PROJECT COORDINATOR
Hamad Medical Corporation
مجموع سنوات الخبرة :13 years, 6 أشهر
o Assist the Quality management/improvement team to establish Specific Quality Indicators in response to and in support of the JCI and other Accreditation processes.
o Document internal audits and data pertaining to Quality Assurance measures, activities and initiatives.
o Supporting the implementation of HMC Ambulance Service Group Quality Procedures, Standards and Specifications
o Draft or update the Quality Policies and Procedures management/improvement
o Assist with medical records review and review the Quality Management data and extract utilization patterns and parameters
o Participate in morbidity and mortality reviews, and summarises findings to extrapolate trends and variations based on quality management indicators
o Participate in data collection relevant to Patient Satisfaction Surveys, Family Satisfaction Surveys, and Staff Satisfaction Surveys.
o Using relevant Quality Tools to collect and analyse Performance and Quality Assurance data
o Tracking, updating and producing statistical reports on performance by measuring against set standards
o Prepare and submit presentations and reports on quality management/improvement projects to leadership
o Collate data from incident reports on accidents/injuries
o Active participation in the Ambulance Service Staff performance improvement program through Case Review Process and Pertinent Feedback Monitoring.
o Coordinating with Health Insurance companies, TPA’s, and Credit corporate for obtaining information on new policies and their coverage and liaises with them regarding eligibility, Pre-approvals, payments, reconciliation, and other requirements.
o Ensuring coverage of claims, guiding Doctors & paramedical staffs for correct use age of claim forms, and approval papers.
o Responsible for claims/e-claims submission process, receipt allocation through manually/online as per remittance advices/payment details provided by Insurance companies and TPA’s.
o Entry of receipts / payments collections in the system & tallying as per the claims sent. Reconciliation of claims - Sending reclaims with medical reports / supporting documents and follow-up with all Insurance companies for payments.
o Assisting invoicing department in insurance processing, billing, and reconciliations.
o Responsible for ensuring appropriate authorizations are received from the Credit/Cash Corporate Clients. Follow up with client companies as needed.
o Monitoring Invoicing and approval papers and appropriate submission as per the standard protocols
Operational
Administrative lead in the implementation & Customization of the Hospital Information System (HIS). Played an active role in the deployment and customization of the entire hospital software module.
Spearheading the efforts as an Out-Patient Department In-Charge. Responsible for managing OPD’s, internal processing, Optimum resource utilization & people management.
To resolve problems with department heads concerning such items as staffing, utilization of hospital facilities, equipment and supplies. To meet with staff members to interpret changes in operational procedures.
• Centre head in the initial stage itself and associated with Site selection, Project Designing, Project Budget, Vendors Shorting, Equipments/Machinery Items Purchasing, Man-power Planning, Professional Engagement, Registration & Certification of the hospital (Legal), and Finally its Launch.
• Budget development, staff supervision, inventory reconciliation, public branding, and crisis management.
• To be responsible to plan and execution of all the administrative and operational aspects of the respective centre.
• As a leader and responsible person on all the medical and non-medical operations.
• To assist in preparation of budgets and allocations of funds based on studies of cost, review of departmental budget estimates, familiarity with operating procedures, and discussion with departmental heads.
• Preparation of various reports based on hospital statistics and also daily reporting for the information of Director and the Chief Operating Officer.
• Implementation and follow up of Administrative decisions
• Organizing various meetings and follow up of decisions
• Active member of the Hospital Core Committee established in the Hospital for formulating Policy and Decision Making on the highest level and follow-up action on the decisions of the said Committee.
• To be responsible to maintain the quality of system support for logistics management, enquiry by the patient or public, Registration for OPD, Investigation, Admission, patients support and care according to the standards lay down by the Company.
• To resolve problems with department heads concerning such items as staffing, utilization of hospital facilities, equipment and supplies. To meet with staff members to interpret changes in operational procedures.
• To meet with members of community and to promote good public relations for the hospitals.
• Worked on pricing and packaging of the services rendered
• Worked towards reducing the disallowances, streamlining the Insurance & Corporate Finance to enhance the sales figure
• To assist in preparation of budgets and allocations of funds based on studies of cost, review of departmental budget estimates, familiarity with operating procedures, and discussion with departmental heads
• Preparation of various reports based on hospital statistics for the information of Director and the Medical superintendent.
