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Work Background
Medical Billing and Debt Management
Wound Clinic WorcesterMedical Billing and Debt Management
Nov. 2022 - May. 2024Worcester, Western Cape, South Africa• Proficient in VeriClaim for optimized billing processes, guaranteeing prompt and precise claim submissions. • Vigilant in adhering to medical scheme regulations and contractual obligations to maintain compliance. • Executed comprehensive age analysis for effective account management and debt recovery. • Managed cash flows and payment tracking with exceptional diligence, ensuring robust income management. • Achieved notable low error rates in charge sheet entries and payment reconciliations through meticulous review. • Maintained strict confidentiality protocols to protect sensitive patient and financial information in accordance with the POPI Act • Committed to the timely and efficient execution of month-end closing procedures and financial reporting. • Proactively reduced outstanding receivables by spearheading assertive collection strategies
Practice Manager
Oak Tree Health - LPH Pines Clinic Worcester Western Cape South Africa Practice Manager
May. 2022 - Aug. 2022Worcester Western Cape South Africa I had the opportunity to successfully lead the conversion of a guest house into a dual-functioning private practice and clinic in-patient facility, complete with group session spaces and gym facilities. My responsibilities were as follows: • Efficiently optimize consulting room setups, catering to the diverse needs of healthcare professionals. • Acquired and directly executed practice equipment, ensuring innovative office technology and Wi-Fi connectivity. • Streamlined appointment scheduling and patient record-keeping to enhance patient flow significantly. • I efficiently managed pre-admission authorizations for privacy and accuracy for direct referrals to Pines Clinic. • Confidentiality and professionalism were vital throughout processing referrals from general practitioners and psychologists. • Using digital platforms allowed me to access patient lab results promptly. • I demonstrated exceptional empathy and critical thinking skills while managing patient inquiries. • I ensured patient, healthcare provider, and contractor satisfaction by establishing solid relationships and providing excellent care. • Ensured strict compliance with healthcare regulations and stayed updated with industry standards and best medical practices. • Oversaw facility upkeep, guaranteeing a safe and inviting atmosphere for patients and staff. • I always maintained patient privacy and confidentiality in all communications. • I consistently conducted facility inspections to ensure strict compliance with safety protocols in the healthcare sector. • Managed administrative duties and provided comprehensive support to healthcare professionals. • I have worked with external billing services to improve financial operations for healthcare providers, ensuring precision and accuracy. • I received payments for healthcare professionals, improving overall operational efficiency.
Administrative Manager
Pines Clinic - Life Path Health Administrative Manager
Dec. 2000 - May. 2022Western Cape, South AfricaI had the honour of serving as the Administrative Manager at Pines Clinic, the pioneering mental health facility of Life Path Health Group in South Africa. In this role, I was responsible for: • Established the administrative framework from the ground up and led initiatives to improve operational efficiency and enhance the patient experience. • Created a welcoming reception area to ensure dignified patient engagement. • Optimized patient data management to ensure accurate insurance and ID records. • Clarified patient consent processes to improve understanding of pre-admission procedures. • Assisted in accurate DSM code assignment for psychiatrists. • Managed through insurance authorizations. • Oversaw the submission of progress reports to ensure ongoing patient care. • Implemented billing procedures and expedited insurance claim processing. • Managed pre-admission payments to facilitate smooth patient intake. • Oversaw daily billing operations and delivered accurate monthly reports. • Provided leadership and support to staff for efficient problem-solving. • Ensured strict admission and discharge standards to maintain organizational excellence. • Provided leadership to the administrative team to ensure policy and procedure compliance. • Led a team to maintain ambitious standards of patient care, streamline billing and insurance processes, enhance patient data, and consent clarity, and improve clinic efficiency. • Pioneered admin framework, boosting operational efficiency at Pines Clinic • Enhanced patient experience, ensuring dignified engagement and data accuracy. • Streamlined billing, expedited insurance claims, and managed DSM code assignment. • Led team in policy adherence, maintaining excellence in patient care standards
Receptionist / Accounts Clerk
Drs E de Wet & J du Plooy (Dentists)Receptionist / Accounts Clerk
Nov. 1988 - Oct. 2000Worcester, Western Cape, South Africa• Consistently provided exceptional customer service, ensuring a warm welcome and prompt patient assistance. • Expertly managed a multi-line switchboard while maintaining professional telephone etiquette. • Efficiently coordinated appointment scheduling and upheld accurate client communications and record-keeping. • Orchestrated smooth room and theatre reservations for procedures, enhancing patient satisfaction. • Executed invoicing and streamlined electronic claim submissions accurately. • Proactively followed up with medical insurers to confirm claim status and payment schedules. • Facilitated prompt account settlements by actively engaging with private patients. • Processed incoming payments and upheld precise financial records. • Assigned payments to the corresponding patient account with exceptional accuracy. • Managed inventory and ensured timely ordering of dental consumables as practitioners requested. • Maintained the reception area immaculate, contributing to a professional clinic environment.
Administrative Assistant / Ward Secretary
MediclinicAdministrative Assistant / Ward Secretary
Jan. 1987 - Oct. 1988Worcester, Western Cape, South Africa• Delivered exceptional customer service by greeting patients and visitors with professionalism and warmth. • Executed precise data entry of patient demographics, identification, and insurance details using hospital systems. • Provided clear explanations of admission forms, ensuring patients' understanding and compliance with hospital procedures. • Managed a multi-line phone system, demonstrating excellent telephone etiquette and efficient call handling. • Conducted meticulous billing forward and pharmacy items, ensuring accurate charge capture for patient services. • Verified comprehensive recording of issued stock for proper billing and inventory control. • Performed ward secretary responsibilities, including prompt relay of messages from doctors to nursing staff. • Organized and maintained patient files, ensuring all test results and documents were accurately filed for doctor review. • Offered administrative support across departments, including after-hours pharmacy inventory assistance. • Enhanced office operations through proficient clerical tasks, including data entry, photocopying, scanning, and faxing. • Addressed informational inquiries with promptness and discretion, safeguarding patient confidentiality. • Upheld strict confidentiality protocols, maintaining the privacy of the client and company information.

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