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Customer Service Multiple States

Location:
San Antonio, TX
Salary:
110000
Posted:
February 25, 2024

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Resume:

DR. TROY O. ROBINSON

B.S., B.S., D.C., F.A.S.A., A.R.T., C.M.E., D.D., C.P.h.T.

**** ********* ****, ***** *** Cell: 210-***-****

San Antonio, TX 78228 ad3wi3@r.postjobfree.com

PROFILE MEDICAL PROFESSIONAL

Career committed medical professional with 20 plus years of clinical and technical experience within the healthcare industry. Dedicated to the continued advancement of processes and procedures that are required for a continued progressive advancement of the healthcare industry. Creative and results-driven medical professional. Demonstrated record for effective change – establishing programs, processes and implementing them in each management role that has served to upgrade service, standards, and control throughout the healthcare facility.

Span of experience includes a combination of staffing and operations expertise, budgeting, sales, marketing, and financial control; public relations and customer service involvement; clinical management of multiple projects; contracting with insurance companies; development of marketing plans and establishing the business direction to meet the joint mission statements and goals of both corporate management and private ownership.

PROFESSIONAL EXPERIENCE:

Clinical Peer Reviewer, MRIoA (Medical Review Institute of America, Inc.), Salt Lake City, UT 84119 (2023-present)

Reviewing and summarizing multiple states treating providers request for additional treatment. Utilizing the appropriate specific state approved guidelines (such as ACOEM, ODG, MD Guidelines…etc.) or specific Insurance Policy Guidelines to write a rationale and to cite specific guidelines that either approve the additional care requested or not approve the additional care requested.

Initial Clinical Reviewer, Genex, Westlake Village, CA 91359 (2016-present)

Reviewing and summarizing multiple states workers’ compensation requests for additional treatment. Utilizing the appropriate specific state approved guidelines (such as ACOEM, ODG, MD Guidelines…etc.) to write a rationale and to cite specific guidelines that either approve the additional treatment requested or not approve the additional treatment requested.

Physician Peer Reviewer, DaneStreet Palm Beach Gardens, FL 33418 (2015-present)

Reviewing and summarizing multiple states treating providers request for additional treatment. Utilizing the appropriate specific state approved guidelines (such as ACOEM, ODG, MD Guidelines…etc.) or specific Insurance Policy Guidelines to write a rationale and to cite specific guidelines that either approve the additional treatment requested or not approve the additional treatment requested.

Designated Doctor, DWC/TDI (Division of Workers Compensation/Texas Department of Insurance), State of Texas (2014-present)

Responsibilities:

-Examining injured workers and medical records for appropriate treatment through the application of Evidence Based Medicine with the use of ODG, MD Guidelines, and 4th edition of AMA Guides

-Independent Medical Exams (MMI/IR Examinations)

-Handling Extent of Injury questions DWC/TDI

-Handling Disability questions DWC/TDI

-Handling Return to Work question from DWC/TDI

Owner/Doctor/Manager & Certified Medical Examiner (CME), EnMotion Wellness, PLLC, San Antonio, TX (2014-present)

A full-service Chiropractic Clinic focusing on D.O.T. Exams on-site at Companies and Schools for their convenience. Total revenues: $195,000 - fourth year of ownership.

Responsible for strategic direction and operation of the Chiropractic Clinic. Bringing together accurate and aggressive long and short-range financial objectives consistent with running a successful Chiropractic Clinic.

Responsibilities:

-Managing all daily activities of the office as the on provider

-Independent Medical Exams (MMI/IR Examinations)

-Certified Medical Examiner for FMCSA.

Doctor/Clinic Director, The Joint, The Chiropractic Place, San Antonio, TX (2014-2015)

A Chiropractic Clinic providing Wellness and Maintenance Chiropractic Care. Total revenues: $275,000

Responsibilities:

-Responsible for development and implementation of all treatment plans for patients.

-Responsible for all day-to-day operations of the clinic.

-Responsible for front office staffing and training.

-Responsible for advertising and marketing to local business.

Owner/Doctor/Manager, EnMotion Wellness, LLC/Healing Hands Wellness, St. Paul, Minnesota (2011-2014)

3rd owner of this full-service Chiropractic Clinic with 3 treatment rooms, located in Highland Park area of Minneapolis/St. Paul. Total revenues: $125,000 1st year of ownership and $225,000 2nd year of ownership. Office sold in 2014.

