abilene Diagnostic Clinic
Abilene, TX
06.2008 - 04.2009
- Registered patients upon arrival. Assisted patients with departure procedures. Processed patient information efficiently.
- Executed scanning processes for medical records to ensure accurate digital documentation.
- Scheduled appointments to optimize client service and operational efficiency.
Front Desk Receptionist
Southern Bone & Joint Specialist
Dothan, AL
09.2006 - 03.2008
- Documented and maintained patient registration information with accuracy.
- Executed nightly closing procedures on designated day of the week.
Patient Registration Representative
Harris Methodist Southlake Center for Diagnostics & Surgery
Southlake, TX
04.2005 - 06.2006
- Facilitated patient registration to enhance operational efficiency and streamline workflows.
- Executed verification of insurance benefits to ensure accurate coverage for clients.
- Managed incoming calls across multiple phone lines to ensure efficient communication.
- Achieved recognition as a shining star for exemplary performance and contributions.
Schedule Coordinator
North Texas Women's Healthcare
Keller, TX
07.2002 - 04.2005
- Coordinated and organized appointment schedules for four doctors, two nurse practitioners, and one sonotech to optimize patient care.
- Organized and categorized incoming mail for medical staff.
- Supported front desk operations by efficiently managing patient check-ins.
- Organized and executed health fairs to promote community wellness initiatives.
Education
High School Diploma -
Abilene High School
Abilene, TX05-1996
Skills
- Multitasking and organization
- Customer service
- Data entry
- Decision-making
- Benefits explanation
- Insurance verification
- Prior authorization processing
Languages
English
Full Professional
Spanish
Native or Bilingual
Timeline
Pre-Cert Coordinator Lead
Texas Pain Partners PLLC.
04.2025 - Current
Benefits Coordinator Lead
UT Health Cranial Program
01.2017 - 02.2025
Front Office Administrator
Level 4 O & P
04.2010 - 01.2017
Patient Registration Representative
Facial & Oral Surgery Associates
06.2009 - 02.2010
Front Desk Receptionist
Abilene Diagnostic Clinic
06.2008 - 04.2009
Front Desk Receptionist
Southern Bone & Joint Specialist
09.2006 - 03.2008
Patient Registration Representative
Harris Methodist Southlake Center for Diagnostics & Surgery
04.2005 - 06.2006
Schedule Coordinator
North Texas Women's Healthcare
07.2002 - 04.2005
High School Diploma -
Abilene High School