Los Angeles Customer Service
Resume:
RONALD GARCIA
PO BOX ***, BALDWIN PARK, CA *****
************@*****.***
WORK EXPERIENCE:
10+ years of experience as a Medical Collector for Hospitals, and Physicians’ billing & collection office, and Collection Agencies.
10+ years of experience as a Financial Counselor for Kaiser/UCLA hospitals.
10+years of experience of customer service.
Bi-lingual in Spanish Fluently.
Covid-19 vaccines up to Date.
BLS certified up to 04/02/2026.
Associates Degree in Business Administration/Supervisory Management. (Los Angeles- 1997)
GED graduate in Los Angeles (1991)
High School graduate Guatemala City 1988
Providence Saint John's Health Center Community Care Coordinator Santa Monica, CA
JUNE/2019 - PRESENT
Responsible for assisting patients experiencing homelessness get connected to a service provider to gain shelter, health, food, and or mental assistance. Screening patients and keeping a log for statistical reasons; managing, meals, clothing, and means of transportation for the homeless community as well as Support the development and implementation of tools that will assist agencies to better track and provide services to program participants.
Providence Saint John's Health Center Patient Access Representative Santa Monica, CA
AUGUST/2013-MAY/2019
Over four years experience registering patients into the emergency room via ambulance and walk-in. Verifying and updating demographics, primary care physicians, insurance information, benefits, and liabilities. Getting authorization for ER svcs/Admission, Collecting liabilities. Responsible for scanning copies of ID/DL, Insurance Cards, Eligibility Print outs as well as any authorization(s), and registration/preadmission forms into the EPIC system. Processing pre-admissions, and direct admissions. Training new employees. Processing Presumptive Eligibility Medi-cal applications for self pay patients. Trouble shooting PC's, printers, label printers, wristband printers, Xerox machine, and scanners to ensure equipment is ready and available for employees. Proficient in Epic, Medi-tech, Health Quest, Foxpro, and PVB billing systems.
Ronald Reagan UCLA Financial Counselor Westwood, CA
MARCH/2013-JUNE 2013
Assisting self pay patients to apply for county and hospital charity programs, to include CCS and Medi-cal programs. Verify patients insurance benefits and liabilities and collecting and posting of their liabilities. Working hand by hand with case managers and social workers on transfers of patients from and to other acute, or SNF and retirement facilities.
PRACTICE ADMINISTRATIVE CONSULTANTS Senior Collector Los Angeles, CA
November/2000 -MARCH 2013
In charge of a high dollar account desk. Handling HMO, PPO, Medicare & Medi-Cal HMO claims, Commercial, Personal Injury, and Worker Compensation physician’s claims to ensure their prompt and accurate reimbursement. Drafting and following up on appeals for denials and short payments. Overseeing the day to day activities of the billing/collection clerks and cashiers clerks. Training, coaching, and disciplining employees as needed.
Kaiser Permanente Hospital Financial Counselor Los Angeles, CA
February/1998 - October 2008
In charge of interviewing and assisting any and all non-kaiser patients who seek medical care at any kaiser clinics to include the Emergency room, and Urgent room, verifying insurance benefits and liabilities as well as obtaining authorization from primary care doctors, and/or IPA’s and Medical Groups. Responsible for scanning ID/Dl, registration forms, authorization(s), registration/Admission and Eligibility forms into EPIC. In charge of reviewing the Medical Financial Assistance forms from low income patients and indigents for possible Medi-Cal, county programs and/or charity programs. I also worked for Health Information Management Dept. (Medical records) – for over a year, processing subpoenas and patients’ request as well, maintaining a log of all the different requests, and worked in the Discharge Planning Dept. as a Clerk for 3 years organizing corresponding medical records going to different SNF’s with patients transfers. Lastly I did work 1 year as a bed coordinator, notifying discharge planners of bed availability within the hospital.
GOOD SAMARITAN HOSPITAL Team Leader/Senior Insurance Collector Los Angeles, CA
January/1995 November 2000
In charge of the self pay/insurance collection and cashier departments; supervising ten collectors and six cashiers to ensure the day-to-day processes; reconciling payments and adjustments from all payers HMO, PPO, etc. to include Medi-cal and Medicare on a daily, weekly, and monthly basis, running and balancing sheets on a monthly, and yearly basis. Drafting and submitting appeal letters to the different insurance carriers on denials and short payments to include Medi-cal and Medicare HMO accounts. Handling HMO, PPO, POS claims to ensure prompt and accurate reimbursement, submitting spread sheets on short paid/wrongly denied claims to Insurance Provider relations representative to expedite correct payments. Ensuring that EOB clerks perform short and over payments on accounts to avoid take backs, reviewing the collection productivity and payment posting on a daily basis. In charge of the local and county charity programs for indigent patients; reviewing credit reports, and income/expenses data for approval or denial of applications. Liaison between the hospital and its collection agencies. Training, coaching, and disciplining employees as necessary.
OTHER WORKING EXPERIENCE:
US Credit Bureau Collector 1990-1992 Los Angeles, CA
Medical Accounts Control Collector 1992-1995 Harbor City, CA. I handled HMO, PPO, Commercial insurance to include PI and WC accounts.
EDUCATION:
1995 Associates Degree in Business administration/supervisory Management from Los
Angeles Trade Technical College. 1995 Medical Terminology/CPT and ICD-9 coding from Los Angeles City College.
1991 GED - Mid City Belmont Adult School – Los Angeles.
1986 High School Diploma - INBC – Guatemala City – computer programmer.
2023 Human Rights Certificate – US Institute of Diplomacy – Washington, DC
OTHER SKILLS:
Bilingual in English and Spanish, typist, Self-Published Author of three Spanish Poetry Books, California Licensed Realtor and Notary Public.
REFERENCES:
Jaime Ramirez Supervisor Providence St John's 310-***-****
Alex Ortega Ex-supervisor Providence St John's 323-***-****
William Trinidad Broker 626-***-****
Leo Esturban Ex-Supervisor Good Samaritan Hospital 909-***-****
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