Ashia Garcia

**** ******* **. *******, ** *****

Phone:209-***-**** Email:ad2skj@r.postjobfree.com

LinkedIn: https://www.linkedin.com/in/ashia-garcia-ba67b318b/ SUMMARY

Patient & Customer Relations / Medical Record Processing / Revenue Cycle Management 17 years of AR specialist and revenue cycle management with a proven track record of streamlining and optimizing billing and collections processes. Proficient at improving cash flow and reducing accounts receivable, increasing efficiency, and reducing costs in the revenue cycle. Passionate about providing excellent client, patient and company service and building team bonds to enable high producers.

Excellent Knowledge of CPT codes, HCPC codes, ICD-10, Internal controls, and reporting systems.

Technically competent with Next Gen, Allscripts, ECW, Payer Path, TriZetto, Syda Med, Office Ally, Change Health, AM2000, Jaguar, EHR/EMR programs, Medisoft, Elation, Aria/Variant. CORE COMPETENCIES

Government Payers

Commercial, MVA, Work comp

Litigations, Bankruptcy

Training

System Automation

Accounts Receivable Management

Denials Management

Contract Negotiation

Production and KPI Measurements

University Academic Billing

Patient / Client Relations

Team Building, Staff Retention

Offshore Vendor Management

8 years of Telecommute.

Project Management

CAREER HISTORY

Revenue Cycle Rep / Valley Cancer Medical Center Manteca, Ca Mar 2023 to Current

AR follow up on chemotherapy/immunotherapy, radiation oncology and professional services.

Credentialed new incoming providers, negotiate new insurance contracts, keep all providers and cancer center credentialing, CAQH and licensing up to date.

Pre-authorizations, payments posting, reconciling bank deposits, patient billing, create financial reports, reconcile deposits, research discrepancies, training new hires, creating organizational spreadsheets to track production.

Implemented paperless posting, set up ERAs and EFTs. Allscripts Healthcare Solutions, Escondido, CA Jun 2014 - Apr 2022 RCM Specialist Jun 2014 to Jun 2015/ Revenue Cycle Manager Jun 2015 to Apr 2022

Oversaw all aspects of revenue cycle management for multiple clients, including credentialing, contracting, AR follow-up, collections, charge entry, and training.

Developed processes to streamline operations and improve efficiency within the department. Reduced self-inflicted denials, reduce incoming calls, clean claim rate goal at 98%,

Led 3 offshore billing companies, audited, coached and gathered feedback for better outcomes.

Oversaw the largest client, Academic University Medical Group 235 + providers within multiple specialties. Brought AR down from 236 days over 90 to 55 days and doubled the receivable within 1 year and continued to improve month over month.

Creating a work environment for my team to succeed and be decision makers with no employee turnover and improved productivity.

Automated tasks in billing system to reduce busy work, created claims edits to flag specific claims to either reject for user review or automatically add missing information needed for specific payers. American Medical Response, Modesto, CA Mar 2006 - Nov 2012 AR Specialist March 06 to Jan 2007 AR Supervisor Jan 2007 to Nov 2012

Researched, analyzed, and responded to inquiries regarding compliance, billing denials, and billable services.

Managed Ambulance AR Follow-up for 14 states for Medi-cal, Medicaid, Government HMO, and non-contracted providers.

Led a team of 23 AR representatives, 1 trainer, 2 team leaders, 3 return mail representatives. With the lowest turnover rate.

Brought the AR over 90 days to 15% from 55% -86% in 14 states for Medicaid, Medi-Cal, Government HMOs and non- contracted commercial plans with utilizing my AR team in their strongest areas and mentoring them.

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