Sergio Franco is a Senior Revenue Cycle Consultant who joined The Wilshire Group in 2008. He oversees the Revenue Recovery Collections unit at one of the largest and well known hospitals in California: Cedars Sinai Medical Center. In addition to consulting at Cedars Sinai, Sergio is also involved in The Wilshire Group’s business development, recruiting and staff development.
Sergio has a broad range of denial management and arbitration support experience. He has helped hospitals recover millions of dollars in lost revenue from insurance companies due to underpayments, delays in payments and denied claims. He also works with hospitals Executive leadership and hospital directors to bolster revenue cycle processes to improve payer performance. Sergio also has extensive experience in managed care, worker’s compensation, Medicare, Medicaid, and Tricare contracts, and is well versed in several patient financial accounting systems.
Prior to joining The Wilshire Group, Sergio has held various senior management positions in healthcare, which include PFS director at South Coast Medical Center, Corporate Manger for Adventist Southern California regional hospitals Revenue Recovery unit and numerous supervisory positions at a variety of hospitals.