Summary
Overview
Work History
Education
Skills
Education and Training
Timeline
Generic

Antoinette Lumpkin

Chicago

Summary

Results-driven Medical Records HEDIS Retrieval Specialist with a decade of experience in data abstraction and electronic health records. Proven track record at Blue Cross Blue Shield of MN in enhancing HEDIS compliance through meticulous data management and effective provider outreach. Skilled in database management and committed to delivering high-quality patient care. Highly skilled in managing and organizing health information data, with background as Health Information Technologist and Medical Registrar. Demonstrated ability to ensure the accuracy, accessibility, and security of patient health information. Strong in applying coding systems to patient records for billing and analysis purposes, contributing to efficient healthcare delivery. Improved record-keeping processes in previous roles, enhancing data retrieval times and ensuring compliance with regulatory standards.

Overview

13
13
years of professional experience

Work History

Medical Records Retrieval Analyst

CVS Healthcare
Chicago
06.2025 - 12.2025
  • Analyzed healthcare data to identify trends and support decision-making processes.
  • Collaborated with cross-functional teams to streamline operational workflows and improve efficiency.
  • Maintained accurate records of all data collected during analysis processes.
  • Reached out to HealthCare Facilities to request members medical records.
  • Faxed Medical Record request to HealthCare Facilities.
  • Audited Behavioral Health Medical Records for Quality Assurance.

Medical Records Hedis Retrieval Specialist

Blue Cross Blue Shield of MN
Remote
01.2025 - 03.2025
  • Retrieved medical records from Cerner EMR system
  • Renamed patients files
  • Abstracted Medical records for various Hedis projects
  • Checked database to verify if patients had any missing records
  • Re-requested missing files.
  • Coordinated with other departments to ensure efficient workflow processes.

Benefits Enrollment Specialist

ConnectiCare
Remote
05.2024 - 12.2024
  • Answered inbound calls from members renewing Health insurance
  • Coordinated annual open enrollment process, including preparation of materials, presentations, and employee support.
  • Processed paperwork associated with open enrollments, terminations, life events, and other related activities.
  • Performed detailed analysis on utilization trends of existing benefits programs .

Hedis Coordinator

Centene
Remote
09.2023 - 05.2024
  • Created and maintained accurate records of department activities.
  • Coordinated with other departments to ensure projects were completed on time and within budget
  • Contacted members on a daily basis to assist with scheduling doctors appointments
  • Entered data into computer systems accurately and efficiently

Medical Records Hedis Coordinator

Centene
Remote
10.2022 - 04.2023
  • Delivered thorough and accurate documentation and detailed additions to patients electronic health records .
  • Managed incoming calls from patients regarding their medical needs or concerns
  • Organized and tracked patients appointments, referrals to specialist and follow up visits.

Medical Records Clerk/HEDIS Field Reviewer

Cioxhealth
Chicago
05.2016 - 04.2022
  • Organized patients charts, gathered medical histories, lab results , and consents
  • Retrieved medical charts for Healthcare staff for filing in medical records
  • Scanned and validated medical records for upload
  • Entered data into electronic health record systems
  • Scanned paper medical records in response to request from authorized personnel
  • Traveled to Madden Mental Health to scan Behavioral Health medical records

HEDIS Field Reviewer

Blue cross Of Blue shield of IL
Chicago
06.2013 - 02.2016
  • Gathered , evaluated and interpreted data from various sources to ensure accuracy
  • Participated in training sessions aimed at increasing understanding of Hedis Protocols
  • Met needs of physicians and other treating team members with timely retrievals of patient medical records .
  • Conducted comprehensive review of medical records for Hedis compliance

Education

Associate of Science - Health Information Management

University Of Phoenix
Arizona City, AZ
05-2009

High School Diploma -

Thornwood High School
South Holland
05-2005

Skills

  • Medical records retrieval
  • Data abstraction
  • Electronic health records
  • HEDIS compliance
  • Database management
  • Benefits coordination
  • 35 WPM
  • 10 years of High accuracy data entry and verification
  • 10 years of Hedis reviewing and abstract data
  • Provider outreach
  • Patient Outreach

Education and Training

other,other

Timeline

Medical Records Retrieval Analyst

CVS Healthcare
06.2025 - 12.2025

Medical Records Hedis Retrieval Specialist

Blue Cross Blue Shield of MN
01.2025 - 03.2025

Benefits Enrollment Specialist

ConnectiCare
05.2024 - 12.2024

Hedis Coordinator

Centene
09.2023 - 05.2024

Medical Records Hedis Coordinator

Centene
10.2022 - 04.2023

Medical Records Clerk/HEDIS Field Reviewer

Cioxhealth
05.2016 - 04.2022

HEDIS Field Reviewer

Blue cross Of Blue shield of IL
06.2013 - 02.2016

Associate of Science - Health Information Management

University Of Phoenix

High School Diploma -

Thornwood High School
Antoinette Lumpkin