Fiby Botros

Compassionate and detail-oriented healthcare professional with a Master of Public Health (MPH) and a medical degree (MBBCh), offering over 7 years of experience in patient support, healthcare administration, clinical operations, and care coordination. Skilled in assisting patients with healthcare navigation, insurance and medication coverage inquiries, prior authorizations, reimbursement-related processes, and access to care. Proven ability to communicate effectively with patients, physicians, pharmacies, insurers, and interdisciplinary healthcare teams while maintaining accuracy, confidentiality, and exceptional service.

Adept at managing multiple priorities in fast-paced healthcare environments and committed to improving patient access to treatment and healthcare resources.

Clinical Assistant - Dr. Ashraf Mikhail Family Practice

(2020-01)

• Conduct OHIP eligibility and coverage verification to facilitate patient access to healthcare services.
• Assist patients with extended health benefit inquiries, coverage verification, and coordination with private insurance providers.
• Complete and process prior authorization requests and supporting documentation for medications, treatments, and medical services.
• Prepare, review, and submit insurance forms while ensuring accuracy and completeness.
• Communicate with insurance companies, pharmacies, healthcare providers, and patients regarding coverage determinations and reimbursement requirements.
• Support patients with drug coverage inquiries and assist in identifying reimbursement and affordability options.
• Facilitate applications and documentation for the Trillium Drug Program and other medication access programs.
• Follow up on outstanding submissions and reimbursement requests to support timely access to prescribed therapies.
• Educate patients regarding insurance coverage, program requirements, and available healthcare resources.
• Review and validate patient information and supporting documentation to ensure compliance with insurer and program requirements.

Public Health Analysis Intern - YourCare Health Plan (A Monroe Plan Company) - Buffalo

(2018-01 - 2018-12)

• Contributed to a 25% increase in cancer screening compliance rates by designing and implementing targeted outreach strategies
• Analyzed healthcare performance data to identify gaps and recommend actionable improvements
• Collaborated with cross-functional teams to support care delivery and meet compliance targets
• Reviewed HEDIS guidelines and translated findings into actionable improvements within the program

Public Health Promotion Intern - Erie County Department of Environmental Health

(2017-01 - 2017-12)

• Assisted with data collection, documentation review, and regulatory compliance activities.
• Maintained accurate records and supported reporting initiatives for public health programs.
• Collaborated with multidisciplinary teams to support community health promotion efforts.
• Contributed to public health projects requiring strong attention to detail, organization, and adherence to established guidelines.

Master of Epidemiology and Public Health - Epidemiology and Public Health - University at Buffalo

Bachelor of Medicine and Bachelor of Surgery - Medicine and Surgery - Ain Shams University