Sonia GARCIA

I’m a results-driven Medical Collections & Revenue Cycle Specialist with 5+ years of progressive experience in healthcare reimbursement, workers' compensation collections, insurance follow-up, appeals, denial resolution, and accounts receivable. I’m recognized for strong customer service, analytical problem-solving, and consistently meeting collection goals in remote environments.

In my current role at TrustRx Pharmacy, I manage reimbursement accounts from claim review through payment resolution by researching claim status, resolving payment discrepancies, and driving timely collections. I prepare and submit appeals for denied and underpaid claims, communicate daily with insurance carriers, attorneys, adjusters, and healthcare providers, and maintain detailed HIPAA-compliant documentation while improving reimbursement workflows.

Earlier, at American Avenue, I managed a $1.3 million portfolio while maintaining a 90% collection rate, negotiating payment arrangements and resolving delinquent accounts. I also bring training and process-improvement experience from Progress Residential, and I’m currently pursuing a Medical Billing & Coding Career Diploma through Penn Foster to expand my expertise in ICD-10-CM, CPT, HCPCS, and healthcare revenue cycle operations.