Michael Godinez
Los Angeles,CA
Summary
Hardworking employee with customer service, multitasking, and time management abilities. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
32
32
years of professional experience
Work History
Health Information Management Specialist
Altamed Health Service – Randstad US /MEDICA Talent Agency
Commerce , Ca
2022.12 - 2023.04
- Provided support in the research and data entry projects for studies of Mammograms, Dexa Scans, and Colonoscopies
- Viewed, identified, designated and indexed thousands of various Medical records via EPIC and ON-base Program/Applications
- Uploaded multiple records into Members’ Profiles.
Human Resource
ACUITY EYE GROUP – AppleOne Temp Agency
Pasadena , Ca
2022.10 - 2022.11
- Assisted in filling out employee documents including: I9, Onboarding packets, Promotion/Demotion, Disciplinary Actions, and Performance Improvement
- Assigned company Compliance Ethics Modules
Medical Records Clerk
Doctors Choice Home Health
Los Angeles , CA
2022.02 - 2022.09
- Gathered and obtained Clients' records and Physicians' signed documents
- Interacted with various medical offices, facilities, and hospitals to obtain Clients' medical records
- Followed up and pursued Medical record request (Subpoenas and Insurance Claims) from Case Management, Intake and/or Billing department
Clinical Quality Coordinator
Blue Shield of California
Monterey Park , CA
2018.10 - 2022.02
- Coordinated with multiple nurses to pursue and obtain requested documents
- Worked with Providers, IPA’s, SNF, and Medical Centers in collecting and tracking medical records
- Worked on multiple spreadsheets for tracking and training
- Provided assistance to resolve potential quality care issues
- Adapted to multiple applications/software and processed cases via ViValdi & MHK programs
- Attached multiple records received via facsimile, secure emails, and mail
- Obtained medical records from copier services such as CIOX, MRO, Diversified Management, Sharecare
- Expedited time sensitive cases for STAT reviews via our CMO
- Assisted with regulatory audits including LA Care and DHCS
- Provided aid and coverage for fellow coordinators when absent or out on leave.
PQI Coordinator
Care1st Health Plan
Monterey Park , CA
2014.09 - 2015.02
- Provided support by obtaining medical records related to Member grievances
- Assigned cases to multiple persons within our nursing staff
- Interacted with doctors’ offices, clinics, hospitals, IPA & MSOs via email, facsimiles, phone and/or certified mail
- Documented all tasks and transactions via Vivaldi program such as Initial Request, Second Request and Final request
- Scanned providers disputes after audits
- Processed mailroom correspondence
Patient Access Representative
KECK/USC Norris Cancer Hospital
Los Angeles , CA
2003.07 - 2014.07
- Initially assigned by a Temp Agency as a File Clerk: reorganized and purged Patients records
- Was hired and trained to process and register Outpatient and Admissions
- Checked in all clinic and outpatient visits at the front desk
- Documented, scanned, and created various Patient accounts
- Directed and interacted with Patients to appointments
- Worked with various departments and agencies such as: Radiation Oncology, Radiology, Mailroom, Admission floors
- Was a "super user” for some program applications
- Played a major role in Admission when Paperless was implemented ( Cerner Millennium)
- Trained co-workers
- Verified Medicare/Medi-cal/Insurances via Passport & other websites
- Determined if Authorization was needed
- Collected, received & processed payments
- Delivered time sensitive reports
- Worked with Administration and Development when VIP’s were expected
- Worked evening On-Call hours
- Analyzed Patient Registration folders via TMR Application
- Provided computer support
Administrative Clerk, Quality Management Dept
CARE1st Health Plan
Alhambra , CA
2003.05 - 2003.06
Data Entry Clerk
Southern California Edison
Rosemead , CA
2001.04 - 2003.04
Data / Order Entry Clerk
Kellwood Company, Fritzi Division
1999.11 - 2001.03
Administrative Assistant
K-C Products Company Inc
Los Angeles , CA
1999.02 - 1999.10
Customer Service Representative
Barth & Dretfuss of California
Los Angeles , CA
1991.04 - 1998.12
Education
Associates -
East Los Angeles College
01.1987
Skills
- Conflict Resolution
- Critical Thinking
- Follow-Up Skills
- Clerical Support
- Customer Relations
- Coordination
- Microsoft Excel
- Administrative Support
- Prioritization
- High-Energy Attitude
- Professional Telephone Demeanor
- Positive and Professional
Additional Information
Experience working with CIOX, MRO, Diversified Management, Sharecare, EPIC, ON-Base, Kantine, Vivaldi/ Facets/ MSFE/ PBAR, Cerner Millenium, VI Web, Easy ID, On Demand, Patient Access System (P.A.S.), Centricity (GECB), Windows/Microsoft XP, Basic Word/Excel, Outlook, LOTUS NOTES, CSS, CAP, AS400, HP Laser/Xerox copiers, Pitney Bowes facsimile, Microfiche, 10-key calculator
Timeline
Health Information Management Specialist
Altamed Health Service – Randstad US /MEDICA Talent Agency
2022.12 - 2023.04
Human Resource
ACUITY EYE GROUP – AppleOne Temp Agency
2022.10 - 2022.11
Medical Records Clerk
Doctors Choice Home Health
2022.02 - 2022.09
Clinical Quality Coordinator
Blue Shield of California
2018.10 - 2022.02
PQI Coordinator
Care1st Health Plan
2014.09 - 2015.02
Patient Access Representative
KECK/USC Norris Cancer Hospital
2003.07 - 2014.07
Administrative Clerk, Quality Management Dept
CARE1st Health Plan
2003.05 - 2003.06
Data Entry Clerk
Southern California Edison
2001.04 - 2003.04
Data / Order Entry Clerk
Kellwood Company, Fritzi Division
1999.11 - 2001.03
Administrative Assistant
K-C Products Company Inc
1999.02 - 1999.10
Customer Service Representative
Barth & Dretfuss of California
1991.04 - 1998.12
Associates -
East Los Angeles College
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