ELMA KGOROMPI
9623 UNIT 17, GA-RANKUWA
Summary
Organised Clerk with strong background in administrative tasks and office management. Demonstrates exceptional attention to detail, ensuring accurate record-keeping and efficient workflow. Excels in managing schedules, handling correspondence, and providing outstanding customer service. Brings proactive approach to problem-solving and streamlining processes, benefiting team productivity and operational efficiency.
Overview
13
13
years of professional experience
Work History
CONFIRMATIONS CLERK
NETCARE UNITAS HOSPITAL
01.2015 - Current
- Obtaining authorization for hospital admission and surgical procedures.
- Obtaining and providing the required documents that support the authorization process.
- Ensuring daily communication with medical aids, nursing staff, patient’s family members and medical practitioners regarding confirmations of medical aids and payments.
- Validation of the patients’ information and the medical aid membership details.
- Ensuring compliance to the confirmation procedures and funder contracts.
- Identifying and managing the financial risks timeously.
- Capturing and managing the outgoing and in-coming electronic and manual Communication from the funds.
- Adhering to the clinical ICD/CPT coding protocols.
- Coordinated communication with colleagues and clients to strengthen teamwork and collaboration.
- Negotiated resolutions to conflicts, preventing escalation and minimising potential costs.
- Practised professional telecommunication and email etiquette in all correspondence.
- Report writing.
- Maintaining the functional filling system.
- Maximised functionality of office equipment for seamless daily operations.
- Computer literacy (Microsoft office, Microsoft teams, SAP systems and Care-on).
- Leadership, problem solving and conflict management.
- Delivered quality patient care aligned with hospital standards and policies, ensuring cost-effectiveness.
- Patient Administration policies and procedures (POPIA ACT).
ACTING FILE ASSESSOR
NETCARE UNITAS HOSPITAL
11.2020 - 08.2023
- Audited patient files for accurate accounting with Scale of Benefits and ARS contracts, ensuring compliance with billing standards.
- Complied with billing mapping tools to minimise errors and ensured timely final billing to meet targets set by Billings Manager.
- Assessing patient’s admission files ensuring that the information captured on admission is correct.
- Assessed accommodation and allocated appropriate level of care ward type for billing accuracy.
- Auditing Emergency department stock and fees.
- Auditing the theatre events time, PERI-operative document and consignment stock/NAPPI code.
- Application of ARS contracts and agreements with the funders.
- Charged stock according to contractual agreements.
QUERY CLERK
NETCARE UNITAS HOSPITAL
02.2014 - 12.2015
- Captured patient data accurately during consultations.
- Liaised with patients, doctors, staff, and management to facilitate effective communication and support care delivery.
- Answering phone calls and handling telephone queries.
- Screened emails from medical aids and forwarded them to relevant departments for timely processing.
- Assisted with administrative tasks to ensure smooth operations within doctor's practices.
GENERAL ASSISTANT
TIRISANO PHARMACY
08.2013 - 01.2014
- Dispensing over the counter medication and processing doctor’s prescriptions.
- Processed transactions accurately at point of sale.
- Conducted stock taking, merchandising, and maintained front shop to ensure optimal presentation.
- Promoting non-scheduled front shop products.
- Ordered stock and stationery to maintain adequate supplies and support operations.
- Managed inventory by ordering stationery supplies regularly.
- Supported administrative and clinical personnel to enhance workflow.
- Data capturing and maintaining the filing system.
Education
DIPLOMA - OFFICE ADMINISTRATION
ZODIAC COMMERCIAL COLLEGE
02-2012
B.com - INDUSTRIAL AND ORGANISATIONA PSYCHOLOGY
THE UNIVERSITY OF SOUTH AFRICA (UNISA)
01-2011
MATRIC (GRADE 12) -
MALATSE MOTSEPE HIGH SCHOOL
01-2008
Skills
- Patient Administration policies
- Medical coding
- Billing regulation
- SAP systems
- Care-on
- Records maintenance
- Document control
- Documentation accuracy
- Report writing
- Digital filing techniques
- Spreadsheet creation
- Microsoft Office
- MS Office Suite
- Microsoft Teams
- Computer literacy
- Data Entry
- Email management
- Record-keeping
- Quality assurance
- Client relations
- Stakeholder engagement
- Administrative skills
- Organisational skills
- Problem solving
- Decision-Making confidence
- Conflict management
- Negotiation skills
- Interpersonal communication skills
- Verbal communication
- Confidentiality awareness
- Data Entry
- Customer assistance
- Organisational skills
- Record-keeping
Custom
- NETCARE UNITAS HOSPITAL, PATTY MATHIBE, 0734092316/012 677 8336
- TIRISANO PHARMACY, PERCY NHLAPO (PHARMACIST), 0824568881
Personal Information
ID Number: 9103120877082
Languages
English
Upper Intermediate
B2
setswana
Upper Intermediate
B2
isiZulu
Intermediate
B1
xitsonga
Intermediate
B1
sepedi
Upper Intermediate
B2
Accomplishments
- Achieved certification as an Occupational Health and Safety (OHS) Representative, demonstrating knowledge of workplace health and safety regulations, hazard identification, risk assessment, and incident reporting to support a safe working environment.
Timeline
ACTING FILE ASSESSOR
NETCARE UNITAS HOSPITAL
11.2020 - 08.2023
CONFIRMATIONS CLERK
NETCARE UNITAS HOSPITAL
01.2015 - Current
QUERY CLERK
NETCARE UNITAS HOSPITAL
02.2014 - 12.2015
GENERAL ASSISTANT
TIRISANO PHARMACY
08.2013 - 01.2014
DIPLOMA - OFFICE ADMINISTRATION
ZODIAC COMMERCIAL COLLEGE
B.com - INDUSTRIAL AND ORGANISATIONA PSYCHOLOGY
THE UNIVERSITY OF SOUTH AFRICA (UNISA)
MATRIC (GRADE 12) -
MALATSE MOTSEPE HIGH SCHOOL