Xochilt Monreal
Commerce,GA
Summary
Verification Specialist skilled in risk assessment, data analysis, and document verification. Experienced in improving process efficiency through refined procedures, and committed to maintaining integrity in handling sensitive information. Successfully implemented verification processes, enhancing operational outcomes.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Referral Verification Specialist
The Cranesware Group
Deerfield, FL
03.2025 - Current
- Assisted in implementing electronic medical records systems for healthcare providers.
- Supported user training sessions on EMR software functionalities and best practices.
- Analyzed reports generated from the database to identify areas of improvement within the referral process.
- Efficiently managed collections and receivables, referrals process and billing to meet revenue goals.
- Processed incoming referrals from outside agencies according to established guidelines and policies.
- Reviewed patient records and medical history prior to making any recommendations or decisions related to referral requests.
- Managed referrals from primary care providers for specialty services both internally within the clinic or externally at another facility.
Medical Records Director
PruittHealth
Gainesville, GA
10.2023 - 11.2024
- Managed patient records and ensured compliance with healthcare regulations.
- Supervised staff in organizing and maintaining medical documentation systems.
- Implemented electronic health record systems for improved data accessibility.
- Reviewed medical records for accuracy and completeness regularly.
- Coordinated with healthcare providers to resolve documentation discrepancies.
- Developed procedures for secure handling of sensitive patient information.
- Assisted in audits to ensure adherence to organizational standards and guidelines.
- Maintained record of authorized information taken from charts.
- Collected, checked and filed resident charts and personnel records.
- Established and upheld procedures for medical records collection, coding and filing.
- Enforced state and federal legal requirements governing confidentiality and legal issues pertaining to health information.
- Returned incomplete records and charts to appropriate personnel for correction.
- Analyzed data from various sources including physician orders, laboratory results, radiology reports, to ensure complete documentation within patient's chart.
Quality Assurance Technician
Koswire, INC
Flowery Branch, Georgia
04.2021 - 09.2023
- Conducted quality inspections on products to ensure compliance with standards.
- Documented defects and non-conformance issues for further analysis.
- Collaborated with production teams to resolve quality concerns.
- Assisted in developing and implementing quality control procedures.
- Reviewed and analyzed test results to identify trends and areas for improvement.
- Maintained accurate records of inspections and quality assurance activities.
- Maintained records of all quality control activities, such as tests and inspections performed.
- Completed routine inspections of components and products to fulfill quality assurance requirements.
- Monitored production processes to identify any potential quality issues.
- Performed detailed inspections of products to ensure compliance with quality standards.
- Developed Quality Audits to identify and track defects in products prior to mass production.
- Conducted root cause analysis on defective parts and provided corrective action recommendations to management.
- Assisted with correcting systemic problems in order to eliminate errors.
- Created reports summarizing quality assurance activities for upper management review.
Education
Bachelor of Science - Health Informatics And Administration
University of North Georgia
Dahlonega, GA12-2025
Associate of Science - Health Informatics and Administration
University of North Georiga
Dahlonega, GA05-2023
Associate of Science - Biology
University of North Georgia
Dahlonega, GA05-2023
Skills
- Document verification and attention to data
- Team collaboration and communication skills
- Project management and compliance management
- Electronic health records and data security
Languages
Spanish
Native/ Bilingual
Certification
- HIPAA Compliance Certificate
References
Kristin Markley, Health Administrator, PruittHealth: kmarkley@pruitthealth.com phone: 770 533 7410
Kerri Kim, Referral Specialist, Manager, The Cranesware Group: kkim@cranesware.com phone: 207 250 1621
Tia Kim, Quality Manager, Koswire, INC: Tkim@koswire.com phone: 770 965 1145
Timeline
Referral Verification Specialist
The Cranesware Group
03.2025 - Current
Medical Records Director
PruittHealth
10.2023 - 11.2024
Quality Assurance Technician
Koswire, INC
04.2021 - 09.2023
Bachelor of Science - Health Informatics And Administration
University of North Georgia
Associate of Science - Health Informatics and Administration
University of North Georiga
Associate of Science - Biology
University of North Georgia
Similar Profiles
NINA SPRAYNINA SPRAY
Business Development Manager at Intracoastal Construction Group and Hydrologic GroupBusiness Development Manager at Intracoastal Construction Group and Hydrologic Group
Nattamon RaposoNattamon Raposo
Associate Veterinarian at Somerville Veterinary Group/ Callanan Veterinary GroupAssociate Veterinarian at Somerville Veterinary Group/ Callanan Veterinary Group
PRASHANT MISRAPRASHANT MISRA
Vice President – Account Growth & NBD at Max Mudra - JV Between The Tribes Group and DDB Mudra From Omnicom (now The Max, a Tribes Group Company)Vice President – Account Growth & NBD at Max Mudra - JV Between The Tribes Group and DDB Mudra From Omnicom (now The Max, a Tribes Group Company)
Vickie MillwoodVickie Millwood
Training Specialist at Baker and TaylorTraining Specialist at Baker and Taylor
Veronica WileyVeronica Wiley
Pharmacy Technician at Ingles Grocery StorePharmacy Technician at Ingles Grocery Store