Iris Gamez
Port Hueneme,CA
Summary
Customer-focused Quality Assurance Manager with many years of experience in industry. Successful at internal audits and correctly forecasting product markets for accurate supplying. Skilled at working with customers and clients to ensure fantastic service.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Quality Improvement Coordinator (TEMP)
Gold Coast Health Plan
Camarillo, CA
03.2025 - 05.2025
- Coordinated annual medical record audit in compliance with the California Department of Health Care Services (DHCS) and HSAG standards.
- Contacted healthcare providers via phone and fax to request medical records, ensuring timely and accurate submissions.
- Tracked and managed incoming records using Excel spreadsheets and SharePoint for audit documentation and compliance purposes.
- Processed, reviewed, and organized medical records received from providers to ensure completeness and compliance with audit criteria.
- Utilized Adobe Acrobat and Microsoft Word to fill out, edit, and prepare medical record forms for submission.
- Performed accurate data entry and documentation in alignment with audit protocols and HIPAA regulations.
- Collaborated with internal teams and external stakeholders to resolve issues related to incomplete or incorrect submissions.
- Submitted approved medical record documentation to the state agency (HSAG) for audit completion.
Medical Administrative Assistant
Clinicas Del Camino Real
Oxnard, CA
12.2021 - 01.2023
- Provide comprehensive health services to a diverse community of patients.
- Process verification and insurance claims
- Translate for Spanish speakers patients
- Confirm and book appointments
- Scanning medical records
- Qualify patients for diverse programs
- Perform computer data entry
Education
Associate of Science - Business Administration And Management
Oxnard College
Oxnard, CA05-2025
Medical Assistant
Oxnard Adult School
Oxnard, CA01-2019
Skills
- Bilingual (fluent in Spanish)
- Telephone etiquette
- Excellent customer service
- Data entry
- Medical record management
- Appointment scheduling
- Insurance verification
- Attention to detail
- Team collaboration
- Auditing and compliance
- Process development
Certification
- Business Management Certificate
- Medical Administrative Assistant Certificate
Timeline
Quality Improvement Coordinator (TEMP)
Gold Coast Health Plan
03.2025 - 05.2025
Medical Administrative Assistant
Clinicas Del Camino Real
12.2021 - 01.2023
Associate of Science - Business Administration And Management
Oxnard College
Medical Assistant
Oxnard Adult School
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