Ciara Garcia

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.

About