LAURA HERNANDEZ
BAART PROGRAMS
Compton
2
Certifications
21
years of professional experience
Patient Service Representative – Administration supporting HEDIS quality measures and chart scrubbing across multi-site clinic workflows. Reviews medical records, prepares for health plan audits, and supports documentation compliance, referral processing, insurance verification, billing, and coding. Trains clinical staff and helps improve quality control through accurate documentation and follow-through.
Work History
Patient Service Representative – Administration
4 Years 11 Months- Review [number] charts weekly to support HEDIS quality initiatives across multiple clinic locations.
- Support HEDIS quality initiatives through chart scrubbing, medical record review, and quality control across clinic sites.
- Assist with health plan audit preparation, quality improvement efforts, and clinical documentation compliance.
- Train medical staff and support insurance verification, referral processing, billing, and administrative workflows.
Medical Assistant / Referral Coordinator
1 Year 5 Months- Coordinated [number] referral cases weekly to support timely specialist appointments and continuity of care.
- Supported clinical procedures and room preparation to keep daily patient flow moving efficiently.
- Maintained EMR/EHR documentation and patient records to improve accuracy and chart readiness.
- Handled front-office administrative tasks, including insurance verification, communication, and daily operational support.
Medical Assistant – Urgent Care
3 Months- Assisted providers with patient intake, venipuncture, injections, EKGs, and diagnostic testing in a fast-paced urgent care setting.
- Maintained accurate electronic medical records and updated documentation to support compliant, organized patient care.
- Coordinated office operations with staff to keep patient flow moving and support efficient daily clinical work.
Office Manager / Medical Assistant
8 Years 1 Month- Managed medical office operations, including insurance verification, prior authorizations, and clinical documentation.
- Coordinated staff scheduling, training, team meetings, and daily workflow adjustments to support consistent coverage.
- Oversaw vaccine program activities, inventory tracking, and medical records while supporting healthcare compliance requirements.
Medical Assistant
2 Years 7 Months- Coordinated referrals and prior authorizations to keep patient care moving efficiently through the office.
- Maintained medical records in EMR/EHR systems & documentation to keep patient information current and organized.
- Supported physicians with routine clinical procedures and patient care coordination during daily office operations.
Medical Assistant
4 Years 5 Months- Coordinated referrals and prior authorizations for pediatric patients, supporting smooth access to follow-up care.
- Maintained pediatric medical records and electronic documentation with attention to accuracy, organization, and compliance.
- Supported CHDP program requirements by tracking patient coordination tasks and related documentation.
Skills
Hedis quality measures & quality assurance
Chart scrubbing & medical record review
Health plan audit preparation
Healthcare compliance support
Quality assurance reporting
Managed care operations
Insurance verification & eligibility
Referrals & prior authorizations
Medical office operations
Patient scheduling coordination
EMR/EHR systems & documentation
Medical records management
Documentation compliance
Workflow coordination
Billing and coding support
Certification
Certified Health Care Administration
Personal Information
Title: HEALTHCARE ADMINISTRATION | MEDICAL OFFICE MANAGEMENT | HEDIS QUALITY ASSURANCE
Timeline
Patient Service Representative – Administration
BAART PROGRAMS
11.2021 - CurrentRead More
Medical Assistant / Referral Coordinator
DRS. MISHAL, PHAM & ASSOCIATES
02.2020 - 07.2021Read More
Medical Assistant – Urgent Care
PROVIDENCE ST. JOSEPH HEALTH
10.2019 - 01.2020Read More
Office Manager / Medical Assistant
PRIORITY MEDICAL GROUP
09.2011 - 10.2019Read More
Medical Assistant
PRO HEALTH PARTNERS
05.2008 - 12.2010Read More
Medical Assistant
DR. KIT LEE PEDIATRICS
01.2006 - 06.2010Read More