Medical Records Data Entry
Resume:
Krystal Gil
***** ****** **** *********** ** 92394
************@******.***
Professional Summary
Results-driven healthcare professional with 10 years of experience in paƟent care, medical reimbursement, and management. Proven experƟse in healthcare services, insurance processes, and paƟent communicaƟon. I am skilled in medical billing, paƟent service, and organizaƟonal skills. Proficient in MicrosoŌ Office and fluent in Spanish and English. Work Experience
Referral Coordinator
Choice Medical Group
Apple Valley, CA – July 2025 to Present
Research medical records and provide supporƟng documentaƟon to medical review to assure authorizaƟon of requested procedures
Enter the correct CPT code and ICD-10 codes for medical referrals
Ensured accurate data entry and compleƟon of authorizaƟon data from medical records, referral/authorizaƟon forms
Coordinate referrals to other physicians’ offices to ensure paƟents get the best care within an efficient Ɵmeframe
Answered call daily, providing informaƟon and assistance regarding referrals
Skilled at managing paƟent records, collecƟng and verifying insurance informaƟon, and resolving any referral issues in a Ɵmely manner
Case Manager/Care Coordinator
Choice Medical Group
Apple Valley, CA - 2024 to Present
• EffecƟve verbal and wriƩen CommunicaƟon skills.
• Thorough understanding of healthcare services and insurance processes.
• Responsible for scheduling, organizing and managing all aspects of a paƟent’s healthcare maintenance and treatment.
• Help paƟents' complete paperwork, communicate with a healthcare team about a paƟent’s treatment plan and educaƟng paƟents about resources and opƟons for managing their health.
• Strong organizaƟonal skills able to systemaƟze a care plan for several paƟents at once.
• Ability to work across teams and manage mulƟple tasks ensuring the efficient delivery of care and helping to improve the paƟent experience.
Medical Reimbursement Tech
Desert Valley Medical Group
Victorville, CA - 2021 to 2024
• Gather insurance and billing informaƟon on a paƟent
• Work with insurance and billing companies to process medical reimbursements for paƟents.
• Manage financial documents, transcribe medical records, communicate with insurance providers, and assist with other administraƟve tasks.
• Submit an appeal when the company denies a claim
• Strong knowledge of Medicare, Medicaid and IHP
• Familiar with HIPAA regulaƟons and CPT, ICD9, ICD10 General Manager
Desert Trident LLC
Victorville, CA - April 2018 to September 2021
• Coach, develop, and empower all team members to deliver excepƟonal customer experience while developing and sustaining a profitable environment.
• Responsible for achieving daily, weekly, and monthly sales and other performance goals • RecruiƟng, interviewing, hiring and ensuring effecƟve orientaƟon and training.
• Analyze, recognize, and proacƟvely manage sales, margins, product inventory levels, cash and inventory.
• Ensure the company markeƟng plans and procedures are executed at store level consistently.
• Ensuring safety, health, food safety, and sanitaƟon requirements/procedures are met in accordance with federal, state, local and company standards.
• EffecƟve employee scheduling and payroll management. Ward Clerk
Knolls West Post-Acute
Victorville, CA - February 2017 to April 2018
• Friendly, helpful, polite, and professional eƟqueƩe,
• Process medical records and insurance forms that paƟents or their guardians complete upon admiƩance into the hospital.
• Answer phones, page doctors and nurses, and direct visitors to paƟents' rooms.
• Communicate clearly and effecƟvely with paƟents, their family members and friends, doctors, nurses, orderlies, and other administrators.
• Knowledge of common medical terminology, abbreviaƟons, and different medicaƟons.
• handle physical and digital files and sort, store, and deliver them to the appropriate people. Customer Service RepresentaƟve
Guru Financial CorporaƟon
Apple Valley, CA - January 2015 to February 2017
• Provide comprehensive administraƟve support to a team or individual by managing calendars and scheduling meeƟngs.
• Handle correspondence emails, maintaining files, ordering office supplies, answering phone calls, and performing various clerical tasks
• Strong organizaƟon skills and effecƟve communicaƟon. EducaƟon
Victor Valley High School - September 2005 to June 2009
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