Education
Grassy Park High School, Highest Grade Passed : Grade 12
Year Passed : 2010
Subjects
Experience:
Company : Metropolitan Health (GEMS)
Position : Internship (Claims Specialist)
Period : May 2014 – March 2015
Position : Medical Claims Specialist (Permanent)
Period : May2015 – Current
Skills Acquired:
• Medical claims assessing
• Loading of medical appliance filters
• Reversal and rejection of medical claims
• Completing stale claim templates ( Medical claims older than 4 months)
• Receiving calls to assist with claims
• Communication
• Team work
• Data accuracy
• Reflections
• Solving queries
• Accuracy
• Time keeping
• House keeping
• Stake holder relations
• 2-IC duties
• Working on a system (EG) that requires 7 hours and 30 minutes of work to be completed for the day
• Solving queries via email
• Meeting targets
Company : Aroma Drop In
Position : Cashier
Period : 4 Month contract (February 2011-May 2011)
Skills Acquired
• Accuracy
• Client Centricity
• Communication skills
• Teamwork
• Time Keeping
• Stock Tacking
• House keeping
Company : Metropolitan Health
Position : Claims Assessing Learner ship
Period : June 2013- May 2014
• Membership and Contributions
• Introduction to Healthcare
• MS Excel 2010 Basic
• Relating Screens
• GEMS pricing
• ICD 10 codes
• GEMS benefits
• GEMS call centre fundamentals
• GEMS business partners
• Workers Academy: Medical Claims Assessing Programme
Training:
• Claims assessing
• Claims school
• Claims screens
• Client services screens
• GEMS specific training
• Introduction to healthcare
Department Experience:
• Claims Department
Position : Claims Specialist
• Ex Gratia
Position : Assisstant Administrator
• Call Centre- CSA
Position : Buddying
Skills Acquired
• Accuracy
• Data Accuracy
• Team work
• Time Keeping
• House keeping
• Communication
• Navigating screens
• Reflections
• Data Capturing
• Solving Queries
• Stakeholder Relations
