Rhonda Garza
Chico
Summary
Strategic and results-driven Revenue Cycle Leader with 20+ years of experience in home infusion and specialty pharmacy operations. Proven success in reducing aged receivables, optimizing Epic systems, and leading high-performing teams across national healthcare organizations. Adept at denial management, process improvement, and cross-functional collaboration with hospital executives, IT analysts, and payer partners. Passionate about driving operational excellence and delivering measurable financial outcomes.
Overview
24
24
years of professional experience
Work History
Senior Manager, Collections
ProHealth Pharmacy Solutions/CarePathRx
09.2024 - Current
- Collaborated with cross-functional teams to align project objectives and deliverables.
- Assisted in developing strategic plans to enhance operational efficiency and client satisfaction.
- Supported project management by tracking milestones and reporting progress to stakeholders.
- Conducted monthly calls with escalated hospital clients to review and improve health of accounts receivable
- Provided strong leadership to enhance team productivity and morale.
Denial Management Leader/Advisor
Coram Healthcare/CVS Specialty Infusion
10.2020 - 09.2024
- Led Epic system enhancements with developers and analysts to improve denial routing and resolution
- Managed AR and Denials team of 32 and 3 supervisors, driving clean claim rate improvements and operational efficiency
- Collaborated with Aetna PMO and CVS Specialty partners to streamline processes across multiple lines of business
- Trained and mentored new staff, fostering a productive and cohesive work environment.
- Developed training materials to support onboarding processes for new employees.
- Collaborated with cross-functional teams to implement process improvements and best practices.
- Designed and implemented regional branch calls across 76 locations
- Conducted root cause analysis on payer AR and recommended resolution strategies
- Oversaw high-dollar account reviews and advised on service continuation
Operations Manager
Optum360 United Health Group
08.2016 - 08.2018
- Managed 50 billing and collections reps and 3 supervisors across 19 hospitals
- Resolved $3B in A/R, improved credit balance resolution, and enhanced patient satisfaction
- Led hiring, onboarding, coaching, and performance management initiatives
Collections Manager
Coram Healthcare
10.2011 - 08.2016
- Developed and implemented strategies to reduce outstanding debt and improve cash flow.
- Directed teams of up to 45 staff across 26 branches, resolving $54M in A/R
- Implemented policies and procedures, trained staff on new systems, and led compliance efforts
- Analyzed collection reports to identify trends, driving targeted interventions for high-risk accounts.
Reimbursement Manager
Walgreens Infusion Services/Option Care
12.2001 - 08.2011
- Supervised employees in billing, collections, Intake and authorization with yearly performance reviews; interviewed prospective candidates
- Handled escalated customer problems and concerns regarding accounts; set up and approve payment arrangements on current and outstanding accounts
- Implemented Policies and Procedures
- Performed weekly/monthly close procedure and month end reporting
- Assisted Employees in training of new software system, I-Emphsys
Education
High School Diploma -
Los Molinos High School
Los Molinos, CASkills
Core Competencies
Process Improvement Denial Management Epic Implementation Data Analytics Revenue Cycle Strategy Cross-Functional Collaboration
Leadership & Communication
Team Management Coaching & Mentoring Change Management Verbal & Written Communication Strategic Planning
Technical Proficiency
Epic Systems Microsoft Office Suite CPR HCN
Timeline
Senior Manager, Collections
ProHealth Pharmacy Solutions/CarePathRx
09.2024 - Current
Denial Management Leader/Advisor
Coram Healthcare/CVS Specialty Infusion
10.2020 - 09.2024
Operations Manager
Optum360 United Health Group
08.2016 - 08.2018
Collections Manager
Coram Healthcare
10.2011 - 08.2016
Reimbursement Manager
Walgreens Infusion Services/Option Care
12.2001 - 08.2011
High School Diploma -
Los Molinos High School