Basma Moussa
Melbourne,VIC
Summary
highly determined and skilled pediatrician with strong background and knowledge in pediatrics medications and treatment procedures . skilled in health insurance , medical tourism , clinical research , medicine , health care management . Highly qualified Medical Reviewer with background in conducting comprehensive medical reviews and ensuring compliance with healthcare regulations.
Overview
16
16
years of professional experience
Work History
Medical Evaluator- Medical Claims Processor
Department of health (Abu Dhabi)
UAE, Abu Dhabi
04.2018 - 10.2023
- Plays an important role in assessing the medical fitness of individuals, particularly in the context of health licensing, medical certifications, and evaluating the suitability of healthcare professionals in the emirate.
- Evaluate medical reports and diagnose based on data.
- Direct medical evaluations as necessary.
- Collaborate with physicians and specialists to interpret medical findings.
- Presented evaluation results in meetings with stakeholders to inform decision-making processes.
- Provide recommendations for improving program operations based on findings from evaluations.
- Ensure the precision and adherence to regulations of healthcare claims.
- Work in partnership with healthcare providers, patients, and insurance companies to resolve discrepancies and guarantee efficient processing.
Pediatrics and Neonatology Specialist
Abu-Qir central Hospital
Egypt, Alexandia
02.2014 - 04.2018
- Diagnose and treat a wide range of childhood illnesses, infections, and injuries.
- Managing chronic conditions like asthma, diabetes, or developmental disorders that may require ongoing monitoring and treatment.
- proficiency in immunizations, health screenings, and advising on nutrition, exercise and overall wellbeing,
- Specialized knowledge in managing the health of newborns, particularly those with complications like prematurity, congenital disorders, or birth defects.
- Provide intensive care to critically ill premature newborns in intensive care units (NICUs).
Nutritionist
Dr Ahmed Fawzy Al Mulla clinics
Egypt, Alexandia
05.2014 - 12.2014
- Developed and implemented nutrition plans tailored to individual patient needs.
- Conducted nutritional assessments of patients, including review of medical history and laboratory results.
- Assessed patient's lifestyle habits, dietary intake and preferences in order to develop personalized nutrition plans.
- Provided education on healthy eating habits, food selection and preparation.
- Monitored patients' progress towards meeting health goals through regular follow-up visits.
Pediatric Resident
Al shabti main university hospital
Egypt, Alexandia
01.2013 - 01.2014
- Assisted with physical examinations and diagnostic tests of pediatric patients.
- Performed medical procedures such as vaccinations, lumbar punctures, and suturing of wounds.
- Provided direct patient care to pediatric patients in the outpatient setting.
- Participated in multidisciplinary team meetings regarding patient care plans.
- Educated families on health promotion activities for children.
Pediatric and Neonatology Resident
maternity hospital
Egypt, Alexandia
02.2012 - 01.2013
Family Medicine Physician
ministry of health
Egypt, Alexandia
02.2010 - 01.2012
- Performed physical examinations and assessments of patients.
- Provided diagnosis, treatment and follow-up care to patients with acute and chronic illnesses.
- Instructed and counseled patients regarding preventive health care, lifestyle changes, self-care skills and use of prescribed medications or therapies.
- Prescribed medications according to patient needs.
- Coordinated referrals to specialists when needed for further evaluation or treatment.
General Practitioner
Matruh general hospital
Egypt, Alexandia
04.2009 - 01.2010
- Provided diagnosis and treatment for a variety of illnesses and injuries.
- Counseled patients on lifestyle changes and preventive health care measures.
- Performed physical examinations, ordered laboratory tests and prescribed medications.
- Educated patients about their conditions, medications, treatments, and follow-up care.
- Managed acute and chronic diseases using evidence-based medicine guidelines.
- Assessed patient needs by taking detailed histories and performing comprehensive physicals.
- Interpreted test results to diagnose illness or injury while considering the patient's age, gender, family history and environment.
- Referred patients to specialists when necessary or requested by the patient and family member.
- Scheduled regular checkups with patients to monitor progress of existing treatments or conditions.
- Advised families on healthcare decisions regarding newborns or elderly relatives.
