Ciara Garcia

Healthcare operations professional with 8+ years of experience across provider network development, provider recruitment, onboarding, credentialing support, contract and document review, healthcare billing, referrals, scheduling, and customer service. Experienced in remote, high-volume environments requiring accurate data management, cross-functional coordination, issue resolution, reporting, and relationship management. Advanced working experience with Salesforce and healthcare business systems, with a strong record of independent work, communication, organization, and process support.

Network Development Coordinator - TIVITY HEALTH

(2024-12)

• Support a 13-person Network Development team with administrative and operational coordination across provider onboarding, data management, reporting, and workflow support.
• Conduct quality checks of practitioner contracts and supporting documentation for accuracy, completeness, and alignment with organizational and regulatory requirements.
• Coordinate practitioner onboarding by entering and maintaining contract and provider data in Salesforce and Visual Claims to initiate credentialing workflows.
• Manage a high-volume shared mailbox and IVR phone line using NICE, resolving practitioner and internal inquiries and coordinating follow-up across departments.
• Develop, maintain, and track operational reports used for performance analysis and planning; communicate findings to leadership as needed.
• Submit and monitor IT tickets, coordinate calendars and meetings, document action items, and maintain organized records in OneDrive and Microsoft Teams.
• Train and onboard new team members by providing process guidance and technical support.
• Distribute recruitment leads and support provider-network growth through outreach and long-term practitioner relationship management.

Network Development Recruiter - TIVITY HEALTH

(2022-05 - 2024-12)

• Recruited healthcare practitioners to strengthen network coverage across geographic and specialty areas.
• Managed outbound outreach, follow-up, and relationship development with practitioners, office managers, and practice administrators.
• Explained participation benefits and contract requirements and guided practitioners through documentation and onboarding workflows.
• Collected and submitted documentation for credentialing and coordinated with network operations, credentialing, contracting, and provider relations teams.
• Tracked recruitment activity, network gaps, and growth opportunities using Salesforce and Visual Claims; maintained accurate records and reporting.
• Reviewed practitioner contracts and supporting documentation for alignment with company policies, regulatory guidelines, and contractual requirements.

Enrollment Consultant - K12 ONLINE SCHOOL

(2020-03 - 2021-03)

• Delivered customer support through high-volume inbound and outbound calls while guiding students and families through the enrollment process.
• Exceeded established goals for quality assurance, customer satisfaction, and enrollment performance.
• Used Salesforce to accurately document and track customer information within required timeframes.
• Built customer trust through clear communication, problem-solving, and consistent follow-through in a fast-paced remote environment.
• Worked effectively with Five9 and NICE call-center systems.

Billing Specialist | Referral Coordinator | Scheduling Coordinator - PHOENIX NEUROLOGY AND SLEEP MEDICINE

(2018-03 - 2020-02)

• Processed Medicare, Medicaid, private, and employer-sponsored insurance claims, including reimbursement requests, denials, payment posting, and follow-up.
• Researched and resolved billing issues, documented payment activity, and assisted patients with payment plans and financial solutions.
• Coordinated specialty referrals, medical-record requests, referral submissions, and communication with patients and specialty offices.
• Scheduled appointments using Outlook while coordinating physician availability and communicating accurate appointment details.
• Applied medical terminology, CPT/ICD coding familiarity, referral workflows, insurance benefits, and precertification knowledge.

High School Diploma - PRIMAVERA HIGH SCHOOL (2017-05)