Experienced Physician skilled in case management, insurance denials, hospital resource utilization, conferring with other physicians, working with CDI and care management departments
Overview
16
16
years of professional experience
1
1
Certification
Work History
Physician
Millennium Medical Group
Palmetto, FL
03.2020 - 07.2024
Prescribed medications as needed for treatment of illnesses or injuries.
Performed physical examinations and diagnostic tests to assess patient health.
Educated patients about their health condition and available treatment options.
Reviewed X-rays, MRI scans, CT scans and other imaging studies to diagnose conditions or diseases.
Diagnosed acute illnesses such as infections or injuries quickly and accurately.
Maintained detailed records of all diagnoses, treatments, medications, test results and other information related to patient care.
Physician Advisor
Blake Medical Center
Bradenton, FL
01.2012 - 02.2020
Communicated effectively with staff members, colleagues and other healthcare providers.
Adhered to hospital policies, procedures and standards of care.
Collaborated with other healthcare professionals to coordinate optimal care for each patient.
Kept patient information confidential and respected patients' rights to privacy according to HIPAA requirements.
Obtained and recorded patients' medical histories and treatment progress for optimal treatment planning.
Reviewed medical testing requests to determine validity of diagnostic testing requests.
Collaborated with other healthcare professionals to provide comprehensive patient care.
Handled all inpatient denials with regular Peer to Peer discussions
Attending Physician
Pinnacle Medical Group
Bradenton, FL
07.2008 - 12.2019
Prescribed medications and monitored patient response to treatments.
Performed physical examinations and interpreted test results.
Reviewed medication regimens to determine appropriateness of dosage forms and strength.
Participated in continuing education courses to stay abreast of new developments in medicine.
Documented all patient information in accordance with HIPAA guidelines.
Ordered laboratory tests, imaging studies, or other diagnostic evaluations as needed.
Education
M.D. - Health Care
University of Illinois College of Medicine
Peoria, IL
06-1980
Bachelor of Arts - Biology, Chemistry, Physics
North Central College
Naperville, IL
06-1976
Skills
Case Management
Healthcare regulations
Insurance Requirements
Indirect Patient Care
Evidence-Based Practice
Medical Coding
Appealing insurance denials
Accomplishments
Chief of staff
Chief of Medicine
Doctor of the year
Certification
Licensed MD in FLorida, with unrestricted DEA certification
Board Certified in Internal Medicine
Languages
English
Full Professional
Timeline
Physician
Millennium Medical Group
03.2020 - 07.2024
Physician Advisor
Blake Medical Center
01.2012 - 02.2020
Attending Physician
Pinnacle Medical Group
07.2008 - 12.2019
M.D. - Health Care
University of Illinois College of Medicine
Bachelor of Arts - Biology, Chemistry, Physics
North Central College
Licensed MD in FLorida, with unrestricted DEA certification
Board Certified in Internal Medicine
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