Gloria Sainz
Katy
Summary
HIM Specialist with extensive experience at Harmony Cares Medical Group, skilled in managing medical records and ensuring compliance with confidentiality standards. Demonstrated ability in documentation review and effective communication, leading to streamlined processes and enhanced operational efficiency. Bilingual and proficient in EMR systems, excelling in problem-solving and maintaining organized, accessible data.
Overview
8
8
years of professional experience
Work History
HIM Specialist
Harmony Cares Medical Group
09.2023 - 11.2024
- Sent out Hundreds of Medical Record orders via Aprima on a weekly basis
- Coordinated with team members to complete CIOX/Datavant medical record requests.
- Updated and maintained daily logs in order to track Information movement.
- Maintained complete confidentiality in accordance to the law and business requirements.
- Conducted regular meetings with staff to review progress and address any concerns.
- Reviewed documents for accuracy prior to submission or publication.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Maintained positive working relationship with fellow staff and management.
Senior Medical Record Specialist
Zealie LLC
06.2020 - 08.2023
- Pulled patient records and transferred information to appropriate parties.
- Set up patient charts and document information in various company software.
- Streamlined day-to-day office processes to meet long-term goals.
- Maintained complete confidentiality in accordance with organizational and legal requirements.
- Updated daily logs to track information movements.
- Kept the department clean, organized, and professional.
- Followed up with insurance companies and individuals to resolve discrepancies.
- Designed and improved training procedures to help new staff acclimate quickly.
- Completed and submitted appeals for documentation-related claim denials.
Medical Biller
Memorial Pulmonary and Sleep Disorder Associates
09.2016 - 06.2020
- Created and submitted claims for provider hospital charges, office visit charges, sleep studies, and DME supplies.
- Pulmonary Function Test and Allergy Testing.
- Completed and submitted appeals for claim denials.
- Reviewed claims for coding accuracy.
- Coordinated communications between patients, billing personnel, and insurance carriers.
- Contacted insurance providers to verify insurance benefits, and obtain billing authorization.
- Organized information for past-due accounts and transferred to the collections department when applicable.
- Kept accounts current with facility-approved reporting and analysis strategies.
- Submitted and accurately processed insurance claims, with related medical code verifications and assessments.
Education
Medical Administration
PIMA Medical Institute
Houston, TX08.2016
High School Diploma - undefined
Cypress Springs High School
Cypress, TX06.2013
Skills
- Computer skills
- Communication skills
- Medical terminology
- Documentation review
- Microsoft Excel
- CPT coding
- Medical collection
- Data entry
- ICD-10
- Experienced with Aprima
- ECW
- Epic
- Time management
- Bilingual
- Data collection
- EMR systems
- Spanish
- Medical record management
- Document organization
- Confidentiality compliance
- Insurance verification
- Effective communication
- Problem solving
Languages
English Native/ Bilingual
Spanish Native/ Bilingual
References
References available upon request.
Timeline
HIM Specialist
Harmony Cares Medical Group
09.2023 - 11.2024
Senior Medical Record Specialist
Zealie LLC
06.2020 - 08.2023
Medical Biller
Memorial Pulmonary and Sleep Disorder Associates
09.2016 - 06.2020
High School Diploma - undefined
Cypress Springs High School
Medical Administration
PIMA Medical Institute
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