Maribel Contreras
Chicago,IL
Summary
Accomplished Medical Records Specialist with over 9 years of experience in managing patient records and coordinating legal requests. Known for strong communication skills and a commitment to compliance, contributing to improved accuracy in medical documentation and patient satisfaction.
Overview
20
20
years of professional experience
Work History
Medical Records Specialist
Beloved Community Family Wellness Center
Chicago, IL
09.2016 - Current
- Managed patient records using electronic health record systems to ensure accuracy and compliance.
- Processed medical records requests from outside providers, patient, insurance companies, attorneys
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Responded to patient inquiries to provide information and details of medical records.
- Conducted regular audits of medical records for accuracy and compliance standards.
HEDIS/QI Coordinator
Total-Med/Wellcare
Chicago, IL
02.2016 - 05.2016
- Research within the company's claim system to assist abstractors to identify provider location as well as locate and retrieve HEDIS and quality data from claims and other internal/external sources
- Contacting provider offices, clinics, hospitals to obtain medical records as well as researching for provider correct demographics
- Reviewing medical records and documentation to ensure that the required data is being collected and reported accurately
Medical Records Clerk
Med-Call/Advocate Medical Group
Chicago, IL
10.2015 - 11.2015
- Prepared documents to be scanned into EMR system
- Assisted with purging charts to offsite storage facility
- Verified accuracy of medical records documentation
- Review records for completeness and accuracy
Medical Records Clerk/Switchboard Operator
The Womens Group Of Northwestern
Chicago, IL
10.2006 - 05.2014
- Answer and direct incoming phone calls to appropriate department or personnel
- Schedule patient appointments, procedures, test and other diagnostic appointments according to provider orders
- Processed medical record requests from patients, outside facilities, attorneys, insurance companies
- Prepared patient charts prior to scheduled appointments to ensure complete and accurate information
- Assist with general clerical/administrative duties in the medical office
Skills
- HEDIS Support
- Bilingual (Spanish)
- Medical records management
- EMR/EPIC Knowledge
- Organized/Detailed oriented
Timeline
Medical Records Specialist
Beloved Community Family Wellness Center
09.2016 - Current
HEDIS/QI Coordinator
Total-Med/Wellcare
02.2016 - 05.2016
Medical Records Clerk
Med-Call/Advocate Medical Group
10.2015 - 11.2015
Medical Records Clerk/Switchboard Operator
The Womens Group Of Northwestern
10.2006 - 05.2014