Oswald Garcia

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