Responsible for strategic direction and operation of the Chiropractic Clinic. Bringing together accurate and aggressive long and short-range financial objectives consistent with running a successful Chiropractic Clinic.

Responsibilities:

-Implemented new computer system and patient software that was EHR (Electronic Health Record) Certified.

-Implemented patient electronic notes throughout the office.

-Expanded services offered beyond Chiropractic, to include Acupuncture, Massage and Energy/Kinesiology.

-Responsible for all contracting with insurance companies.

-Implemented a patient reactivation program.

-Worked with the local BBB to help inform the community of the benefits of Chiropractic Care.

-Responsible for the day-to-day Chiropractic Care of all active patient files.

-Responsible for marketing to local businesses

Doctor/Manager, Metro Chiropractic Center, LLC Omaha, Nebraska (2010-2011)

a Personal Injury Chiropractic Clinic with 5 treatment rooms located just north of Downtown Omaha.

Total revenues: $630,000

Responsibilities:

-Responsible for development and implementation of all treatment plans for patients.

-Consulted with attorneys regarding patient’s personal injury claims.

-Directed closing of the tertiary practice location in Lincoln, Nebraska and took charge of proper handling and transport of all patient records to the corporate office located in Kenner, Louisiana.

-Took charge of relocating Metro Chiropractic Center to new office space and negotiation of new lease.

-The owner chose to close the office after I gave notice and I was responsible for the boxing and shipment of all patient records to the corporate office located in Kenner, Louisiana.

Adjunct Faculty Member, Kaplan University Lincoln, Nebraska (2010-2010)

a Certificate, bachelor’s, and master’s Degree Program University, located near downtown Lincoln.

Responsibilities:

-Instructor of Pharmacology.

-Instructor of Drug Calculations.

-Tutoring students before and after lectures.

-Responsible for applying a very rigid attendance policy.

Primary Health Screener, Total Wellness, Omaha, Nebraska (2010-present)

a corporate wellness screening company operating in all 50 States of US. Corporate office located in Omaha.

Responsibilities:

-In charge of Corporate Wellness Events.

-Contacting the corporate client to ensure readiness for our arrival.

-Making sure the events ran smoothly.

-Quality control of all portable medical equipment.

-In charge of all HIPAA sensitive paperwork related to all participants.

-In charge of ensuring the utmost privacy for all participants during their wellness screening.

Senior Pharmacy Technician/Pharmacist Intern, Walgreens Pharmacy, Springfield, Illinois (1994-2012)

a nearly 9,300 location retail pharmacy that operates in all 50 states of US.

Responsibilities:

-Physician order entry.

-Refill requests for patient prescriptions.

-Insurance calls to verify coverage.

-Assisted in training new Pharmacy Technicians.

-Ordering medications from vendors for non-inventory medications.

-Responsible for keeping department within budget.

Pharmacy Operations Supervisor, Seton Medical Center, Austin, Texas (2001-2004)

a hospital in Austin and is Austin’s largest medical/surgical acute care center.

Responsibilities:

-Supervised all decentralized satellite pharmacies located on Nursing Units and Surgical Department.

-Responsible for interacting daily with surgical nursing staff and anesthesiology staff in Surgical Department

-Responsible for scheduling 60 plus pharmacy technicians bi-weekly.

-Responsible for hiring, developing, mentoring, disciplining, and terminating pharmacy technicians.

-Responsible for inventorying and ordering all scheduled and non-scheduled medications when short staffed.

EDUCATION

Doctor of Chiropractic (D.C.); Logan University, Chesterfield, MO (2009)

Bachelor of Science in Life Sciences (B.S.); Logan University, Chesterfield, MO (2007)

Bachelor of Science in Biology/Pharmacy (B.S.); Butler University, Indianapolis, IN (2001)

High School Diploma; Parkway High School, Rockford, OH (1989)

AFFILIATIONS

American Chiropractic Association, Member

LICENSES

Chiropractor State of Texas #11745 (Exp: 5/1/2024)

Certified Pharmacy Technician State of Texas #

REGISTRATIONS

Certified Medical Examiner Federal Motor Carrier Safety Administration (FMCSA) (Exp: 2/2024)

Designated Doctor Division of Workers Compensation/Texas Department of Insurance (Exp: 1/1/2024)

References Available Upon Request:



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