Summary
Work History
Education
Skills
Languages
Timeline
Generic

Gloria Santana

Santa,CA

Summary

Proven Medical Records Clerk with a track record of enhancing patient data security and staff efficiency at Pain Management Specialist. Excelled in HIPAA compliance and medical records management, boosting data accuracy and accessibility. Skilled in customer service and document scanning, I significantly contributed to quality improvement initiatives, demonstrating a keen attention to detail and a commitment to patient confidentiality.

Work History

Medical Records Specialist

Pain Management Specialist
Santa Maria, CA
07.2020 - Current
  • Communicated effectively with staff, patients, and insurance companies by email and telephone.
  • Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Uploaded physician progress notes, history, and physicals into electronic medical records.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
  • Kept accurate log of requests for medical information and records.
  • Assisted healthcare providers with timely access to patient information, facilitating optimal treatment decisions.
  • Followed up with patients about medical and healthcare processes.
  • Developed efficient workflows for data entry tasks, enhancing overall productivity within the department.
  • Oversaw insurance cost reporting.
  • Maintained patient confidence by keeping patient records information confidential.
  • Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
  • Managed electronic medical records for [Number] patients.
  • Collaborated with IT team members to troubleshoot technical issues related to health information systems, ensuring minimal disruption to department workflows.
  • Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
  • Developed educational materials for staff on proper medical record documentation, enhancing overall accuracy and quality of patient records.
  • Collaborated with cross-functional teams to identify areas for process improvement in the handling of sensitive patient data.
  • Maintained compliance with HIPAA regulations through thorough staff training and continuous monitoring of security protocols surrounding patient data management.
  • Maintained relationships with medical providers, suppliers, and reporters.
  • Established strong relationships with insurance companies and other external partners involved in processing claims or accessing patient information.
  • Conducted regular reviews of department policies and procedures to ensure alignment with industry best practices and regulatory requirements.
  • Reduced errors in documentation by establishing strict quality control measures and conducting regular audits of medical records.
  • Monitored legal and financial statuses of various offices.
  • Reviewed recordkeeping procedures for patients and doctors.
  • Streamlined information retrieval processes, developing a comprehensive filing system for physical documents.
  • Maintained patient records systems by archiving, scaning and indexing important documents and files.
  • Maintained patient charts and accurately recorded new information.
  • Addressed discrepancies in medical coding promptly, liaising with relevant parties to rectify errors and maintain accurate billing information.
  • Managed the budget for the medical records department, allocating resources effectively to meet operational needs while minimizing costs.
  • Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
  • Scanned medical records in digital format for easy retrieval and accessibility.
  • Supported medical staff by providing organized and accurate medical records.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
  • Printed and photocopied documents to provide patients with copies of medical records.
  • Responded to patient inquiries to provide information and details of medical records.
  • Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
  • Assisted in training new staff on medical record processing and filing procedures.
  • Researched and resolved medical record discrepancies.
  • Scanned and uploaded medical records into electronic medical records system.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Assisted in preparation of medical reports for external parties.
  • Transcribed and entered patient medical information into electronic medical records systems.
  • Sorted and distributed incoming and outgoing medical records.
  • Processed and tracked requests for medical records from external organizations.
  • Verified accuracy of patient information in medical records.
  • Tracked and monitored requests for medical records release.
  • Identified new methods to optimize medical records management.
  • Followed up with medical staff regarding missing information in patient records.
  • Followed exact procedures for handling transfers and other releases of medical records.
  • Input data into computer programs and filing systems.
  • Developed and implemented new filing system for medical records to improve efficiency.
  • Generated and maintained statistical data related to medical records.

Teacher's Assistant

Little Bits Preschool
Nipomo, CA
03.2016 - 06.2020
  • Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
  • Handed out classroom materials, like pencils, paper, and crayons.
  • Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
  • Supported student learning objectives through personalized and small group assistance.
  • Worked with lead teacher to monitor class schedule and take attendance.
  • Assisted lead teachers with lesson plan creation and materials development .
  • Helped teachers recognize learning issues evidenced in one-to-one support instruction.
  • Assisted teachers with classroom management and document coordination to maintain positive learning environment.
  • Assisted in maintaining engaging and respectful educational environment by promoting discipline and cooperation.
  • Facilitated activities in small groups to reinforce concepts taught by class teacher.
  • Partnered with teacher to plan and implement lessons following school's curriculum, goals, and objectives.
  • Supported planning and preparation for culturally-diverse class sessions.
  • Copied, organized and distributed classroom assignments or other paperwork.
  • Organized materials in classroom spaces based on lecture plans, activity stations or other requirements outlined by teachers.
  • Monitored student behavior in classes, laboratories and on field trips for unsafe or rule-breaking concerns.
  • Developed materials for classroom teachers to support instruction, lab work or in-class activities.

Medical Assistant

Dr. Guimaraes
San Luis Obispo, CA
05.2012 - 01.2016
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
  • Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
  • Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
  • Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Explained procedures to patients to reduce anxieties and increase patient cooperation.
  • Liaised with patients and addressed inquiries, appointment requests and billing questions.
  • Implemented care and efficiency improvements to support and enhance office operations.

Legal Receptionist

Michael Clayton and Associates
Santa Maria, CA
2007 - 2011

Education

No Degree - Medical Billing And Coding

Brookline College - Phoenix
Phoenix, AZ
01.2018

High School Diploma -

Santa Maria High School
Santa Maria, CA
06.2003

Skills

  • HIPAA Compliance
  • Customer Service
  • Written and verbal communication
  • HIPAA Regulations
  • Data Entry
  • File Organization
  • Document Scanning
  • Medical terminology understanding
  • Paperwork Processing
  • Medical Records Management
  • Records Management
  • Scheduling appointments
  • Payment Collection
  • Medical Terminology
  • Medical office administration
  • Patient confidentiality
  • Data Security
  • Staff education and training
  • Insurance Eligibility
  • Medical billing and coding
  • Medical Billing
  • Records Review
  • Medical Release of Information ROI processes
  • Attention to Detail
  • Records Accuracy
  • Patient Rights
  • Electronic Filing System Organization
  • Clerical Functions
  • Patient Medical Records Maintenance
  • Medical History Recording
  • Patient Information Verification
  • Doctor Communication
  • Appointment Scheduling
  • Demographics Information
  • Discharge Documentation
  • Heartsaver CPR AED (CPR AED)
  • Insurance Verification
  • Office Health Records Preparation
  • Workers' Compensation Forms

Languages

Spanish
Professional Working

Timeline

Medical Records Specialist

Pain Management Specialist
07.2020 - Current

Teacher's Assistant

Little Bits Preschool
03.2016 - 06.2020

Medical Assistant

Dr. Guimaraes
05.2012 - 01.2016

Legal Receptionist

Michael Clayton and Associates
2007 - 2011

No Degree - Medical Billing And Coding

Brookline College - Phoenix

High School Diploma -

Santa Maria High School
Gloria Santana