Valeria Montes

HEDIS Coordinator

United Physicians International, INC

Panorama City, CA

04.2016 - 02.2022

Managed filing systems for electronic and hard copy documents to keep organized records.
Entered data, generated reports and produced tracking documents.
Entered and maintained departmental records in company database.
Received and responded to customer requests via letters, emails, telephone calls and in-person interactions.
Gathered and organized materials to support operations.
Devised and implemented improvements to reporting procedures.
Developed revisions for systems and procedures by evaluating operational practices and identifying improvement opportunities.
Retrieved medical data for physicians and patients.
Performed regular quality and validation assessments on patient data to verify accuracy.
Collected, organized and entered patient data into medical systems.
Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Uploaded physician progress notes, history and physicals into electronic medical records.
Input data into computer programs and filing systems.
Communicated effectively with staff, patients and insurance companies by email and telephone.
Followed exact procedures for handling transfers and other releases of medical records
Filed records for timely retrieval.
Created plans and communicated deadlines to ensure projects were completed on time.
Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting Coordinate, complete, and update management on al HEDIS processes and results
Organize and maintain plan of action to improve HEDIS scores Request and evaluate reports for patients compliance and improvement opportunities for each HEDIS measure
Work with providers and billing department on rate investigation and validation activities, which includes maintaining all evidence, documentation and changes Kept accurate log of requests for medical information and records.
Recorded patients' medical history, status, services provided and other information necessary for compliance with reporting requirements.
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Maintained accuracy, completeness and security for medical records and health information.
Reviewed charts and flagged incomplete or inaccurate information.
Maintained patient records in compliance with security regulations.
Maintained patient confidence by keeping patient records information confidential.