Crystal Calderon
El Paso,TX
Summary
With a proven track record at The Center at Zaragoza, I excel in managing healthcare compliance and enhancing privacy regulations. My leadership in records management and commitment to quality assessment have significantly improved organizational efficiency. Skilled in both documentation management and fostering positive relationships, I consistently achieve high levels of patient satisfaction and regulatory excellence. Patient-focused professional equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts.
Overview
16
16
years of professional experience
Work History
Medical Reocrds Director
The Center at Zaragoza
El Paso , TX
01.2024 - Current
- Participated in committees that addressed quality assurance initiatives related to medical records management.
- Assisted in the development of policies and procedures related to the maintenance of accurate medical records.
- Organized patient charts, gathering medical histories, lab results and consents.
- Retrieved patient medical records in response to requests from authorized personnel.
- Responded to inquiries from patients, physicians and other healthcare providers regarding medical records.
- Processed incoming medical records requests.
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Identified discrepancies between physical documentation and electronic health records.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Pulled patient records and transferred information to appropriate parties.
- Assisted in developing processes for maintaining current information in patient's files.
- Compiled discharge summaries for all discharged patients.
- Implemented updates and improvements to electronic health records systems as directed.
- Assigned patients to diagnosis-related groups using appropriate computer software.
- Maintained positive working relationship with fellow staff and management.
- Scanned paper records into digital format.
- Assisted patients with requests for their medical records, guiding them through the process.
- Coordinated with healthcare providers to clarify unclear or incomplete information in records.
- Prepared reports summarizing patient information as requested by physicians or other healthcare providers.
- Verified insurance eligibility prior to releasing protected health information.
- Monitored compliance with state and federal regulations regarding release of information.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
- Responded to verification inquiries from other healthcare organizations and insurance companies.
- Checked applications for missing information and organized all paperwork.
- Conducted regular audits of credentialing files to ensure accuracy and completeness.
- Processed re-credentialing applications for existing providers according to contractual requirements.
Administrative Receptionist
Los Arcos del Norte
El Paso , TX
06.2023 - 12.2023
- Scheduled and confirmed appointments and meetings for management team.
- Greeted customers, answered general questions and directed to appropriate locations.
- Used company badging system to create badges for new employees and visitors.
- Developed and maintained a filing system for essential documents, improving office organization.
- Collated, bound and stored computer-generated reports.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating requirements; placing and expediting orders for supplies; verifying receipt of supplies.
- Provided assistance with event planning activities such as securing venues and ordering decorations or audio and visual equipment.
- Maintained daily calendars, set appointments with clients and planned daily office events.
- Proofread documents prior to distribution ensuring accuracy of grammar, spelling, punctuation.
Clinical Social Worker Assistant
Los Arcos del Norte
El Paso , TX
06.2023 - 12.2023
- Collaborated with other healthcare professionals to develop treatment plans for clients.
- Performed administrative tasks such as filing paperwork, scheduling appointments, updating databases.
- Monitored client progress and updated case files accordingly.
- Connected individuals with relevant community resources and coordinated referrals.
- Prepared patients for self-management and decision-making responsibilities.
- Participated in case reviews with other professional staff members to discuss best practices and strategies for addressing complex cases.
- Referred clients to substance abuse treatment programs and outpatient dual diagnosis treatment programs.
- Participated in team meetings to discuss best practices for providing quality care.
- Gave presentations to interdisciplinary team members, including clinical documentation and therapeutic observations.
- Responded promptly to phone calls from clients seeking advice or assistance.
- Maintained confidential case documentation.
- Coordinated referrals to community agencies when necessary or requested by the client's social worker or therapist.
- Created and managed thorough pre-discharge plans for clients coming up on reintegration periods.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Business Office Assistant
Los Arcos del Norte
El Paso , TX
06.2023 - 12.2023
- Operated photocopiers and scanners, facsimile machines and personal computers.
- Accepted and processed payments from customers in person and over telephone.
- Managed meeting room calendar and prepared meeting room for various meeting types.
- Computed, recorded and proofread data or reports.
- Ensured accuracy of all financial information entered into the accounting system.
- Sorted incoming mail and delivered to appropriate employees or departments.
- Greeted visitors with friendly and professional demeanor and provided direction to appropriate party.
- Provided administrative support to the finance department staff as needed.
- Inputted data into QuickBooks software system for bookkeeping purposes.
- Completed and mailed contracts, invoices or checks.
- Maintained and updated filing, inventory and database systems, manually or using computer.
Customer Service Representative
GC Services
El Paso, TX
08.2009 - 05.2011
- Maintained a high level of professionalism when dealing with difficult customers.
- Took special orders in person and over telephone, generating additional revenue every month.
- Strengthened customer retention by offering discount options.
- Identified areas of improvement in customer service processes and suggested changes accordingly.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Answered customer inquiries and provided accurate information regarding products and services.
- Recommended improvements in products, service and billing methods to management to prevent future problems.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Mentored junior team members and managed employee relationships.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Resolved customer complaints promptly and efficiently.
Education
High School Diploma -
Montwood
El Paso 05-2009
Some College (No Degree) - Psychology
Park University
Kansas City, MOSkills
- Privacy regulations
- Processing techniques
- Documentation management
- Quality assessment
- Patient records handling
- Clinical documentation
- Records management
- Healthcare compliance
- Regulatory reporting
- Certified electronic health record specialist
- Department oversight
- Health information systems
- Records analysis
Timeline
Medical Reocrds Director
The Center at Zaragoza
01.2024 - Current
Administrative Receptionist
Los Arcos del Norte
06.2023 - 12.2023
Clinical Social Worker Assistant
Los Arcos del Norte
06.2023 - 12.2023
Business Office Assistant
Los Arcos del Norte
06.2023 - 12.2023
Customer Service Representative
GC Services
08.2009 - 05.2011
High School Diploma -
Montwood
Some College (No Degree) - Psychology
Park University
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