• Any other duties that are entrusted to me by Director and Chief Operating Officer from time to time.
• To interpret hospital and departmental policies, objectives and operational procedures through department heads.
• To resolve problems with department heads concerning such items as staffing, utilization of hospital facilities, equipment and supplies. To meet with staff members to interpret changes in operational procedures.
• To meet with members of community and to promote good public relations for the hospitals.
• To attend meeting of professional civic and service organizations as a representative of the hospital.
• Worked on pricing and packaging of the services rendered
• Worked towards reducing the disallowances, streamlining the Insurance & Corporate Finance to enhance the sales figure
• Getting the quotations and negotiations for the requirements of various departments.
• To be responsible to maintain the quality of system support for logistics management, enquiry by the patient or public, Registration for OPD, Investigation, Admission, patients support and care according to the standards laid down by the Company.
• To submit at intervals, reports on the quality of system and customer care through and working of the departments.
• To ensure that proper records and minutes are maintained.
• To ensure proper recovery of payments.
• To help in scheduling of OPD slots and any other medical or paramedical Services.
• To recommend improvement of hospital facilities, including construction or renovation of structure and purchase of new equipment based on personal inspection of premises, consideration of hospital policies, knowledge of community needs and resources.
• To assist in preparation of budgets and allocations of funds based on studies of cost, review of departmental budget estimates, familiarity with operating procedures, and discussion with departmental heads
• Started INCIDENT REPORTING system and worked on it to minimize the repeated incidents and submitting the reports.
Work Experience # 3
Name: HEARTLAND PVT LTD, Bangalore.
Designation: Medical Transcriptionist
Period: September 2008 to August 2009
DUTIES AND RESPONSIBILITIES
• Implementation and follow up of Administrative decisions
• Organizing various meetings and follow up of decisions
• Active member of the Hospital Core Committee established in the Hospital for formulating Policy and Decision Making on the highest level and follow-up action on the decisions of the said Committee.
• To be responsible to maintain the quality of system support for logistics management, enquiry by the patient or public, Registration for OPD, Investigation, Admission, patients support and care according to the standards lay down by the Company.
• To resolve problems with department heads concerning such items as staffing, utilization of hospital facilities, equipment and supplies. To meet with staff members to interpret changes in operational procedures.
• To meet with members of community and to promote good public relations for the hospitals.
• Worked on pricing and packaging of the services rendered
• Worked towards reducing the disallowances, streamlining the Insurance & Corporate Finance to enhance the sales figure
• To assist in preparation of budgets and allocations of funds based on studies of cost, review of departmental budget estimates, familiarity with operating procedures, and discussion with departmental heads
• Preparation of various reports based on hospital statistics for the information of Director and the Medical superintendent.
• Any other duties that are entrusted to me by Director and Chief Operating Officer from time to time.
The Master’s Degree in Business Administration in Hospital & Health Care Management i.e. MBA (HHCM) is a two years, four semesters, full-time on-campus programme. It is offered by Dr. BRAOU in collaboration with AIHCM of AHERF, at Apollo Health City, Jubilee Hills, Hyderabad. Until recently, doctors without any professional training in management were managing the hospitals. This was not only difficult but also unable to devote time for their patients. Hence, it is increasingly felt that the management of hospitals and other health care institutions be better left to the care of the professionals specially trained for the job. Even the government is veering round the view that public hospitals also need to be run professionally. Hence, there is a strong felt need for offering proposed course in MBA (Hospital & Health Care Management). The few institutions that are presently offering the course in the country are unable to meet the growing need for health care professionals. It is evident that there is a wide gap between supply and demand for trained health care managers/administrators to work for hospitals, health insurance companies, health care IT, pharmaceutical companies and other health care provider organizations. As mentioned, there are bright opportunities even in the government sector, National Rural Health Mission (NRHM) envisages to increase manifold in the years to come with more and more hospitals in semi-urban and rural areas.
Plus two
SSE Central Board of Secondary Education (CBSE) 2002