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Carlota Garcia-Styczynski
Director of Revenue Cycle , Dir. of Billing Department , Patient Access & Ambulatory Clinics.Roseland Comm Hospital
Professional Background
Carlota Garcia-Styczynski is a distinguished professional with an impressive career spanning over 30 years, specializing in all facets of Revenue Cycle Operations. With extensive experience working in hospital settings, ambulatory facilities, and clinical services, her diverse skill set encompasses Facility and Professional Billing & Collections, Patient Access, Admissions, and Clinical Documentation. Carlota’s profound expertise also includes maintenance of Charge Description Master (CDM), charge entry, and coding practices, including proficiency with the ICD-10 system and 3M Encoder.
As an experienced super-user of the Meditech system, Carlota has demonstrated her capability in handling various applications pertinent to hospital management. Her work primarily involves optimizing charge master processes, managing the Admissions (ADM) module, and facilitating operations across numerous departments including Billing & Accounts Receivable (BAR), Laboratory (LAB), Pharmacy (PHA), Health Information Management (HIM), Surgery (SURG), and Emergency Room (ER) services. In addition to these responsibilities, she also has a strong foundation in fiscal accounting, financial audits, and reporting, paired with adept skills in utilization review and case management.
Carlota possesses a meticulous understanding of payer rules and regulations, which allows her to navigate complex contracting arrangements involving Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), and commercial payers, including Medicare and Medicaid. Her qualifications extend into facility and professional credentialing, with a solid grasp of accreditation programs under the Healthcare Facilities Accreditation Program (HFAP) and The Joint Commission, establishing her as a credible and trustworthy leader in the healthcare industry.
Education and Achievements
Currently, Carlota is pursuing a Master of Healthcare Administration with an emphasis on Hospital and Health Care Facilities Administration/Management at the University of Phoenix. This advanced academic pursuit complements her significant professional experience, equipping her with both theoretical knowledge and practical insights critical to the management of healthcare facilities.
Previously, she earned her degree in Medicine as a General Practitioner (Medico Cirujano & Partero) from the Universidad Autónoma de Nuevo León, showcasing her foundational knowledge in medical practices, which serves as a valuable asset in her revenue cycle operations. Furthermore, Carlota holds a Bachelor of Science in Psychology from the same esteemed institution, amplifying her ability to address patient needs and enhance patient satisfaction in healthcare settings.
Throughout her career, Carlota has consistently demonstrated leadership qualifications, which she showcased most recently as the Director of Revenue Cycle at Roseland Community Hospital. In this capacity, she directed administrative functions across patient accounts, patient access, and ambulatory clinics, signifying her role in enhancing operational efficiencies and improving patient care services.
Previously, she served as a Collection Supervisor of Patient Accounts at Thorek Memorial Hospital, where she contributed her expertise in overseeing collection processes and billing operations. Additionally, her role as Practice Manager at Su Salud Medical Center allowed her to refine her management skills and further her understanding of clinical administration.
Achievements
Carlota’s extensive background in healthcare revenues, patient access, and clinical operations has set her apart as a knowledgeable and skilled healthcare professional. With her bilingual abilities, she is fluent in both English and Spanish, which not only facilitates communication with diverse patient populations but also strengthens team dynamics in increasingly multicultural environments.
Her independent consulting efforts emphasize her commitment to sharing her wealth of knowledge with other healthcare professionals and organizations, helping them to enhance their revenue cycle processes and improve overall operations. The depth of her understanding of various healthcare systems and payer networks positions her as a sought-after authority on revenue cycle management and patient services.
Carlota Garcia-Styczynski’s level of expertise in healthcare is underscored by her wide-ranging experience, educational background, and commitment to excellence in patient care and operational efficiency. Her career serves as an exemplary model of dedication within the healthcare field, exemplifying her ability to adapt to changing environments and demand while maintaining a focus on service quality, operational integrity, and patient experience.
