Duff Garcia

I am an accounts receivable and customer service professional with focused experience in U.S. healthcare medical billing and revenue cycle management. I have worked in roles supporting providers, members, and payers across eligibility, claims follow-up, denials, and appeals.

My experience includes hands-on use of EPIC billing software, major insurance portals such as Availity, UHC and CIGNA, and familiarity with CPT, ICD-10, HCPCS, modifiers, CMS‑1500 and UB‑04 forms. I have performed verification of benefits, payment posting, and claim investigations to resolve denials.

I have supported provider relations by interpreting claims information, clarifying participation and contract status, and promptly addressing provider concerns. I have also assisted Medicare Part D members with prescription processing, order tracking, and payment handling.

I bring strong multitasking, problem-solving, and customer-service skills, with experience using CRMs and tools like Salesforce, Digbot and EPIC to improve satisfaction and operational outcomes.