Marco Garcia
Chula Vista,CA
Summary
Experienced analyst with a strong focus on data interpretation, financial modeling, and strategic planning. Known for collaboration, delivering results, adaptability, and reliable work ethics. Skilled in data visualization, problem-solving, and stakeholder communication. Employers value analytical mindset, teamwork, and consistent performance. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
6
6
years of professional experience
Work History
Refunds and Recoveries Analyst
Community Health Group
San Diego
11.2023 - Current
- Retract monies from future claim payments on uncontested refund requests not addressed by the provider.
- Demonstrate expertise in ICD-10 and CPT coding systems, as well as HCPCS Level II codes.
- Keep detailed records on refund requests, receipt of refunds, and pending refunds that have not been contested.
- Experience with interpretation of Remittance Advice, Electronic Remittance Advice, CARC and RARC codes.
- Compiled reports on claim activity and identified trends that could impact revenue cycle management processes.
- Analyzed healthcare data to identify trends and improve service delivery.
Provider Services Specialist
Community Health Group
San Diego
12.2021 - 11.2023
- Drafted correspondence on behalf of the organization addressing inquiries from providers and other stakeholders.
- Maintained accurate records of all provider services activities in an organized database system.
- Collaborated with team members across departments to coordinate efforts towards successful completion of assigned tasks.
- Provided excellent customer service to clients, resolving inquiries and complaints in a timely manner.
- Conducted training sessions for new employees on best practices in providing quality customer service.
- Met customer call guidelines for service levels, handle time and productivity.
Warehouse Inventory Specialist
Ocean Palace LLC
San Diego
08.2020 - 11.2021
- Cross-trained and provided back up for customer service managers.
- Communicated with teammates and supervisors to maintain smooth operations and quickly handle any issues impacting warehouse operations or customer satisfaction.
- Checked packages and merchandise for damage and notified vendors.
- Used hand-held devices and computers to record and monitor inventory levels and completed audits to uncover and address inaccuracies.
- Kept documentation and records accurate and up-to-date with latest data to prevent errors in processing or delivery.
Education
Bachelor of Arts - Business Administration and Management
Point Loma Nazarene University
San Diego, CA03-2027
Associate of Arts - Philosophy
Southwestern College
12.2025
High School Diploma - undefined
Bonita Vista Senior High School
CA06.2011
Skills
- Claims Processing
- Data interpretation
- Billing Statements
- Microsoft office
- SQL and databases
- Data Entry and Maintenance
- ICD-10 coding
- CPT coding
- HCPCS Level II codes
- HIPAA compliance
- Insurance verification
Languages
Spanish
Native or Bilingual
Timeline
Refunds and Recoveries Analyst
Community Health Group
11.2023 - Current
Provider Services Specialist
Community Health Group
12.2021 - 11.2023
Warehouse Inventory Specialist
Ocean Palace LLC
08.2020 - 11.2021
High School Diploma - undefined
Bonita Vista Senior High School
Bachelor of Arts - Business Administration and Management
Point Loma Nazarene University
Associate of Arts - Philosophy
Southwestern College