Alvin Madla

Results-driven Registered Nurse and Healthcare Operations Specialist with over 15 years of combined experience spanning clinical care, utilization review, medical claims adjudication, and healthcare administration. Proven track record in optimizing inventory and procurement workflows, ensuring 100% regulatory and ISO compliance, and managing complex medical coding verification (ICD-10, CPT, HCPCS). Adept at streamlining clinic processes, leading cross-functional teams, and enhancing patient care standards across multi-platform healthcare delivery systems.

ADMIN SUPPORT / CUSTOMER HEALTHCARE SPECIALIST at NORDIC MEDICAL CLINIC, INC. (2020-06 – 2026-06)

• Directed daily clinic operations, managing end-to-end procurement and inventory control systems to maintain zero stock-out incidents across critical medical supplies.
• Spearheaded multi-channel patient support services, resolving inquiries efficiently while maintaining high patient satisfaction and retention.
• Enforced strict quality control protocols for medical documentation, resulting in 100% accurate and timely issuance of official Medical Certificates and clinical records.
• Ensured adherence to quality management standards during the transition to ISO-aligned operational frameworks.

COLLEGE SCHOOL NURSE at COLEGIO DE SAN LORENZO (2018-06 – 2020-04)

• Delivered comprehensive clinical care, emergency triage, and ongoing wellness management to a college population.
• Led campus-wide Annual Physical Examinations (APEs) and preventative healthcare campaigns, ensuring 100% health compliance across college students.

MEDICAL CLAIMS ASSOCIATE at COGNIZANT TECHNOLOGY SOLUTION PHIL, INC (2016-01 – 2018-03)

• Reviewed medical records, claim forms, and hospital bills to verify data accuracy and prevent billing discrepancies
• Executed rigorous data entry and code verification using CPT, ICD-10, and HCPCS standards, maintaining 100% accuracy to minimize compliance risks
• Analyzed complex healthcare insurance plans to determine coverage eligibility, deductibles, co-pays, and pre-existing condition exclusions
• Adjudicated healthcare claims (approvals, partial approvals, and denials) in strict compliance with U.S. healthcare guidelines and contract terms.

CLINIC NURSE at AVENTUS MEDICAL CARE, INC. (2011-02 – 2015-06)

• Managed and delivered efficient outpatient clinic services, focusing on high-quality patient care to improve overall health outcomes and satisfaction.
• Approves laboratory and diagnostic procedures by accurately verifying ICD-10 codes while ensuring strict compliance with healthcare guidelines to prevent billing and coding errors.

NURSE TRAINEE at HOSPITAL OF INFANT JESUS (2009-11 – 2010-03)

• Responsible in providing high-quality direct patient care by comprehensively assessing physical and emotional needs, accurately monitoring vital signs, and meticulously auditing medical forms to ensure 100% data completeness and compliance.

Bachelor of Science in Nursing in Nursing – University of Santo Tomas, Manila (2003 – 2008)