Summary
Highly skilled and enthusiastic professional with more than 10 years of experience managing operations in patient-centric medical offices. Successfully oversee human resources, budgeting, supply management and patient services. Develop and lead productive and efficient office staff. Contribute to high-volume medical practices by providing exceptional customer service.
Overview
16
16
years of professional experience
Work History
Medical Director
OneHealth Medical Laboratory Inc.
09.2011 - 07.2023
- Supervised clinical staff, providing continuous professional development opportunities and training to maintain and strengthen competencies.
- Verified effective, consistent communication between department heads, medical staff and governing boards through board meeting attendance and synchronization of interdepartmental functions.
- Attended healthcare conferences to stay abreast of evolution of technology and implemented improvements in practice.
- Maintained compliance with local, national and federal requirements for staff education and certifications.
Medical Consultant
Bioskin Holding Pte Ltd.
02.2011 - 06.2011
- Educated patients on preventive healthcare strategies and at-home care.
- Maintained safe and sterile environment for optimum patient treatment.
- Assessed patient history to identify concerning symptoms, diagnose concerns and develop tailored treatment plans.
- Scheduled tests and procedures for patients needing additional or specialized care.
- Assisted physicians with completing medical procedures and treatments.
Physician (Part Time)
MEDICard Philippines, Inc. - Head Office
11.2009 - 01.2011
- Instructed patients and families on medical diagnoses and treatment options.
- Assessed, diagnosed and treated emergency and chronic medical conditions.
- Collaborated with consulting physicians regarding care of patients.
- Thoroughly examined patients and elicited medical history data to use in assessing health and identifying conditions.
- Instructed and advised patients regarding preventive health care measures to promote early detection, diagnosis and management of medical conditions.
- Evaluated patient histories, complaints, and current symptoms.
- Interviewed patients concerning physical complaints, discussed symptoms, asked questions, and suggested treatment options.
- Provided consultation to staff and administration on patient treatment.
Clinic Operations Manager
NCO Group
10.2008 - 01.2011
- Conducted frequent clinic walk-throughs to maintain safe work environment.
- Hired, trained and supervised employees to maintain team of high performers.
- Monitored duties assigned to personnel to promote high levels of patient care and job efficiency.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
- Developed and implemented team building activities to foster collaboration and improve employee morale.
- Coordinated with healthcare professionals to verify proper implementation of patient treatment plans.
- Enforced maintenance of clean and organized work environment in compliance with safety and sanitation regulations.
- Created and implemented policies to improve operational efficiency and patient care quality.
- Analyzed and reported patient data to identify areas of improvement and facilitate decision-making.
- Provided direct care to patients by assessing, diagnosing and treating illnesses.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Communicated with patients, ensuring that medical information was kept private.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Ordered all pharmacy supplies and kept check on inventory levels.
Medical Claims Processor
Manulife Business Processing Services
09.2007 - 06.2008
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Maintained confidentiality of patient finances, records, and health statuses.
- Checked documentation for accuracy and validity on updated systems.
Education
M.D. - Medicine
04.2007
Bachelor of Science - Pharmaceutical Medicine
03.2001
Skills
- Staff Development
- Operational Procedures
- Clinic Administration
- Business Growth
- Business Strategies
- Medicare Compliance
Timeline
Medical Director - OneHealth Medical Laboratory Inc.
09.2011 - 07.2023
Medical Consultant - Bioskin Holding Pte Ltd.
02.2011 - 06.2011
Physician (Part Time) - MEDICard Philippines, Inc. - Head Office
11.2009 - 01.2011
Clinic Operations Manager - NCO Group
10.2008 - 01.2011
Medical Claims Processor - Manulife Business Processing Services
09.2007 - 06.2008
St. Lukes College of Medicine - M.D., Medicine
University of Santo Tomas - Bachelor of Science, Pharmaceutical Medicine
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