Rachel Garcia
Cheyenne
Summary
Dynamic Patient Financial Services Representative with extensive experience at St. John's Hospital, excelling in insurance verification and claims investigation. Proven ability to resolve billing discrepancies and advocate for patients, enhancing service quality. Skilled in training development and appeal writing, fostering a collaborative environment to achieve optimal outcomes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Financial Services Representative
St. John's Hospital
Jackson
11.2019 - Current
- Communicated effectively with insurance providers to verify coverage and benefits.
- Contacted third party payers regarding unpaid claims or denied claims for further investigation and resolution.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Wrote appeal letters to insurance companies for denial of claims.
Training and technical coordinator
Blue Cross Blue Shield of Wyoming
Cheyenne
04.2019 - 11.2019
- Delivered ongoing coaching and mentoring services to enhance learner skillsets.
- Developed and maintained comprehensive training materials, including job aids and presentations.
- Trained new staff on health insurance benefits, operational procedures, and professional call handling.
Member Service Representative
Blue Cross Blue Shield of Wyoming
Cheyenne
08.2012 - 04.2019
- Educated members on benefits, claims procedures, and preventative care resources.
- Assisted providers with inquiries on health insurance coverage and claims coordination.
- Maintained confidentiality while handling sensitive member information in compliance with privacy standards.
- Collaborated with internal teams to resolve member issues and enhance service quality.
- Addressed customer complaints efficiently while ensuring a courteous interaction.
Education
High School Diploma -
East High School
Cheyenne, WYSkills
- Insurance verification
- Claims investigation
- Billing reconciliation
- Appeal writing
- Training development
- Customer advocacy
Certification
- Certified Revenue Cycle Representative
Timeline
Patient Financial Services Representative
St. John's Hospital
11.2019 - Current
Training and technical coordinator
Blue Cross Blue Shield of Wyoming
04.2019 - 11.2019
Member Service Representative
Blue Cross Blue Shield of Wyoming
08.2012 - 04.2019
High School Diploma -
East High School