Medical Intern
Alexandria Main university hospital
Egypt, Alexandia
03.2008 - 03.2009
- Assisted in patient history taking, physical examination and diagnosis under supervision of attending physician.
- Organized medical records and documents for review by the attending physician.
- Performed laboratory tests including drawing blood samples, analyzing results and recording them accurately.
- Provided assistance with minor surgical procedures such as suturing of wounds.
- Observed and assisted physicians during patient examinations and surgeries.
- Administered vaccines to patients as prescribed by attending physician.
- Educated patients on preventive care measures, nutrition, and lifestyle modifications as required.
- Conducted routine check-ups on outpatients to monitor their health progress over time.
Education
Master's Degree in Pediatrics And Neonatology - Medicine Pediatrics
Faculty of Medicine
Egypt01-2016
TOEFL Local Certificate, English For Specific Center ESP - TOEFL
Alexandria University
Egypt06-2011
MBBS - Internal Medicine And General Surgery
Faculty of Medicine Alexandria University
Egypt 09-2007
Graduate Certificate - Graduate Certificate Public Health
Victoria University
Melbourne, VICPost-Baccalaureate Diploma - Clinical Nutrition
Medical Research Institute
EgyptSkills
- Physical examination
- Diagnosis and treatment
- Prescription drug management
- Medical referrals
- Health assessment
- BLS, insertion of IV cannulas to pediatrics and neonates, insertion of peritoneal dialysis catheters for pediatrics and neonates, ETT insertion, CSF catheter insertion, chest tube for pneumothorax, and hemothorax
- Research and analysis
- Remote health monitoring
- Stress Tolerance
- Project evaluation
- Performance monitoring
- Problem-solving abilities
- Time management abilities
- Reporting and analysis
- Multitasking
- Risk Assessment
- Customer Service
- Professionalism
- Computer Proficiency
- Multitasking Abilities
- Communication Skills
- Interdisciplinary team coordination
- Medical record-keeping
- Reliability
- Case Management
- Critical Thinking
- Public Speaking
- Insurance claims management
- Personal data evaluation
- Claims documentation
- Background in insurance
- Insurance plan verification
- Collaborative relationships
- Claims Investigation
- Data collection and organization
- Clinical Research
- Public health education
- Disease Prevention
- Problem-solving aptitude
- Health Promotion
- Health counseling
- Exceptional oral and written communication skills
Languages
English
Full Professional
Arabic
Full Professional
Publications
- Thesis entitled "IgG subclasses pattern among children with Down syndrome," Master’s degree in pediatric medicine and neonatology, Alexandria University Pediatrics Department, Alexandria, Egypt
References
- Dr. Iman Marzouk, professor of pediatrics and neonatology at Alexandria University, Egypt, +201-223-243-407
- Dr. Maha Youssef, professor of pediatrics and neonatology at Alexandria University, Egypt, +201-159-44446
- Reach Employment Services (Abu Dhabi), info@reachgroup.ae
Timeline
Medical Evaluator- Medical Claims Processor
Department of health (Abu Dhabi)
04.2018 - 10.2023
Nutritionist
Dr Ahmed Fawzy Al Mulla clinics
05.2014 - 12.2014
Pediatrics and Neonatology Specialist
Abu-Qir central Hospital
02.2014 - 04.2018
Pediatric Resident
Al shabti main university hospital
01.2013 - 01.2014
Pediatric and Neonatology Resident
maternity hospital
02.2012 - 01.2013
Family Medicine Physician
ministry of health
02.2010 - 01.2012
General Practitioner
Matruh general hospital
04.2009 - 01.2010
Medical Intern
Alexandria Main university hospital
03.2008 - 03.2009
Master's Degree in Pediatrics And Neonatology - Medicine Pediatrics
Faculty of Medicine
TOEFL Local Certificate, English For Specific Center ESP - TOEFL
Alexandria University
MBBS - Internal Medicine And General Surgery
Faculty of Medicine Alexandria University
Graduate Certificate - Graduate Certificate Public Health
Victoria University
Post-Baccalaureate Diploma - Clinical Nutrition
Medical Research Institute