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Oswald Garcia

Expertise In: Ambulance Transportation,
Name : Oswald Garcia
Experience : 12
Specialty : Ambulance Transportation,
Location : Los Angeles,CA
Description :

Oswald Garcia is seeking a position that offers growth opportunities where he is able to excel and demonstrate his strong management and organizational skills along with his passion and dedication to a job well done

  • Review and verify completion of patient care reports and supporting documentation for compliance with established polices and guidelines.
  • Run transport logs daily to log/track Patient Care Reports.
  • Review and assign proper condition codes, CPT, ICD-9, HCPCS
  • Verify patient Insurance information or appropriate responsible payers.
  • Determine the level of service to be billed, based on supporting documentation on the Patient Care report.
  • Plan, direct, and maximize the full revenue cycle of the organization including, billing, charges, denials, adjustment and reimbursements.
  • Ensure appropriate revenue is collected and accurately posted from patient and insurance companies.
  • Maintain copies/scans of billing information.
  • Maintain up-to-date expertise and knowledge of health care billing laws, rules, regulation and development necessary for the organization to make informed decisions.
  • Supervised and managed billing office staff of 6 employees.
  • Handled inter office communications with all departments inside the company.
  • Executed communications between our company and Medicare, Medi-Cal, and Private Insurance agencies.
  • Oversaw all medical related billing via paper and electronic.
  • Personally reviewed collection agency write-off files.
  • Posted all Private, Insurance payments.
  • Met with contracted Hospitals and attended CAA meetings with company officers.
  • Attended frequent Medi-Cal, Medicare seminars and meetings.
  • Trained staff on new billing policies and regulations.
  • Read, review and research patient care reports received.
  • Contact customers for insurance information.
  • Verify Insurance assign appropriate billing codes and bill accounts.
  • Medicare, Medi-Cal, Private Insurance Billing
  • Medicare Appeals and Collections
  • Verify Medical Insurance
  • Contact customers for insurance information
  • Call and collect co-payment and deductible payments
  • Assign accounts to collection

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