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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Websites, Portfolios, Profiles
  • https://www.linkedin.com/in/Jessica-Claire-md-b00793a8/
Professional Summary

Medical Graduate, Bachelor Degree Of Medicine and Surgery, Native Arabic speaker.


Adaptable health care administrator accustomed to the integration of new health care delivery systems and restructuring of work in an increasingly complex regulatory environment. Successful health care administrator with 5 years designing and implementing regulatory compliance systems and guidelines. Well-trained Medical Advisor / Advocate offering vast experience in medical operations, excellent interpersonal communication skills and the organizational savvy to run a hospital facility smoothly. Adaptable health care administrator accustomed to the integration of new health care delivery systems and restructuring of work in an increasingly complex regulatory environment. skills Strong presentation skills strong experience with EMR Software and EPIC Effective staff coach Interpersonal and communication skills. Planning and development Experienced Medical Knowledge Accomplished leader Knowledge of Medicaid statutes and regulations Quality improvement competency Medicaid Management Information Systems Independent judgment and decision making Promotes positive behavior

Work History
Medical Advisor, 02/2016 - Current
Eli Lilly And Company Chandler, AZ,
  • Embassy Of The State Of Qatar Washington, DC As a Medical Advisor  I’m responsible of all Qatar citizen patients / Diplomats who seeks treatment in the US, I manage intake process of patient who are sponsored by the ministry of Health in Qatar, I review medical reports, discuss with Higher medical committee how I refer the case based on diagnosis ranking of Hospitals in the US,  accordingly I distribute the case to the appropriate specialized Hospital so they can get the best treatment options, I follow the US Hospital rankings closely, I manage our patients treatment plan with Hospitals, authorize coverage ,follow up with the medical team in the USA and overseas,Also I am responsible for their financial coverage, provide their medications, transportation, travel and pay hospital bills,I also work between clinical research ,marketing and sales departments as well as the remaining departments that includes Military Attache, Cultural also Diplomats patients.On behalf of the medical Attache I\\\'m authorized to express and share authoritative opinions and answers medically and scientifically based questions, I’m required to travel all over the states to check on best Hospital and close all business relationship deals.
  • I am responsible for the review and follow up of all complex cases (big claims), coordination of air ambulance service, review of medical records, support of the Medical Coordinators and Claims Processing Team Managers as well as the controlling of claims costs.also On behalf of the medical Attache I am authorized to express and share authoritative opinions and answers medically and scientifically based questions, I am required to travel all over the states to check on best Hospital and close all business relationship deals.
Patient Relationship & business development Manager, 02/2015 - 02/2016
Corizon Health Ionia, MI, United States
  • Develops and administers policies and procedures that provide a high level of quality care and services for patients and their families, I Manage all international patient from around the world who came to the USA for medical care.
  • Ensure coordination of communication between patients and families and medical staff Provide patients and families with information on hospital services, procedures and protocols Interview patients or families to determine nature of care needed and direct them to the concerned health care providers Respond to patient inquiries regarding physicians and services Create and maintain liaison with insurance companies to inquire about payable or paid claims Analyze and interpret patient account data and facilitate payments Post patient demographic and financial entries into predefined hospital database Respond to patients complaints regarding hospital services and ensure that concerns are handled properly Teach patients to use health care equipment on their own or in a home environment Assist patients with problems associated with hospital registration and admission Compile financial data and perform financial analysis assessments of uninsured patients Provide support by establishing payment arrangements for uninsured or underinsured patients Ensure that all concerns and complaints are directed to the concerned personnel with a hospital Perform crisis intervention duties with a view to facilitate resolutions Schedule meetings with patients or family members and ensure that corresponding physician or hospital staff\\\\'s availability Effect change within the hospital system to ensure that patient experience is enhanced Suggest improvements to present hospital systems in a bid to make the system more workable Provide feedback to patients and families regarding their concerns and complaints.
