VERONICA GARCIA
Garcia Family
Seabrook,USA
1
Language
29
years of professional experience
Returning to the workforce after taking time off to dedicate time to raising my daughter and helping with my twin nephews. Have have over 20 years of experience in the medical industry focused on customer service, medical claims reconciliation and trend analysis of insurance denials.
Work History
Family Coordinator
16 Years 10 Months- Finance management
- Managed multiple accounts, ensuring timely invoice payments and balanced budgets.
- Medical insurance management
- Administered insurance accounts including Aetna, Medicare, and AARP, verifying EOBs, billing, and payment responsibilities.
- Medical Records / organization
- Coordinated multiple schedules to minimize conflicts and optimize travel time.
- Provided mentorship to individuals on problem-solving techniques and time management strategies.
- Provide mentoring on problem solving skills, time management, conflict resolution, and following through on goals and objectives
- Inventory Management – food, clothing, household items
- Coordinated phone calls to ensure effective communication among team members and stakeholders.
- Project Scheduling
- Event management – home and school volunteering
- Logistics – meal planning, transportation, appointments, and education support
- Household Efficiencies
- Vendor Coordination – house maintenance and repairs
Patient Account Specialist Level III
8 Years 9 Months- Facilitated resolution of appeals for 900+ aging accounts to ensure timely reimbursement from insurance companies.
- Oversaw monitoring and reconciliation of insurance claims to ensure accuracy and compliance.
- Coordinated requests for medical records and additional patient information from insurance companies to ensure compliance and support claims processing.
- Managed multiple insurance accounts, including BCBS, Aetna, United Healthcare, Humana, and Medicare replacements.
- Analyzed Medicare eligibility and claim status to ensure compliance and accuracy in processing.
- Facilitated regular meetings with insurance provider representatives to address outstanding issues.
- Facilitated interdepartmental collaboration for processing reimbursements, issuing refunds, and enhancing customer service.
- Processed patient accounts ensuring accuracy and compliance with healthcare regulations.
- Resolved billing inquiries, facilitating timely payments and enhancing patient satisfaction.
Financial Counselor
1 Year 2 Months- Managed processing of insurance billing via mail and electronic claims to ensure timely reimbursements.
- Executed formal appeal submissions to insurance companies, advocating for client interests and rights.
- Evaluated and reported on insurance claims status to support customer service excellence.
- Collaborated with stakeholders to successfully incorporate additional insurance companies into operations.
- Oversaw patient billing processes for daily appointments, ensuring accuracy and timeliness.
- Coordinated with patients to establish payment plans, ensuring affordability and compliance with healthcare services.
- Executed processing of patient and insurance payment postings and deposits.
- Executed bilingual translation services between Spanish and English to enhance communication effectiveness.
- Guided patients in understanding financial options and insurance coverage to enhance access to eye care services.
- Facilitated development of customized financial plans aligned with individual patient needs and circumstances.
Operator/Appointment Coordinator
1 Year 5 Months- Managed multi-line phone system to ensure timely communication
- Obtained insurance authorization for patients, optimizing patient scheduling
- Verification of insurance
- Secured insurance authorization for patients, facilitating access to necessary care
- Verified insurance coverage for patients to ensure eligibility before treatment.
Receptionist
1 Year- Managed patient check-in, verifying general information and medical history to ensure accurate records
- Checked patient insurance referrals for accuracy
- Collected patient payments and scheduled appointments, streamlining front desk operations
Education
Administrative Assistant Certification
Skills
Insurance Processing
Claims management
Billing management
Medical Coding
Medical Transcription
Financial Oversight
Budget Management
Data Analysis
Event Coordination
Bilingual (English and Spanish)
Languages
Spanish
Native or Bilingual
Timeline
Family Coordinator
Garcia Family
10.2009 - CurrentRead More
Patient Account Specialist Level III
Houston Methodist Baytown Hospital
12.2000 - 09.2009Read More
Financial Counselor
San Jacinto Regional Eye Center
10.1999 - 12.2000Read More
Operator/Appointment Coordinator
San Jacinto Regional Eye Center
05.1998 - 10.1999Read More
Receptionist
San Jacinto Regional Eye Center
05.1997 - 05.1998Read More
Lee College
Administrative Assistant Certification
Read More