Migdalia Vergara
Wayne,NJ
Summary
Certified Coder/BIlling Coordinator with experience entering data by reviewing accounts and applying appropriate codes. Expert at organizing information, correctly applying codes and running reports. AI have 30 years accurately entering information for insurance and billing purposes. Highly skilled at memorizing frequently used codes and demonstrated professionalism when communicating with patients, insurance companies and healthcare staff.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Certified Coder
Valley Physician Services - CCNJ, Billing Department
04.2022 - Current
- Extensive knowledge of medical terminology across a broad range of medical practice areas
- Work with healthcare providers, patients, and insurance companies to ensure timely payment of bills
- Assign and sequence the correct ICD-10, CPT and HCPCs Level II accurately and completely
- Excellent data entry skills
- Good interpersonal skills and the ability to function as a team member
- Good multitasking abilities
- Managing the CCNJ Account Receivable reports
- Experience with fast-paced medical care environments.
Billing Coordinator
Valley Physician Services - CCNJ, Billing Department
Clifton
06.2015 - Current
- Ensure that medical billing clerks are performing accurate data entry services
- Verify billing information posted
- Submit claims and resubmit denied claims
- Work with healthcare providers, patients, and insurance companies to ensure timely payment of bills
- Assign and sequence the correct ICD-10, CPT and HCPCs Level II accurately and completely
- Perform appeals on denied claims
- Answer questions and resolve problems regarding medical billing activities
- Answers questions from patients, clerical staff and insurance companies
- Managing the CCNJ Account Receivable reports.
Billing Specialist
Valley Physician Services - CCNJ, Billing Department
Clifton
01.2013 - 06.2015
- Responsible for hospital billing for three doctors
- Analyze enrollments to determine proper eligibility and enrollment
- Supervise customer billing services to ensure complaints and issues are resolved
- Ensure all billing goes out on a timely manner
- Answers questions from patients, clerical staff and insurance companies
- Managing the CCNJ Account Receivable reports
- Responsible for the claims bucket
- Obtaining authorization for procedures.
Medical Biller
Cardiology Center of North Jersey, Billing Department
Clifton
04.1997 - 01.2013
- Prepared and submitted clean claims to various insurance companies either electronically or by paper
- Performed various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payer
- Reviewed accounts for possible recommendations to the Billing Supervisor for collection, also prepared information for the collection agency
- Responsible for hospital, office and procedure billing
- Performed daily backups on office computer system.
Medical Biller
Physician’s Medical Billing
Union
05.1992 - 04.1997
- Answered patients’ billing questions
- Verified patients’ insurance coverage
- Handling collection and unpaid accounts.
Education
Nursing and Medical terminology -
County College of Morris
Skills
- CPT / ICD-10/ HCPCS Level II
- MS Excel, Word, Outlook
- Medicare and Medicaid
- HIPAA Regulations
- HCPCS Level II Mastery
- CMS-1500 Form Completion
- Specialty-Specific Coding
- Procedure Code Assignment
- ICD-10 Proficiency
- Outpatient Coding Proficiency
- Diagnosis Code Selection
- Appeals Process Handling
- Insurance Verification
Personal Qualifications
- CPC Certified - 2019
- Bilingual: English and Spanish
- Extremely detail oriented and organized
- Committed to complete a job on time
- Proven ability to overcome and solve problems
- Friendly and dedicated
- Enthusiastic team member
- Able to meet deadlines
Languages
Spanish
Professional
Certification
- AAPC - CPC
Timeline
Certified Coder
Valley Physician Services - CCNJ, Billing Department
04.2022 - Current
Billing Coordinator
Valley Physician Services - CCNJ, Billing Department
06.2015 - Current
Billing Specialist
Valley Physician Services - CCNJ, Billing Department
01.2013 - 06.2015
Medical Biller
Cardiology Center of North Jersey, Billing Department
04.1997 - 01.2013
Medical Biller
Physician’s Medical Billing
05.1992 - 04.1997
Nursing and Medical terminology -
County College of Morris
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