Michael A Ezcurra
Miami,USA
Summary
Dedicated healthcare professional specializing in care coordination and medical records management. Demonstrated success in improving patient outcomes by effectively managing healthcare documentation and facilitating seamless communication among healthcare staff.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Health Unit Coordinator
Cleveland Clinic Weston
Weston, Florida
01.2026 - Current
- Conduct in-person greetings, welcome newly admitted and transferred patients, and provide unit orientation.
- Respond to patient call lights and complete regular rounds.
- Support admissions, transfers, and discharges in EPIC EMR software.
- Assist patients and families with way finding and connect to available resources.
- Assemble and maintain patient medical records and related care documents.
- Assist with unit clerical tasks and troubleshoot equipment issues, including call systems, portable phones, WOWs, and other unit devices.
Utilization Management Specialist
CarePlus Health Plans
Miami, USA
08.2016 - 10.2025
- Delivered care management support and conducted telephonic comprehensive health risk assessments (HRA) for members based on their individualized healthcare needs.
- Processed and approved medical referrals in CSC and CWAS systems, ensuring accuracy and adherence to organizational protocols.
- Prepared detailed reports to support utilization management activities and ensure CMSA compliance.
- Supported members in locating healthcare providers and scheduling appointments according to their specific requests and care plans.
- Conducted outbound calls to members to communicate referral outcomes and provided follow-up support.
- Resolved member inquiries and concerns promptly, directing them to appropriate departments for further assistance.
HEDIS Specialist
Molina Healthcare
Miami, USA
11.2015 - 05.2016
- Conducted HEDIS chart reviews aligned with NCQA standards to enhance quality of care for patients.
- Collaborated with health care providers to verify documentation accuracy and resolve data discrepancies, ensuring integrity of patient records.
- Identified care gaps in quality improvement programs and contributed to targeted strategies to address them.
Field Medical Records Technician
Episource, Risk Adjustment Services Solutions
Miami, USA
01.2015 - 10.2015
- Reviewed and validated medical documentation to ensure accuracy and completeness for risk adjustment processes, enhancing data integrity.
- Organized and managed patient records for efficient retrieval, ensuring compliance with CMS and HIPAA regulations.
- Maintained accurate patient records using electronic health record systems.
- Processed medical documentation to ensure compliance with regulatory standards.
- Reviewed and verified patient information for completeness and accuracy.
Release of Information Specialist
Jackson Memorial Hospital
Miami, USA
05.2012 - 11.2014
- Processed medical record requests, ensuring compliance with HIPAA regulations to protect patient privacy and security.
- Prepared and provided documentation for litigation cases and court subpoenas, adhering to legal and privacy regulations.
- Conducted quality checks and assisted patients and healthcare professionals with documentation inquiries, ensuring accuracy and timeliness.
Medical Records Specialist
Optium Oncology
Miami, USA
02.2010 - 04.2012
- Organized and maintained patient health information, ensuring accuracy and confidentiality in electronic health record system to support quality care.
- Facilitated timely delivery of patients' medical charts to treatment floors, enhancing accurate documentation and continuity of care.
- Managed medical charts and daily pull lists, preparing efficiently for next day treatment operations.
Education
Associate of Science - Health Information Management
Miami Dade College
Miami, FL01-2007
Skills
- HEDIS chart review
- Medicare compliance
- Quality auditing
- Quality control
- Healthcare regulations
- ICD coding
- CPT coding
- EMR systems proficiency
- HIPAA compliance
- Records management
- Microsoft Office Suite
- Care coordination
- Customer focus
Certification
HIPAA Compliance & Privacy Training, Medicare Part C & D Compliance
Languages
English Full Professional, Spanish Native/ Bilingual
Accomplishments
Founded a non for profit initiative within my church to serve as a community drop off location site for Operation Christmas Child. Expanded community participation and increased shoebox donations by organizing internal drives and promoting the initiative through external outreach efforts.
Timeline
Health Unit Coordinator
Cleveland Clinic Weston
01.2026 - Current
Utilization Management Specialist
CarePlus Health Plans
08.2016 - 10.2025
HEDIS Specialist
Molina Healthcare
11.2015 - 05.2016
Field Medical Records Technician
Episource, Risk Adjustment Services Solutions
01.2015 - 10.2015
Release of Information Specialist
Jackson Memorial Hospital
05.2012 - 11.2014
Medical Records Specialist
Optium Oncology
02.2010 - 04.2012
Associate of Science - Health Information Management
Miami Dade College