Payment Posting Medical Coding

ILKA Y. VERGARA, CBCS

**** ****** ** *** **

Lakeland, FL 33810

863-***-**** (mobile)

*************@*****.***

SUMMARY OF QUALIFICATIONS

● CBCS Certified- February, 2017

● 9+ years’ medical coding and billing experience.

● Bilingual: Spanish and English

● In-depth knowledge of ICD-9, ICD-10, and CPT-10

● Knowledgeable in performing insurance verification and obtaining authorizations.

● Familiar with ClaimGear Billing System and accustomed to the input of charges, adjustments, and patient demographics into the computer system, scheduling, registration, claims, and EOB (payment posting).

● Able to perform charge review, claim submission, claim follow-up, payment posting, and patient statements.

● Skilled at exercising good judgment and adhering closely to the policies and guidelines associated with claim review and processing. AREAS OF EXPERTISE

● ICD-9, ICD-10, CPT-10, & Medical Terminolog

● Online Claim Submission & ERA

● Records Organization & Management

● Claim Entry & Payment Posting

● Referrals

● Authorizations

● Collections

● ClaimGear

● Medical Insurance

● OSHA Certified & HIPPA Certified

● Insurance & Patient Aging

● Various Practice Management Software

● Excellent Interpersonal Skills

● Excellent Phone Skills

● Microsoft Word and Excel

EDUCATION AND TRAINING

EVEREST UNIVERSITY Tampa, FL 12/2016

Diploma, Medical Insurance Billing and Coding

Current GPA: 4.0

SAN JUAN COLLEGE Juana Diaz, PR 12/ 1993

Associate Degree, Bilingual Secretary

Summa Cum Laude

PROFESSIONAL EXPERIENCE

TC TELEPHONE/Satellite Beach, FL 08/2018 - 08/2020 Supervisor Support

SPINE INSTITUTE OF CENTRAL FLORIDA Lakeland, FL 05/2017 - 01/2018 MEDICAL BILLER/DATA ENTRY

EXECUTIVE EDUCATION ACADEMY Allentown, PA 12/2014 – 10/2015 Secretary/Attendance Officer/Food Service Coordinator LEHIGH VALLEY DUAL LANGUAGE Bethlehem, PA 08/2010 – 06/2015 Food Service Coordinator/Cafeteria Aide

DONEGAN ELEMENTARY SCHOOL Bethlehem, PA 04/2009 – 01/2010 Aspire Helper

LUTRON- ALLIED PERSONNEL Allentown, PA 11/2006 – 03/2007 Floor Worker

FAGOT CLINICAL LABORATORY Ponce, Puerto Rico 06/2004 – 08/2006 Secretary/Medical Coding and Billing Clerk

PONCE SCHOOL OF MEDICINE Ponce, Puerto Rico 08/2003 – 05/2004 Secretary/Medical Coding and Billing Clerk

BLASOR CLINICAL LABORATORY Ponce, Puerto Rico 01/1996 – 07/2003 Secretary/Medical Coding and Billing Clerk

ACHIEVEMENTS / AWARDS

President’s and Dean’s List

Perfect Attendance Award

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