Vanessa Aguiniga
@vanessaaguiniga
Healthcare billing and coding professional who ensures accurate, timely reimbursement.
United StatesWhat I'm looking for
I’m a well-rounded healthcare professional with call center and customer service experience, focused on helping ensure reimbursement for patient services through timely, accurate data. I communicate effectively with clients, internal staff, providers, and insurance payers to support the billing process.
I bring hands-on strength in revenue cycle management, including posting payments and working across government programs (Medicare & Medicaid) and third-party payers. My training covers insurance verification and claim processing, including CMS 1500 and CMS 1450 (UB-04), as well as organizing, analyzing, and reviewing claims for reimbursement and resubmitting rejected claims.
I’ve also supported patient and behavioral health environments by monitoring safety and well-being, documenting observations, and reporting changes in behavior or condition to nursing and clinical staff. In crisis situations, I use de-escalation techniques to help maintain a safe environment, while reinforcing treatment plans under clinician supervision.
I’m bilingual (English and Spanish) and known for clear, detail-oriented communication and problem solving. I stay flexible and prepared to adapt, with strong HIPAA compliance habits, medical terminology grounding, and familiarity with electronic health records systems (EHR/EMR) and medical coding concepts (ICD-10-CM, HCPCS, CPT).
Experience
Work history, roles, and key accomplishments
Behavioral Health Associate I
West Pines Behavioral Hospital
Dec 2025 - Present (7 months)
Monitor patient behavior, safety, and well-being in accordance with facility protocols. Assist with daily living activities, document observations, support therapeutic sessions, and respond to crisis situations using de-escalation techniques.
Personal Care Provider
Bloom at Home
Jul 2025 - Present (1 year)
Provide companionship and personal care, assisting with activities of daily living. Maintain a safe, secure, and healthy environment while respecting patient privacy and confidentiality.
Correctional Officer
Intervention
Nov 2024 - Apr 2025 (5 months)
Inspected correctional facility security components (locks, window bars, grills, doors, and gates) to help prevent escapes. Documented prisoner identification, charges, incidents, maintained daily logs, and followed procedures for escalated situations.
Behavioral Health Technician
The Wood Group
Jan 2024 - Aug 2024 (7 months)
Promoted a safe, clean, and organized environment and facilitated engaging activities to provide mental and emotional stimulation. Followed policies and HIPAA guidelines and observed, reported, and documented resident conditions and activities.
Customer Service Representative
Alorica
Sep 2022 - Mar 2023 (6 months)
Handled inbound and outbound customer phone calls, identifying customer needs and providing resolutions while following established procedures. Entered customer account data, accepted payments, used MS Teams, documented activity, met quotas, and ensured confidentiality.
Server / Cashier
TJ's Country BBQ
Jul 2018 - Feb 2020 (1 year 7 months)
Provided customer service as a server and handled cashier responsibilities at TJ's Country BBQ.
Laboratory Externship
Candelaria Medical Center
Completed a laboratory externship at Candelaria Medical Center in El Paso, TX.
Education
Degrees, certifications, and relevant coursework
Ultimate Medical Academy
Medical Billing and Coding Diploma, Medical Billing and Coding
Activities and societies: Claims processing, insurance verification, accounts receivable/collections, CMS-1500 and CMS-1450 (UB-04), HIPAA rules, and ICD-10/CPT/HCPCS coding.
Completed a diploma program in medical billing and coding, covering medical terminology, claims processing, insurance verification, and reimbursement workflows. Trained on EHR/EMR systems and coding using ICD-10, CPT, and HCPCS.
Socorro High School
High School Diploma, General Education
Earned a high school diploma.
Ultimate Medical Academy
HIPAA Essentials for Healthcare Professionals Certificate, HIPAA Compliance
Activities and societies: HIPAA rules and regulations for patient information privacy and security.
Earned a certificate in HIPAA essentials for healthcare professionals, focusing on privacy and security requirements for patient information.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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