Veronica D. Begay
Flagstaff,AZ
Summary
Experienced medical biller & coder with 19 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
1
1
Certification
19
19
years of professional experience
Work History
Medical Billing Supervisor
Elk Ridge Community Health *formerly NCHC
04.2026 - Current
- Supervised daily operations of medical billing team to ensure compliance with regulations.
- Implemented training programs for staff to enhance billing accuracy and reduce errors.
- Analyzed billing processes to identify inefficiencies and recommend improvements.
- Coordinated with healthcare providers to resolve discrepancies in patient accounts or coding discrepancies efficiently.
- Reviewed outgoing bills for eligibility and accurateness.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Maintained current accounts through aged revenue reporting.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Championed efforts to stay current with changes in medical coding standards and requirements, keeping the department up-to-date on industry trends.
- Reviewed services rendered and completed to reconcile codes.
- Devised new methods to improve billing workflows.
- Enhanced accuracy of claims submissions through thorough reviews and staff training.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Medical Billing Supervisor
North Country Health Care
09.2015 - 03.2026
- Managed a team of medical billers, providing guidance and support for their professional development.
- Supervised daily operations of medical billing team to ensure compliance with regulations.
- Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
- Optimized workflow processes within the department, leading to a reduction in errors and delays in claim submissions.
OB/GYN Biller and Certified Coder
North Country Health Care
01.2011 - 09.2015
- Served primarily as a follow up biller for various insurance plans including: Commercial, State Medicaid, Medicare, Indian Health Services Contract Health Programs, Self-Pay & Sliding Fee Scale plans.
- Duties included: Research, correction and resubmission of denials, rejections for reimbursement.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Created new claims and entered hospital charges done by providers such as deliveries, gynecological surgeries, admissions & discharges
- Kept all patient information secure and confidential.
- Followed up with appropriate parties to obtain prompt payments.
- Checked insurance eligibility by making appropriate phone calls, insurance portals and conducting research on services rendered.
- Researched and resolved billing discrepancies to enable accurate billing.
- Determined proper codes for medical records and patient services
Certified Professional Coder
North Country Health Care
05.2007 - 11.2014
- Served primarily as a coder for various duties as assigned.
- Maintained Monthly & Quarterly chart audits on 10+ providers.
- Researched coding denials & rejections on claims for the billing team so they could resubmit the claim.
- Answering incoming patient and insurance company questions regarding coding issues.
- Advised and assisted the department billers when pertaining to coding questions or issues.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Education
Associates degree - Medical Specialties
College America
Flagstaff02-2008
Associates of Applied Sciences - undefined
Coconino Community College
01-2004
Skills
- Certified coding specialist
- EPIC Revenue Cycle/EHR system profiency
- Athena expertise
- GE Centricity expertise
- Revenue cycle management
- Critical thinking
- Verbal and written communication
- Experience with Waystar
- Medical Coding expertise
- ICD-10 knowledge
- CPT coding
- HIPAA compliance
- Microsoft programs proficiency
- Typing (45 wpm)
- Excellent Customer Service skills
Certification
- CPC- Certified Professional Coder
Timeline
Medical Billing Supervisor
Elk Ridge Community Health *formerly NCHC
04.2026 - Current
Medical Billing Supervisor
North Country Health Care
09.2015 - 03.2026
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 of Applied Sciences - undefined
Coconino Community College
Associates degree - Medical Specialties
College America