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Medical Accounts and Claims administrator
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Competencies
Demonstrated experience with Calendar Management.
Demonstrated experience with Inbox Management.
Demonstrated experience with File Organization.
Demonstrated experience with Meeting Scheduling.
Demonstrated experience with SOP Design.
Education
Languages
Summary
Medical Accounts and Claims administrator open to new opportunities
Experience
Medical Accounts and Claims administrator
Managed and optimised the end-to-end processing of healthcare billing data.. Spearheaded the chronic billing register updates, accelerating pre-authorisation.. Spearheaded collection strategies for overdue accounts, resolving patient billing.. Designed and integrated remote-ready administrative protocols.. Tracked detailed claim activities and managed up-to-date documentation notes on accounts to ensure data integrity transparency.
Credit Control Officer
Reconciled intricate cash receipts and finder payments via Vericlaim system.. Audited outstanding accounts and enforced credit-cycle standard operating procedures.. Handled complex telephonic and email queries from insurance funders and patients.. Tracked daily activity workflows, identifying and flagging recurring billing anomalies to management for process refinement.
Claims specialists ( Practice Administrators)
Automated and monitored billing submissions through integrated EHR/ EMR platforms.. Monitored accounts receivable health and coordinated daily encounters with billing.. Resolved payment processing blockages by identifying, correcting and resubmitting with correct codes.
Administrative Team Leader ( Practice Administrators)
Formulated Operational manuals, compliance protocols, and workflow SOPs.. Coordinated the onboarding and skills training of 5 new administrative staff.. Facilitated cross-functional task tracking and digital resource management.
Medical aid Consultant
Maintained the front-line advisory channel for medical scheme clients.. Managed customer inquiries in a business environment, ensuring timely and relevant information delivered.. Utilised Microsoft Office suite, including Outlook and Excel to maintain communication and documentation.. Utilised microsoft office suite, specifically Excel and Outlook, to generate clear data reporting logs and track historical communication notes.