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@fidelisikpe
Experienced healthcare professional with over 10 years in clinical practice &healthcare management.
I am a dedicated healthcare professional with over 10 years of clinical experience in general practice, health insurance, and occupational medicine. My journey has taken me across various healthcare settings, both locally and internationally, where I have honed my skills in healthcare provider management, medical pre-authorization, and claims processing. I am passionate about ensuring that patients receive the highest quality of care and that healthcare providers are supported in delivering excellent services.
In my current role as Medical Provider Manager at Bastion Health Insurance, I lead a team in overseeing medical operations, ensuring that our enrollees receive top-notch healthcare services. My experience includes managing medical claims, conducting training for healthcare providers, and negotiating tariffs to facilitate smooth claims processing. I thrive in collaborative environments and have a proven track record of building strong relationships with healthcare providers and stakeholders.
Throughout my career, I have been committed to continuous learning and professional development, as evidenced by my ongoing education in Occupational Medicine. I am adept at navigating complex healthcare systems and am driven by a desire to improve patient outcomes and enhance healthcare delivery.
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Work history, roles, and key accomplishments
Bastion Health Insurance (HMO)
Aug 2023 - Present (2 years 3 months)
Supervised healthcare delivery and maintained relationships with partner healthcare facilities across Northern Nigeria. Led and mentored a team of medical professionals, providing support to claims and authorization units. Managed provider requests, issues, and conducted training on policies and technology.
African Natural Resources and Mines Limited
Nov 2022 - Jul 2023 (8 months)
Treated occupational injuries and illnesses, managed the OH clinic, and ensured quality service delivery. Coordinated medical examinations for job fitness and maintained records of occupational accidents. Handled medical and surgical emergencies and followed up on chronic cases.
Yas Clinic (COVID-19 Isolation Camp)
Jan 2022 - Jul 2022 (6 months)
Supervised the management of thousands of COVID-19 positive patients in isolation, ensuring daily assessment and treatment. Assessed PCR results for patient discharge according to DOH guidelines. Managed high-risk inpatient cases and referred complicated cases to specialist hospitals.
Fertile Ground Hospital and IVF Center
Feb 2020 - Nov 2021 (1 year 9 months)
Provided general outpatient consultation and daily inpatient management, including emergency care in the ER. Conducted deliveries, attended to gynecological emergencies, and performed MVA procedures. Assisted in laparoscopic and other major surgeries, demonstrating proficiency in surgical cases.
Interteach Medical Assistance (Insurance)
Feb 2019 - Jan 2020 (11 months)
Supervised medical service delivery to expatriates of multinational oil and gas companies, ensuring quality service and communication with providers and payers. Coordinated home country treatment for elective IP cases and performed case management utilization review for high-cost pre-authorizations. Handled claims review, adjudication, reimbursement, and managed client/provider/payer queries.
National Institute for Policy and Strategic Studies
Jun 2014 - Feb 2019 (4 years 8 months)
Provided comprehensive medical care to staff, their families, and course participants, including general outpatient consultation and treatment for both pediatrics and adults. Managed medical and surgical emergencies and handled deliveries and obstetrics/gynecological emergencies. Conducted pre-registration medical examinations and served as a research assistant for health policy studies.
National Institute for Policy and Strategic Studies
May 2013 - Apr 2014 (11 months)
Provided medical care to staff, their families, and course participants, including general outpatient consultation and treatment. Managed medical and surgical emergencies, and handled deliveries and obstetrics/gynecological emergencies. Conducted pre-registration medical examinations and provided care to inpatients and outpatients.
Jos University Teaching Hospital
Apr 2012 - Mar 2013 (11 months)
Completed a one-year compulsory internship training, gaining foundational clinical experience across various medical disciplines. Engaged in patient assessment, diagnosis, and treatment under supervision. Participated in ward rounds, emergency duties, and assisted in medical procedures.
Degrees, certifications, and relevant coursework
Masters, Occupational Medicine and Health
Pursued a Master's degree focusing on Occupational Medicine and Health. This program provided advanced knowledge and skills in managing health and safety in the workplace.
M.B.CHB, Medicine and Surgery
Completed a Bachelor of Medicine, Bachelor of Surgery degree. This comprehensive program covered various aspects of medical science and clinical practice.
S.S.C.E, General Studies
Obtained the Secondary School Leaving Certificate. This foundational education prepared for higher studies.
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