Medical Records Specialist
Resume:
Hannie Grace Cordova
Canoga Park, CA *****
**************@*****.***
To obtain a responsible and challenging position where my medical administrative skills can be fully utilized to benefit the company.
Authorized to work in the US for any employer
Work Experience
Medical Records Specialist
CodeMax Medical Billing-Los Angeles, CA
June 2023 to Present
As a Medical Records Specialist, I am responsible for managing and maintaining patient medical records in Substance Abuse and Mental Health facilities. My job description typically includes:
• Record Retrieval: Retrieving and releasing medical records as requested by healthcare providers, patients, or authorized personnel while adhering to legal and privacy regulations.
• Quality Assurance: Reviewing records for completeness, accuracy, and compliance with healthcare regulations and standards. Using KIPU, Lightning Step and Zencharts EMRs.
• Privacy Compliance: Ensuring patient privacy and confidentiality by following HIPAA (Health Insurance Portability and Accountability Act) guidelines.
• Record Tracking: Maintaining tracking systems to monitor the movement and location of medical records within the facility.
• Communication: Collaborating with healthcare providers, administrative staff, and patients to address record-related inquiries and requests.
• This role is crucial for maintaining accurate patient information, ensuring regulatory compliance, and supporting healthcare providers in delivering quality care. It requires attention to detail, organizational skills, and a strong understanding of medical terminology and privacy regulations. Claims Processor - Reimbursement
Nas Neuron Health Services-Dubai
March 2022 to November 2022
• Communicate regularly with insurance agents, policyholders, beneficiaries, and more to prepare claim forms and other related documentation
• Review and verify personal information including names, addresses, ages, assets, and other data when reviewing claim submissions
• Adhere to company policies and local, state, and federal guidelines when facilitating insurance processing
• Evaluate insurance policy coverage and calculate respective claim amounts to issue premiums, adjustments, refunds, and more
• Keep track of policy records and perform data entry to maintain accurate client information Claims Processor
Almadallah Healthcare Management-Dubai
November 2018 to March 2022
• Communicating with insurance agents and beneficiaries.
• Preparing claim forms and related documentation.
• Reviewing claim submissions and verifying the information.
• Recording and maintaining insurance policy and claims information in a database system.
• Determining policy coverage and calculating claim amounts.
• Processing claim payments.
• Complying with federal, state, and company regulations and policies.
• Performing other clerical tasks, as required.
Receptionist / Admin Officer
Al Borj Medical Center-Dubai
May 2015 to May 2017
- Greet and welcome guests as soon as they arrive at the clinic.
- Maintains rapport with customers, managers, and employees by arranging continuing contacts; researching and developing new services and methods; setting priorities; resolving problem situations.
- Answer, screen and forward incoming phone calls and emails, provides information by answering questions and requests.
- Respond to complaints from patients/clients and give after-sales/treatment support when requested.
- Store and sort financial and non-financial data in electronic form and present reports
- Organize and schedule booking appointment of the patients
- Direct patients and guests to the appropriate doctor and clinic
- Provide accurate information in-person and via phone/email
- Create and manage PO, invoices and receipts for medical equipment and stocks. Coordinate and ensure completion of new items and distributor set up paperwork
- Handle the processing of all orders with accuracy and timeliness
- Create and maintain doctor’s expense report including petty cash and vendor receipts.
- Purchase front office supplies and keep inventory of stocks
- Perform other clerical receptionist duties such as filing, photocopying, and faxing
- Maintain patient documents and company contact lists/database.
- Coordinates the development, production, and distribution of promotional and collateral materials to support marketing and sales programs.
- Analyzes marketing programs and adjusts strategy and tactics to increase effectiveness.
- Provides post-event reports, analysis, and regular status reports on marketing programs.(Co bone, Groupon)
- Manage the sales report of Groupon and Co bone, making sure that it is redeemed and paid on company’s account.
- Book doctor’s flight itinerary and process visa for out-of-the-country meetings, conferences, and annual leave.
- Create and manage sick leave attestation in DHA online system.
- Helping nurses to update DHA census using ICD 10 coding.
- Follow-up insurance approvals of all our patients. Nurse / Paramedical Assistant
St. Luke's Medical Center Extension Clinic-Manila, Philippines November 2012 to February 2015
- Provides quality medical service for Canada, Australia and New Zealand immigrant, working or student visa applicants.
- Assisting Panel Physicians in examining the visa applicants
- Performs clerical duties such as:
o Receiving Canada, Australia and New Zealand visa applicants at the reception.
o Taking biometrics and photograph of visa applicants o Encoding data of immigrant visa applicants to the clinic data system and E-medical account.
o Answering telephone and email inquiries.
o Checks the completeness and accuracy of the medical reports in accordance with the respective immigration policies of the Embassies before sending through E-medical system.
o Calling the visa applicants for follow up, instructing visa applicant’s with the further examinations they need to undergo as per immigration guidelines.
o Performs Vital signs monitoring, height & weight taking, Eye test examination, ECG and Tuberculin Skin Test for Canada, Australia and New Zealand visa applicants for TB screening.
o Maintains customer confidence and protects operations by keeping information confidential.
o Verify the case/medical reports of the applicants in Medical Section of Embassies.
- Attending Webinar (simulated Seminar worldwide) done by Canadian, Australian and New Zealand Embassies every time there is an update with immigration policies.
- Communicating with Medical Section of the said Embassies for verification of medical cases. HR Associate / Clerk
Far Eastern University-Manila, Philippines
July 2012 to November 2012
- Assist with day to day operations of the HR functions and duties
- Provide clerical and administrative support to Human Resources executives
- Compile and update employee records (hard and soft copies) using HR Online System
- Process documentation and prepare reports relating to personnel activities (staffing, recruitment, training, grievances, performance evaluations etc)
- Coordinate HR projects (meetings, training, surveys etc) and take minutes
- Deal with employee requests regarding human resources issues, rules, and regulations
- Coordinate communication with candidates and schedule interviews
- Assist our recruiters to source candidates and update our database Education
Bachelor of Science in Nursing
Far Eastern University - Manila
2007 to 2011
Secondary Education
St. Scholastica's Academy
2003 to 2007
Skills
• Excel (4 years)
• Excellent written (5 years)
• Excellent written and verbal communication skills (5 years)
• fast learner (5 years)
• Microsoft Office (5 years)
• Quickbooks (1 year)
• ICD-10
• Medical records
• QuickBooks
• Clerical experience
• Front desk
• Documentation review
• Quality assurance
• HR sourcing
• Human resources
• Medical terminology
• Customer service
• Medical office experience
• Organizational skills
• HIPAA
• Epic
• Records management
• Anatomy knowledge
• Physiology knowledge
• Management
• Leadership
• Communication skills
• Nursing
• Insurance verification
• Medical receptionist
Certifications and Licenses
Registered Nurse in the Philippines
July 2011 to Present
Basic Life Support
July 2015 to Present
CPR Certification
Additional Information
Skills
- Computer literate and proficient in Microsoft Office (Word, Excel, Powerpoint)
- Proven ability to do multitasking and handle responsibilities efficiently
- Excellent written and verbal communication skills
- Highly trainable and fast learner
Contact this candidate