ROBERTO ISMAEL POLO GASPAR

• Participated in team meetings to discuss case management strategies for individual cases.
• Maintained clients’ records by reviewing case notes and logging events and progress.
• Maintained accurate records of client progress and documentation of all contacts with clients.
• Monitored and evaluated case management services to ensure quality and effectiveness.
• Used adaptive communication style and practiced empathy to build trust and rapport with clients.
• Provided ongoing evaluation of client progress towards goals established in service plans.
• Helped patients reach plan of care goals through case reviews.
• Facilitated referrals to collaborative specialty health providers to drive continuity of care.
• Prepared and maintained records and reports, such as budgets, personnel records, and training manuals.

• Coordinated clinical study protocols, ensuring compliance with regulatory standards and timelines.
• Managed participant recruitment processes, enhancing engagement and retention strategies.
• Facilitated communication between research teams and external stakeholders to streamline project execution.
• Oversaw data collection procedures, improving accuracy and integrity of study results.

CLINCAL RESEARCH EXPERIENCE:

• MODERNA – mRNA-1647-P301 – “A phase 3, randomized, observer-Blind, Placebo-controlled Study to EVALUATE THE EFIICACY, SAFETY, AND IMMUNOGENICITY OF MRNA-1647 CYTOMEGALOVIRUS (CMV) VACCINE IN HEALTHY PARTICIPANS 16 TO 40 YEARS OF AGE
• Pfizer / C5091003 - “A phase 2b, double-blind, randomized, Placebo-controlled, Parallel Group, Dose ranging study to EVALUATE VIROLOGICAL RESPONSE AND SAFETY OF ORAL PF-07817883 IN NON-HOSPITALIZED SYMPTOMATIC ADULT PARTICIPANTS WITH COVID-19

• Maintained comprehensive knowledge of medical coding, insurance regulations, and government reimbursement policies.
• Utilized ICD-10 and CPT codes to accurately process claims for payment or denial.
• Assisted in developing new procedures for optimizing the billing process.
• Interpreted physician orders into appropriate diagnosis codes using ICD-9, ICD-10 CM, PCS guidelines.
• Created reports to track current trends in payment patterns from various payers.
• Ensured compliance with HIPAA requirements regarding patient privacy rights.
• Resolved customer inquiries regarding billing, charges, and payments.
• Maintained accurate and complete billing system and process.

• Conducted physical examinations according to established protocols while assessing the overall health of each patient.
• Performed minor procedures such as suturing wounds, administering vaccinations and removing moles or skin tags.
• Served as a resource for medical students rotating through the clinic.
• Created individualized plans for each patient based on their needs and preferences.
• Prescribed medications based on evidence-based guidelines for optimal therapeutic outcomes.
• Advised patients about healthy lifestyle choices related to diet, exercise and stress management.
• Demonstrated strong diagnostic skills through accurate assessment of symptoms, ordering appropriate tests and referring patients to specialists as needed.
• Managed acute illnesses such as infections and injuries promptly and efficiently.
• Presented case studies to colleagues and peers.
• Conducted physical examinations and assessed symptoms.
• Responded to code or health emergencies within standard guidelines.
• Collaborated with specialists to coordinate care for patients requiring more advanced treatments or procedures.
• Diagnosed and treated acute and chronic illnesses, including minor trauma, skin conditions, and diabetes.