Summary
Overview
Work History
Education
Skills
Timeline
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MERIDA PENA RUBIO

Miami,FL

Summary

Motivated to maintain satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses. Efficient and precise with commitment to finishing jobs quickly and accurately. Proven to work closely with coworkers for effective data management. Skilled in document digitization, office modernization and data organization for enhanced productivity. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Meticulous Medical Records with 4 years of experience in Medical Health system. Expert in streamlining data entry procedures and implementing ECW and MDFlow use for modernized offices.

Overview

4
4
years of professional experience

Work History

HEDIS Coordinator

La Colonia Medical Center
01.2024 - Current
  • Coordinate, complete, and update management on all HEDIS processes and results
  • Organize and maintain a plan of action to improve HEDIS scores
  • Request and evaluate reports for member compliance and improvement opportunities for each HEDIS measure
  • Work with providers and internal departments on rate investigation and validation activities, which includes maintaining all evidence, documentation, and changes
  • Ensure compliance by conducting quality audits and maintaining all data and process controls
  • Perform different tasks to ensure HEDIS data and reports are accurate, including investigation, auditing, and improvement opportunities.

Medical Data Entry Specialist

La Colonia Medical Center
02.2023 - Current


  • Used computer software to store and retrieve data.
  • Created spreadsheets for more efficient recordkeeping.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Preserved confidence and protected operations by keeping information confidential.
  • Managed and organized documents for data entry tasks.

Medical Records Coordinator

Cano Health
09.2021 - 01.2023
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Kept accurate log of requests for medical information and records.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Uploaded records to patient's individual vault.
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.

Customer Service Representative

CREDITO 786
08.2020 - 09.2021
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Responded to customer requests for products, services and company information.
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.

Education

Certified Professional Coder - Healthcare

Integral Academy of Coding
Tampa, FL
10.2023

GED -

University Oscar Lucero Moya
Holguin, Cuba

Skills

  • Exceptional communication skills
  • Natural leader
  • Positive and friendly
  • Strong conflict resolution skills
  • Quick learner
  • Active Data Online
  • MS Windows proficient
  • CRM
  • Advanced Clerical Knowledge
  • Document Management
  • Computer Software
  • Medical Histories and Vital Statistics

Timeline

HEDIS Coordinator

La Colonia Medical Center
01.2024 - Current

Medical Data Entry Specialist

La Colonia Medical Center
02.2023 - Current

Medical Records Coordinator

Cano Health
09.2021 - 01.2023

Customer Service Representative

CREDITO 786
08.2020 - 09.2021

Certified Professional Coder - Healthcare

Integral Academy of Coding

GED -

University Oscar Lucero Moya
MERIDA PENA RUBIO