VIRGEN M. J. RODRIGUEZ CASTILLO
Mayagüez
Summary
Healthcare professional with extensive experience in medical billing and coding, claims management, regulatory compliance (HIPAA), patient record management, and medical office administration. Brings over 20 years of experience managing electronic billing systems, remote scheduling, administrative support, and professional communication in fast-paced healthcare environments. Results-oriented and highly organized, with a proven ability to work independently, meet deadlines, and perform effectively under pressure in both remote and on-site clinical and administrative settings.
Overview
19
19
years of professional experience
Work History
Medical Biller and Coder
Medical Office Dr. Luis J. Suau, Hemtology/Oncology
07.2018 - Current
- I performed coding and billing processes for oncology services, complying with confidentiality laws and HIPAA.
- Sending oncology prescriptions to specialized pharmacies, tracking them, and receiving therapeutic medications for hematology and oncology patients in an empathetic and professional manner.
- Maintained electronic health records and ensured accurate patient information management.
- Trained new administrative staff on office systems and best practices to ensure consistency.
- Assisted in preparing patient documentation, streamlining workflow processes for clinical staff.
Medical Biller and Coder
GM Image Guided Medicine, Gabriel Monagas, Interventional Radiology
07.2015 - 07.2018
- I performed coding and billing processes for radiological services to effective and responsible health plans, complying with confidentiality laws and HIPAA.
- Processed medical claims accurately using advanced billing software.
- Reviewed patient records for accurate coding and documentation.
- Ensured compliance with healthcare regulations and coding standards.
Medical Biller and Coder
Heriberto Sánchez Guzmán, MD, General Surgeon
06.2014 - 08.2015
- I performed coding and billing processes for surgical services to effective and responsible health plans, complying with confidentiality laws and HIPAA.
- Trained new staff on billing procedures and coding best practices.
- Collaborated with healthcare providers to resolve billing discrepancies.
- Implemented process improvements that enhanced billing efficiency.
Medical Biller and Coder
GAF Radiology, PSC- Gilberto Franceschini, MD
06.2007 - 09.2014
- I maintained the appropriate documentation for the coding and billing of radiological services, avoiding errors in potential audits and ensuring the collection of all invoiced amounts.
- Led initiatives to streamline claims processing workflows, reducing errors.
- Analyzed billing data to identify trends and improve revenue cycle management.
- I was able to effectively channel information from medical records in a fast, effective, and accurate process.
- Streamlining the collection of deductibles patient copayments.
- I remained willing to face constant changes and eager to frequently update my knowledge in the field of medical coding and billing.
Education
BBA - BBA in Human Resources
NUC University Online Division
Bayamón, Puerto Rico08-2027
Certification - Medical Biller And Coder
Medical Billing Association of PR
01.2014
Skills
- Administrative support
- Medical coding expertise
- Administrative support
- Client support
- HIPAA regulations adherence
- Insurance eligibility verification
- ICD-10 proficiency
- HIPAA compliance
- Medicare and medicaid billing
- Claim submission
- Insurance verification
- Payment posting
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
Medical Biller and Coder
Medical Office Dr. Luis J. Suau, Hemtology/Oncology
07.2018 - Current
Medical Biller and Coder
GM Image Guided Medicine, Gabriel Monagas, Interventional Radiology
07.2015 - 07.2018
Medical Biller and Coder
Heriberto Sánchez Guzmán, MD, General Surgeon
06.2014 - 08.2015
Medical Biller and Coder
GAF Radiology, PSC- Gilberto Franceschini, MD
06.2007 - 09.2014
BBA - BBA in Human Resources
NUC University Online Division
Certification - Medical Biller And Coder
Medical Billing Association of PR