Medical Services Cover Letter

Please consider me for the medical services opportunity. I am including my resume that lists my qualifications and experience.

Previously, I was responsible for medical review of adverse events of special interest, serious adverse events and clinical outcomes events reported in Clinical Trials.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Working knowledge of health care delivery market, utilization trends and competitive market rates, preferably in of Northern California
• Successful completion of EKG and Advanced Cardiac Life Support (AHA) if working on a monitored unit
• Dedicated in-person and online learning and development opportunities to develop as a physician leader
• MD or DO license within the state of employment
• Board certified in base specialty IM, EM, FM, preferred
• Utilization-specific training from ABQAURP within 12 months of hire
• Demonstrate understanding of relevant medical practice regulations (e.g., State Board Nursing
• Experience with Electronic Medical Record system, is preferred

I am excited to be applying for the position of medical services. Please accept this letter and the attached resume as my interest in this position.

In my previous role, I was responsible for clear direction and is accountable for overall development and execution of the Field Medical Tactical plans, according to overall medical and disease/ product strategy.

Please consider my qualifications and experience:

• Schedules sworn members to report to the firing range to demonstrate firearms proficiency
• Maintains accurate and detailed case notes and related entries within the CLEAR system and MSS medical files relative to all interactions and updates for their assigned cases
• Maintains effective communication with other MSS staff members
• Performs all case management responsibilities based upon objective and professional review of the available documentation
• Previous work experience as a Licensed Practical Nurse (LPN)
• Previous work experience performing case management
• Medical Billing Specialist training and experience
• Working knowledge of medical staff functions including credentialing and governance

I submit this application to express my sincere interest in the medical services position.

In my previous role, I was responsible for information such as disease prevalence, Quintiles’ experience in various therapeutic areas, standard of care, availability / registration status / reimbursement status / price of drugs etc.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Experience interacting with physicians in highly sensitive situations
• Experience with electronic credentialing processes and shared services models supporting more than one facility
• Extensive comprehensive knowledge of medical terminology and definitions
• Strong verbal and written communication skills needed in order to provide supervisor customer service to internal customers, providers, claimants and policyholders
• Broad working knowledge of credit policies and accounts payable preferred
• General knowledge of medical terminology and/or medical coding preferred
• Documents and manages the authorized use of the medical roll and Sworn Limited Duty Program by department members consistent with the Department’s medical policy, the procedures of the MSS and applicable labor agreements
• Maintains a caseload of department members in a medical status, from beginning until the close of a case

Please consider me for the medical services opportunity. I am including my resume that lists my qualifications and experience.

In the previous role, I was responsible for oversight of Medical Review Committee (MRC) process including maintaining system, training, management of coordinator, Standard Operating Procedures (SOPs).

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Conducts one-on-one case management appointments for assigned member cases advising them of appropriate forms (e.g., limited duty application) to complete, policies and next steps
• Provides written notifications to department members relative to the department’s medical policy and the procedures of the MSS, and receives written authorizations for the release of medical records
• Receives and reviews medical reports and related documents from physicians and other health care providers, via mail, facsimile, message, email or hand-delivery, and ensures physician orders are consistent with medical standards that are outlined in electronic database
• Reviews treatment and recovery progress information, communicates with the involved department member and schedules follow up case management appointments
• Monitors the duration of each medical absence and the cumulative medical usage for their assigned member cases
• Reviews and gathers documentation to approve, as appropriate, surgical and other treatment requests for relatedness to the documented symptoms, complaints and circumstances of assigned IOD cases
• Monitors the relatedness of symptoms and complaints associated with injuries that members are reporting as a reoccurrence of a prior IOD
• Evaluates the need for additional services (e.g., second opinion in IOD cases, an independent medical evaluation in non-IOD cases, or Employee Assistance Program (EAP) assistance for members under their assigned caseload)

I would like to submit my application for the medical services opening. Please accept this letter and the attached resume.

In my previous role, I was responsible for scientific, product and disease knowledge and trusted medical leadership to GSK and to above country Medical Networks.

My experience is an excellent fit for the list of requirements in this job:

• Working knowledge of professional peer review
• Working knowledge of continuing medical education functions
• CPMSM (or achieved within 18 months of hire)
• Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Professional Medical Staff Manager or Certified Professional Credentialing Specialist (CPCS)
• Interpersonal skills to successfully interact with the physicians, physician office staff, department directors, administration, licensing and regulatory agencies, colleagues, and centralized processing center staff
• Knowledge and understanding of CMS and Joint Commission standards, NPDM guidelines, hospital policies and procedures, and general licensing regulations
• Certification by National Association of Medical Staff Services as Certified Professional Medical Staff Manager
• Strong administrative, coordination and follow-up skills