Justine Delgarito
Albuquerque
Summary
Detail-oriented and highly organized Medical Billing and Coding Specialist with experience in medical billing, coding, insurance verification, claims processing, and denial management. Proficient in ICD-10-CM, CPT, and HCPCS coding systems, with a strong understanding of healthcare regulations and reimbursement processes. Demonstrated ability to improve billing accuracy, resolve claim issues, and support organizational financial efficiency while maintaining compliance with industry standards. Recognized for exceptional communication, leadership, problem-solving, and organizational skills.
Overview
11
11
years of professional experience
Work History
Medical Billing and Coding Manager
Counseling World, LLC
Albuquerque, NM
02.2025 - Current
- Process and submit medical claims accurately and efficiently to insurance carriers and government payers.
- Verify patient insurance eligibility and benefits to ensure accurate billing and reimbursement.
- Utilize ICD-10-CM, CPT, and HCPCS coding systems to code diagnoses, procedures, and services in compliance with payer requirements.
- Review patient records and assign appropriate diagnostic and procedural codes to support accurate claim submission.
- Identify, investigate, and resolve billing discrepancies, coding errors, and claim denials.
- Prepare and submit corrected claims and appeals to maximize reimbursement and reduce claim rejections.
- Maintain comprehensive knowledge of medical billing regulations, payer guidelines, and compliance requirements.
- Perform administrative duties, including maintaining patient records, organizing billing documentation, and supporting office operations.
- Collaborate with healthcare providers and administrative staff to improve billing accuracy and workflow efficiency.
Correctional Officer
Cibola County Correctional Center
Milan, NM
09.2015 - 10.2022
- Supervised inmate activities, including meals, recreation periods, and work assignments, while ensuring safety and security.
- Managed inmate intake and release procedures, including booking and processing documentation.
- Maintained detailed records of inmate behavior, incidents, and daily activities in accordance with facility policies.
- Enforced institutional rules and regulations for staff and inmates while maintaining a secure environment.
- Responded effectively to emergencies and critical incidents, utilizing sound judgment and crisis management skills.
- Conducted routine and specialized searches for contraband, including drugs and weapons.
- Coordinated inmate transportation to courts, correctional facilities, and medical appointments.
- Monitored facility access and ensured that only authorized personnel entered and exited secure areas.
- Collaborated with social workers, psychologists, probation officers, and other agencies to support inmate management and rehabilitation efforts.
- Demonstrated strong communication, leadership, and conflict-resolution skills while interacting with inmates, staff, and visitors.
Education
Medical Billing and Coding Certificate -
Carrington College
Albuquerque, NM03-2025
Dental Assistant Certificate -
PIMA Medical Institute
Albuquerque, NM07-2022
High School Diploma -
Sherman Indian High School
Riverside, CA05-2012
Skills
- Excellent communication and interpersonal skills
- Ability to manage multiple priorities in fast-paced environments
- High level of accuracy, confidentiality, and professionalism
- Proven leadership and organizational capabilities
- Strong analytical and problem-solving abilities
- Commitment to compliance, quality, and continuous improvement in healthcare administration
- Medical Billing and Coding
- ICD-10-CM, CPT, HCPCS Coding
- Claims processing
- Insurance verification
- Denials and appeals
- Billing compliance
- EHR management
- Data documentation
- Computer literacy
- Time management
- Critical thinking
- Organizational skills
- Customer service
- Team leadership
Timeline
Medical Billing and Coding Manager
Counseling World, LLC
02.2025 - Current
Correctional Officer
Cibola County Correctional Center
09.2015 - 10.2022
Medical Billing and Coding Certificate -
Carrington College
Dental Assistant Certificate -
PIMA Medical Institute
High School Diploma -
Sherman Indian High School