ALEJANDRA PEDROZA
Yuma,AZ
Summary
Results-driven Remote Healthcare Administrative & Data Operations Specialist experienced in managing digital medical records, data verification, and regulatory compliance. Achieved 100% compliance and zero error rates through effective quality assurance audits and efficient data entry at 65 WPM. Focused on optimizing processes and maintaining HIPAA standards while exceeding productivity benchmarks in remote healthcare and administrative workflows.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Senior Medical Records Administrator
Maximus
12.2025 - Current
- Audited and indexed over 400 complex medical record pages per shift in electronic document management systems, ensuring 100% data integrity and regulatory compliance.
- Screen incoming case files to verify source authenticity, patient eligibility, and record completeness, escalating prioritized documentation to clinical review staff to achieve a 98% on-time turnaround rate.
- Executed high-speed alpha-numeric data entry (65 WPM), detected discrepancies, and eliminated non-medical documentation, reducing processing cycle times by 15%.
- Operated independently in a remote production environment, exceeding daily productivity and quality assurance benchmarks by 10%.
- Worked remotely to complete tasks efficiently
Health Record Reviewer (Seasonal)
Insight Global
07.2025 - 09.2025
- Evaluated and audited over 1,500 health records, immunization profiles, physical examinations, and lab reports against state licensing standards and public health guidelines.
- Managed structured data entry and record verification across centralized database tracking platforms, achieving a 99.8% data accuracy rate.
- Collaborated via Microsoft Teams and email with childcare providers, licensing staff, and public health officials to resolve documentation deficiencies, ensuring compliance within a 24-hour turnaround.
- Participated in weekly quality assurance reviews, identifying compliance errors and standardizing record submission processes for 12-member remote team, enhancing overall accuracy.
- Worked in a remote setting to facilitate communication and collaboration.
Medical Review Coordinator
Advanced Medical Reviews
11.2020 - 06.2025
- Conducted quality assurance reviews, proofreading, and clinical documentation verification for over 50 medical determinations, case addenda, and specialist correspondences daily, ensuring accuracy and compliance.
- Collaborated remotely with independent physician reviewers and case managers to verify completeness of clinical rationale in compliance with evidence-based medical necessity criteria.
- Navigated multiple proprietary internal review portals and database systems, accelerating daily case throughput by 20% while sustaining zero compliance infractions.
- Resolved complex administrative exceptions and record discrepancies, eliminating backlogs across multi-state client accounts and enhancing operational efficiency.
- Worked remotely to collaborate with team members
Medical Assistant / Administrative Coordinator
Equip Health
10.2021 - 07.2022
- Managed high-volume administrative workflows including electronic chart indexing, document retrieval, and digital filing across EHR platforms, processed 60+ patient charts daily.
- Facilitated remote telehealth intake sessions for families, guiding clinical history collection and ensuring completion of required authorization paperwork.
- Coordinated communications between patients, clinical teams, and external pharmacies to secure medical histories, minimizing administrative processing delays.
- Maintained bilingual (English/Spanish) communication across phone, email, and virtual meetings while safeguarding sensitive patient data under HIPAA guidelines.
- Remote / Hybrid
Pediatric Medical Assistant
Onvida Health
Yuma, AZ
11.2018 - 08.2020
- Directed front-office operations, managing multi-line phone intake, electronic patient scheduling, chart preparation, and digital record scanning for up to 35 patients daily, ensuring efficient patient care.
- Collaborated with laboratory, radiology, and administrative personnel to optimize patient flow and decrease patient check-in wait times by 20%.
- Collaborated with laboratory, radiology, and administrative teams to streamline patient flow, reducing check-in wait times by 20% and enhancing overall patient experience.
Education
Medical Assistant Certificate -
Brightwood College
Chula Vista, CASkills
- EHR management
- Clinical Data Management
- Clinical documentation
- Electronic Chart Auditing
- Document management
- Data Entry & Quality Assurance: High-Speed Alphanumeric Data Entry (65 WPM), Data Verification, Document Indexing, Database Navigation, Error Detection & Correction, Audit Support, Proofreading
- HIPAA compliance
- Office 365
- Task execution
Certification
Google Digital Marketing & E-Commerce Professional Certificate | Coursera (In Progress), Professional Proofreading Certificate | Udemy (Completed: 2024-07), Medical Assistant Certificate | Brightwood College, Chula Vista, CA (Completed: 2017-02)
Timeline
Senior Medical Records Administrator
Maximus
12.2025 - Current
Health Record Reviewer (Seasonal)
Insight Global
07.2025 - 09.2025
Medical Assistant / Administrative Coordinator
Equip Health
10.2021 - 07.2022
Medical Review Coordinator
Advanced Medical Reviews
11.2020 - 06.2025
Pediatric Medical Assistant
Onvida Health
11.2018 - 08.2020
Medical Assistant Certificate -
Brightwood College