JAEGER VAUGHN AGUIRRE

**** **** ***** ******. # ***

Pasadena, CA 91106 714-***-****

acdtsm@r.postjobfree.com

A highly experience in customer service seeking for a position in the healthcare industry that will utilize my skills and experience in a challenging and fast pace work environment.

EDUCATION

Claremont High School

EXPERIENCE

Heath Data Vision, Inc. Burbank, CA

Provider Relations Assistant (contracted) 01/2014 – 04/2014

• Request chart chase collection from provider office

• Complete all collection measures from provider office for HEDIS and CMS Star Ratings

• Perform quality checks during Medical Records Review projects to prepare chart collection and abstraction for nurse review

• Primary objective was to complete chart collection and collect measures in an aggressive timeline to help improve and optimize the scores and ranking from the vendor

Datafied Document Retrieval Service Anaheim, CA

Record Retrieval Coordinator 09/2013-12/2013

• Perform outreach calls to provider contacts, explain the intent and importance of the chart review and coordinate appointments for document imaging technicians.

• Analyze and organize the data in order to efficiently schedule appointments onto company software

• Follow internal policy and procedure when handling security/confidentiality and HIPPA guidelines when handling all patient information

• Obtain Attending Physician Statements (APS) and track

• Review and download digitized records for compliance (legible etc)

• Monitor chart retrieval progression for HEDIS and HCC Risk Adjustment for all medical provider offices

• Document activity, problems and trends with provider office in the scheduling system for chart review

• Perform outreach calls and answer incoming calls accordingly

Arcadian Health Plan San Dimas, CA

HCC Data Coordinator 01/2009-12/2012

• Complete all chart collection

• Technical expertise in all of the following PHI and HIPPA compliance for EMR regulatory requirements for CMS

• Excellent skills in quality of service

• Knowledge of healthcare data systems

• Provide leadership during team projects

• Call center experience in the health care environment

• Communications skills within other departments

• Worked on scanner database and generated and tracked records

• Contact provider office for chart request and follow up