Veronica D. Begay
Flagstaff,AZ
Summary
Experienced medical biller/coder with 15 years of proven success in efficiently managing diverse medical coding and billing responsibilities. Detail-oriented and dedicated professional skilled in analyzing complex medical records and accurately assigning codes. Exceptional multitasking abilities to handle multiple tasks simultaneously with high accuracy. Effective collaborator with insurance companies to streamline claims process and ensure timely reimbursement.
Overview
18
18
years of professional experience
Work History
Medical Billing Supervisor
North Country Health Care
09.2015 - Current
- Revenue cycle management
- Maintained current accounts through aged revenue reporting.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Regularly monitor staff workload and performance
- Complete special tasks and projects as assigned
- Assist in fee schedule updates as needed
- Perform system setup and maintenance
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Devised new methods to improve billing workflows.
Customer Service Associate
Walgreens
03.2020 - Current
- Cashiering, photo tech, inventory counting, stocking new merchandise, merchandise resets, assist customers with questions, check inventory for needed items in assigned areas of store (OSA), temp checks of food/drink cooler, weekly check for out dates on perishable items, other assigned duties as needed
OB/GYN Biller and Certified Coder
North Country Health Care
01.2011 - 09.2015
- Serve primarily as a follow up biller for various insurance plans including: Commercial, State Medicaid, Indian Health Services Contract Health Programs, Self-Pay & Sliding Fee Scale plans through telephone, email or personal communication in addition to maintaining Monthly & Quarterly chart audits on 10+ providers, Data entry of incoming hospital charges
- Duties include: Research, correction and resubmission of denials, rejections for reimbursement
- Create new claims and enter hospital charges done by providers such as deliveries, gynecological surgeries, admissions & discharges
- Answering incoming patient and insurance company questions
- Advising and assisting other billers when pertaining to coding questions
Certified Professional Coder
North Country Health Care
05.2007 - 11.2014
- Serve primarily as a follow up biller for various insurance plans including: Commercial, State Medicaid, Indian Health Services Contract Health Programs, Self-Pay & Sliding Fee Scale plans through telephone, email or personal communication in addition to maintaining Monthly & Quarterly chart audits on 10+ providers, Data entry of incoming hospital charges
- Duties include: Research, correction and resubmission of denials, rejections for reimbursement
- Create new claims and enter hospital charges done by providers such as deliveries, gynecological surgeries, admissions & discharges
- Answering incoming patient and insurance company questions
- Advising and assisting the other billers when pertaining to coding questions
Education
Associates degree - Medical Specialties
College America
Flagstaff, Arizona02.2008
Associates of Applied Sciences -
Coconino Community College
Flagstaff, Arizona01.2004
Skills
- Certified Professional Coder
- Training in GE Centricity/Athena
- Revenue cycle management
- Medical claims submission
- Insurance verification
- Critical thinking
- Account follow-up
- Medical terminology
- Teamwork and collaboration
- Verbal and written communication
References
- Elizabeth Schaeffer, Medicaid follow-up biller, North Country HealthCare – Billing Department, (928) 310-6978, lschaeffer@nchcaz.org
- Debra Pugh, Coding Supervisor, North Country HealthCare- Coding Department, (928) 386-1063, debonlakemary@hotmail.com
- Dr. Ora Marek Martinez, Northern Arizona University - Associate Vice President Office of Native American Initiatives(928) 266-2194, ovmmartinez@gmail.com
Timeline
Customer Service Associate
Walgreens
03.2020 - Current
Medical Billing Supervisor
North Country Health Care
09.2015 - Current
OB/GYN Biller and Certified Coder
North Country Health Care
01.2011 - 09.2015
Certified Professional Coder
North Country Health Care
05.2007 - 11.2014
Associates degree - Medical Specialties
College America
Associates of Applied Sciences -
Coconino Community College
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