Edgar Estuardo Cruz Morales Email and Phone Number
Doctor of Medicine in General Studies, MBA in Health Services Administration and Master of Business Administration in Accounting, with 5 years of experience in the health sector. Dedicated Healthcare Operations Manager with a strong track record in overseeing daily operations, improving patient satisfaction scores, and implementing AI-driven software to enhance patient care. Proven expertise in staff training and increasing Medicare quality measures. Experienced in utilization management, financial control, and referral coordination. Accomplished volunteer providing pediatric palliative care and fundraising for healthcare initiatives.Contact me: edcruz88@gmail.com
Flow International Group (Fig)
View- Website:
- mysanitas.com
- Employees:
- 318
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Insurance BrokerFlow International Group (Fig)Hialeah, Fl, Us -
Medical Center ManagerSanitas Medical Center Sep 2024 - PresentUnited States -
Insurance BrokerNational Agents Alliance - The Alliance Aug 2024 - PresentFlorida, United States -
Healthcare Operations ManagerMedgroup Medical Center Llc Jan 2022 - May 2024Coral Gables, Florida, Estados Unidos• Keep track of the daily operations from the center.• Ensure 60 patients a day have less than 30 minutes in the waiting room before an appointment• Create a convenient workflow that assures quality and kind patient service, increasing satisfaction scores• software to increase patient MRA scores with AI implementation.• Staff training for new EMR implementation• Increase Medicare quality measures by 0.5 points per year.Achievements:• Reduced patient waiting time by 15 minutes• Implementation of new EHR software from Quanum to Kareo• Implemented Foresee ESP software to increase overall RAF score from 1.52 to 1.72• Established over 16 different in-house specialists • Improve the communication system between the front desk, medical assistants, and Primary Care Physicians through Kareo private message• Started in-services with physicians and different hospice centers to improve hospice education as a useful patient resource• Establish a direct relationship with the billing department and the utilization department from the different insurance companies and created recurring control meetings to improve overall quality• Corrected over 1000 incorrectly filed claims with the billing department and re-sent them to the insurance companies. -
Utilization ManagerMedgroup Medical Center Llc Sep 2020 - Dec 2021Coral Gables, Florida, Estados Unidos• Supervise the Referral Department• Coordinate the patient's care from the Primary Care Physician's office.• Analyze claims versus office authorizationsAchievements:• Establish a supervising referral system to avoid unnecessary referrals• Established a limited referral network to keep close track of patient utilization• Improved the overall HEDIS score from 3.9 to 4.5 reducing hospital admissions and increasing the overall medication adherence for patients• Kept track of the dental implants program and established an appointment system to avoid unnecessary maxillofacial visits and adequate implant benefit evaluation depending upon patient utilization• Keep records of patient's expenses• Control the company's finances through patient claims versus MRA scores -
Referral CoordinatorMedgroup Medical Center Llc Mar 2019 - Sep 2020Coral Gables, Florida• Coordinate patient's appointments• Specialists follow-up appointments for patients as needed or as requested by the provider • Request proper insurance authorizationAchievements:• Created daily referral lists to prepare referrals and all needed documents for patients’ appointments 8 days ahead of the appointment• Accommodate schedules for in-house specialists’ appointments• Created the specialist calendar• Implemented the online referral systems to have referral approvals in less than 24 hours• Created a direct communication line between the transportation department of the center and the referral department to avoid address errors• Organize surgeries and all proper pre-surgery work-up -
Physician, Palliative CareFundacion Ammar Ayudando Sep 2015 - Jan 2017Guatemala, Guatemala, Guatemala• Provide pediatric palliative care for low-income families. • Inpatient and outpatient care• Fundraise almost $5000 to build two outpatient clinics Achievements:• Built a walk-in primary care center for the underserved population• Did over 15 fundraising events• Established the daily rounds routine to have better patient control• Created the pharmacy department to keep track of administered and needed medications• Improve the facility by creating two outpatient clinics
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Medical ResidentHospital Herrera Llerandi Feb 2014 - Nov 2014Guatemala, Guatemala• Interview and evaluate patients who were hospitalized in the Intensive Care Unit. • Consultation with specialists as needed.• Participate in case presentations and academic conferences.• Coordinate the medical and nursing staff from the Intensive Care UnitAchievements• Created a specific patient summary for Attending Physicians to review as they did their rounds in the ICU department• Improved doctor/nurse relations by including the nurse in charge of the patient in the daily rounds•Created an emergency response system in the ICU unit to ensure patient care during emergencies
Edgar Estuardo Cruz Morales Education Details
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Health Services Administration -
Accounting -
Doctor Of Medicine (M.D.)
Frequently Asked Questions about Edgar Estuardo Cruz Morales
What company does Edgar Estuardo Cruz Morales work for?
Edgar Estuardo Cruz Morales works for Flow International Group (Fig)
What is Edgar Estuardo Cruz Morales's role at the current company?
Edgar Estuardo Cruz Morales's current role is Insurance Broker.
What schools did Edgar Estuardo Cruz Morales attend?
Edgar Estuardo Cruz Morales attended Keiser University, Millennia Atlantic University, Universidad Francisco Marroqu��n.
Who are Edgar Estuardo Cruz Morales's colleagues?
Edgar Estuardo Cruz Morales's colleagues are Yvette Urbina, Fermin De La Vina, Mónica Jaramillo, Martine Poliard, Vivian Clavero, Maria Suarez, Thomas Casares, Pharmd, Mba, Cph.
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