Summary
Overview
Work History
Education
Skills
Timeline
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Andrea Garcia

Oxnard

Summary

Dynamic Patient Account Representative with expertise in insurance verification and billing at Community Memorial Health System. Proven track record in resolving billing issues swiftly while ensuring HIPAA compliance. Exceptional customer service and time management skills, enhancing patient satisfaction and operational efficiency. Committed to delivering accurate financial counseling and support.

Overview

2026
2026
years of professional experience

Work History

Patient Account Representative

Community Memorial Health System
06.2025 - Current
  • Resolved patient billing issues and inquiries with accuracy and speed.
  • Maintained precise patient records within electronic health record systems.
  • Coordinated insurance verification to ensure service coverage.
  • Explained payment options, guiding patients through financial counseling applications.
  • Submitted corrections for denied claims to insurance companies efficiently.
  • Transferred crossover claims to the appropriate secondary insurance provider.
  • Clarified insurance explanation of benefits for patients.
  • Processed insurance payments and adjustments into patient accounts.

Medical Receptionist

Ventura County Obstetrics & Gynecologic Medical Group
2017 - 2025
  • Streamlined patient check-ins and appointment scheduling using electronic and paper health record systems.
  • Maintained organized medical records to ensure efficient retrieval and compliance with regulations.
  • Coordinated communication between patients and healthcare providers to optimize service delivery.
  • Executed insurance verification processes, ensuring accurate billing and coverage details.
  • Demonstrated versatile administrative skills with proficiency in medical terminology.
  • Managed standard office functions along with payment processing tasks.
  • Utilized effective telephone etiquette to enhance communication with patients.
  • Resolved patient inquiries and complaints.
  • Submitting authorizations to insurance companies.
  • Able to work multiple priorities and meet tight deadlines without compromising quality

Loss Prevention Specialist

Ross Dress for Less
2011 - 2017
  • Monitored inventory levels to prevent theft and ensure accurate stock counts.
  • Conducted routine audits to identify potential loss prevention issues and recommend solutions.
  • Collaborated with store management to develop and implement loss prevention strategies.
  • Trained staff on loss prevention protocols and best practices for theft deterrence.
  • Analyzed store layout for potential vulnerabilities, recommending improvements to reduce opportunities for theft.
  • Reduced shrinkage rates by regularly reviewing inventory counts and addressing discrepancies promptly and effectively.
  • Utilized surveillance systems to monitor customer behavior and detect suspicious activities.

Education

Medical Billing And Coding

Laurus College
Oxnard, CA
01.2017

High School Diploma -

Rio Mesa High School
Oxnard, CA
06.2011

Skills

  • HIPAA compliance
  • Insurance verification and billing
  • Medical terminology expertise
  • Team collaboration and coordination
  • Physicians' orders management
  • Decision-making skills
  • Training and development
  • Microsoft Office proficiency
  • Customer service excellence
  • Time management strategies
  • Multitasking capabilities

Timeline

Patient Account Representative

Community Memorial Health System
06.2025 - Current

Medical Receptionist

Ventura County Obstetrics & Gynecologic Medical Group
2017 - 2025

Loss Prevention Specialist

Ross Dress for Less
2011 - 2017

Medical Billing And Coding

Laurus College

High School Diploma -

Rio Mesa High School

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Andrea Garcia