Benjie Baguitan

 Responsible in aligning the regulatory requirement during the preparation for inspection of the New Hospital.
 Participating in process development in quality, client safety and governance including assisting to foster and implement an operational systematic approach to the improvement client safety, quality and governance that encompass service improvement initiatives relevant to area of responsibility.
 Participate in the development, implementation and maintenance of quality and governance management systems and the administration that supports those systems
 Builds flexibility into day to day operations to ensure support is provided to the Senior Manager, Quality, Client Safety and Governance to deliver on the unit’s objectives.
 Working collaboratively Senior Managers and Managers to assist in investigation of client incidents where required.
 Contributing to the analysis of benchmarking data to identify opportunities for improvement in managing current and emerging risks within the area of responsibility
 Contributing to improving quality of care by assisting with the identification and analysis of incident trends utilizing reports from the incident reporting system
 Ensuring key performance Indicators data reporting is maintained in order to inform management and future client safety, quality & governance / frameworks / plans / activities
 Provide administrative support for relevant committees or working parties, which may include but is not limited to preparing agendas, taking and distributing minutes and instigating follow ups
 Provide administration support in relation to client safety, governance and risk.
 Continuous risk assessment of the new facility

In an organization responsible for: Quality Management, Risk Management, Data Management, Performance Improvement, National Audit, Pharmacovilance Audit and JCI Accreditation.
• Fostered teamwork within the organization and disciplines to develop standardized approach for collaboration, learning, and implementation of best practices.
• Developed standardized quality dashboard and processes for reporting gap analysis and action plans. Achieved stretch goals by 60% of measure
• Led team in development of standardized Performance Improvement methodology. Trained staff to understand concept of Performance Improvement, use of tools and processes.
• Created system wide accreditation preparation, and communication network.
• Developed and presented new employee for Quality and Safety.
• Monitored and performed audits on a variety of medical records and documents.
• Maintained and updated accreditation requirements and process manuals.
• Planned Quality and Safety Committee meetings in coordination with system tracers.
• Investigates events related to patient safety using different techniques including retrospective review of medical records, interviews, root cause analysis and after-action review.
• Improved quality out comes utilizing tools/methods such as PDCA Cycle and Failure Mode effect Analysis.
• Coached organizations staff in use of process mapping, identification of improvement metrics and control plans.
• Achieve JCI Accreditation in 2017 - 2020
• Achieved JAWDA Certification form Health Authority of Abu Dhabi (HAAD)/Department of Health (DoH)
• Passed the Pharmacovigilance Audit from AMGEN Pharmaceutical Global.

• Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization
• Acts as a liaison between the organization, its insurance provider and agents, claimants, and policy holders regarding the status and eligibility for coverage for all relevant claims
• Reviews claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution
• Familiar with standard concepts, ICD-CPT10, medical practices, and procedures within the field.
• Prepare insurance claim forms or related documents and review them for completeness.
• Contact insured or other involved persons to obtain missing information.
• Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person
• Contacts Insurers to get empanelment and deals with the tariff, discounts and process documents until contract will be signed
• Knowledgeable of e-Claim of Dubai, e-RX process and guidelines.
• Record accounts receivable transactions and creates billing records.
• Reviews and analyzes discrepancy reports and other information concerning payments received from the insurance.
• Determines cause of discrepancies resulting from payments made through electronic transfers or other methods.
• Determine the type of rejection and provide necessary information and document for reconciliation.
• Follow up with the payment from the insurance until the feedback from the insurance was received.

Venecia Home Nursing and Rehabilitation L.L.C. Al Nahyan Camp Abu Dhabi
2011-Present
Nursing Staff: • Conduct Initial Assessment together with the physician, physical therapist and occupational therapist either at home or in the hospital
• Does Daily Nursing reports and endorsed to the Director of Nursing and Clinical Resource coordinator.
• Joined the Day Visit team to follow up patient to do the daily procedures approved by their insurance card.


Administration Staff: • Actively participates in the preparation of JCIA Accreditations
• Reviews and audits documentations completed by the Nursing Staff on Duty in accordance with JCIA Guidelines for Documentation before logging it to the Health Information System of the company.
• Drafts orientation program for the newly joined nursing staff.
• Maintain confidentiality and accuracy of the patient documentation as per JCIA and HAAD regulations.
• Organize patient medical record format to ensure order, readability and continuity of documentation of patient treatment in accordance with recognized standards
• Responsible for maintaining the file storage areas and ensuring records are kept in a secure environment.
• Assist the Director Operation with the preparation of HAAD, DAMAN-Thiqa, and Management Statistics and Documentations for audit.
Insurance Department: • Receives medical report from the Director of Nursing, and makes Nursing Care Plan as per patient medical needs to be submitted to Daman-Thiqa for approval.
• Codes symptoms, diseases, operations, procedures, and other therapies utilizing ICD 10 and other coding standards.
• Review all claims for accuracy.
• Works closely with Insurance Supervisor, Billing and Coding Officer, Nursing Staff, Director of Nursing and providers to ensure code accuracy and processing.
• Enters data into the computer as needed.
Philippine Red Cross
Member of the Emergency Response Team: • Tasked to respond to different emergencies and disasters for initial assessment for both the victim and the environment
• Provide initial treatment for the victim.
• Make initial incident report to be faxed to the national headquarters. Makes coordination of different rescue groups with regards to the assessment made by the team.
• Make endorsement paper to be given to the hospital and to be filed by the organization.
• Maintains cleanliness of the ambulance.
• Trained to be an ambulance crew

Nursing Staff:
• Conduct Initial Assessment together with the physician, physical therapist and occupational therapist either at home or in the hospital
• Does Daily Nursing reports and endorsed to the Director of Nursing and Clinical Resource coordinator.
• Joined the Day Visit team to follow up patient to do the daily procedures approved by their insurance card.

Administration Staff:
• Actively participates in the preparation of JCIA Accreditations
• Reviews and audits documentations completed by the Nursing Staff on Duty in accordance with JCIA Guidelines for Documentation before logging it to the Health Information System of the company.
• Drafts orientation program for the newly joined nursing staff.
• Maintain confidentiality and accuracy of the patient documentation as per JCIA and HAAD regulations.
• Organize patient medical record format to ensure order, readability and continuity of documentation of patient treatment in accordance with recognized standards
• Responsible for maintaining the file storage areas and ensuring records are kept in a secure environment.
• Assist the Director Operation with the preparation of HAAD, DAMAN-Thiqa, and Management Statistics and Documentations for audit.

Insurance Department:
• Receives medical report from the Director of Nursing, and makes Nursing Care Plan as per patient medical needs to be submitted to Daman-Thiqa for approval.
• Codes symptoms, diseases, operations, procedures, and other therapies utilizing ICD 10 and other coding standards.
• Review all claims for accuracy.
• Works closely with Insurance Supervisor, Billing and Coding Officer, Nursing Staff, Director of Nursing and providers to ensure code accuracy and processing.
• Enters data into the computer as needed.

Standard First Aid Training and Basic Life Support-CPR Instructor - May 2009- June 2010
• Tasked to train students both medical and no-medical allied personnel about standard first aid and Basic Life Support-CPR.
• Tasked to orient and train Providers about their duties and responsibilities during emergencies.
• Sets the classroom into learning atmosphere.
• Prepare teaching materials and prepare teaching method for the week that is appropriate to the level of capacity of the students.
• Evaluate the learning's of the student trough practical exams, situational exams and written exams.
• Make performance report of the students and file them.
• Prepare certificates of the students who passed the training