Patient Care Assistant, 10/2012 - 04/2015
Embassy Of The State Of Qatar City, STATE,
  • Compassionate and understanding as well as possessing cultural awareness As part of my Interpretation skills I work with Non-English speaking patients in hospitals, physician\\'s offices, clinics, rehabilitation facilities, nursing homes and mental health clinics.
  • Conduits between patients and medical professionals by listening to the professional and orally translating information into a patient\\'s native language in layman\\'s terms.
  • I translate the patient\\'s response back to the professional, using proper medical terminology.
  • Such information as the reason for a medical visit, past medical history and family medical history, as well as explaining medical and surgical procedures, giving medical care instructions, providing drug information and scheduling follow-up appointments.
  • During the visit, cultural misunderstandings between a professional and patient may occur.
  • So I must anticipate these events and try to avoid them so no conflict can occur.
  • always certain about being privy to sensitive information, Always certain about being privy to sensitive information and must maintain patient's confidentiality at all times.
  • Performed direct patient care aimed at increasing comfort, psycho, social and spiritual well-being by providing assistance with personal hygiene, physical comfort, nutrition, elimination, prevention of skin breakdown, rehabilitation and safety.
Education
Bachelor of Science: Medicine and Surgery, Expected in 2009
-
Khartoum College Of Medical Sciences - Khartoum, Sudan
GPA:
Accomplishments
  • Observer-ship Internal Medicine (Providence Hospital, Washington , DC 2013) 
  • Sunshine African Medical Organization (organizer) (SUDAN, 2004-2009).
  • Assisting Doctor at local field trips in crisis locations giving appropriate treatments and supports to Women and children who suffers critical illnesses such as Malnutrition, HIV and Ebola and victims of war in the south and west regions.
  • Sudan, 2005-2009).
  • International Medical Conferences held in Sudan as an organizer (Sudan, 2005-2008).
  • Medical Student Training (Khartoum Teaching Hospital-Sudan, 2004-2005).
  • Medical Internship Training (Bashaier Teaching Hospital-Sudan, 2005-2008) Taking history, Performing physical exam, writing prescriptions, Attending Morning meetings, serving in both inpatient and outpatient setting.
  • Medical training (New Jeddah Clinic Hospital) department of surgery Jeddah Saudi Arabia (2008-2009).
  • During my internship (April- 2010-November 2011) I worked in orthopedic surgery, Colorectal Surgery, Geriatrics, Pediatric Medicine, Endocrinology, OBGYN, Cardiology and Respiratory, Emergency, Renal medicine and relief.
  • I have had experience being on call, doing night shift-work has also had placements at rural hospitals, which have showed me different medical environment.
  • certifications First Aid Certification Licensed/Certified: 1- Certificate Of Full Registration Sudan Medical Council 02/19/2012 2-Certificate Of Good Standing Sudan medical council 08/30/2012.
Skills
  • Strong presentation skills
  • Planning and development
  • Knowledge of Medicaid statutes and regulations
  • Independent judgment and decision making
  • Fluent in Arabic / English
  • HIPPA Certification
  • Exceptional communicator
  • Clinical Study Reports
  • Excellent Oral
  • Effective staff coach
  • Savvy negotiator
  • Quality improvement competency
  • Dedicated to integrity
  • Microsoft Office proficiency
  • Advanced experience in EMR and EPIC system.
  • Mentoring
  • Oral And Written Communication
  • Patient Safety
  • Certifications
    • Medical Office Manager Certificate
    • HIPAA for Health Care Workers
    • BLS certification.
    • Full Registration , Sudan Medical Council..
    • Good Standing Certification Sudan Medical Council.
    • Membership of Sudanese American Medical Association.
    • USMLE Certification "Pending"

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    School Attended

    • Khartoum College Of Medical Sciences

    Job Titles Held:

    • Medical Advisor
    • Patient Relationship & business development Manager
    • Patient Care Assistant

    Degrees

    • Bachelor of Science

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