Karnagie Gounden
Clinical/Business Support Specialist
Cape Town
Summary
Versatile Support Specialist skilled handling data, technical issues and personnel support tasks in distributed environment. Self-motivated and attentive with good interpersonal and problem-solving abilities. Offering 38 years of experience in the Medical/IT industry.
Overview
37
37
years of professional experience
11
11
years of post-secondary education
Work History
Clinical/Technical Business Support Specialist
Liberty Health
05.2015 - Current
- Conducted regular audits of internal processes and procedures, identifying areas for improvement and implementing necessary changes.
- Reduced inefficiencies for increased productivity through thorough analysis of workflows.
- Conducted market research to identify new opportunities for business growth and expansion.
- Prepared accurate reports for management review, aiding in informed decision-making processes.
Clinical Coder
Liberty Health
01.2015 - 04.2015
- Assisted with onboarding new coders by providing mentorship and support during their transition into the role.
- Enhanced overall coding accuracy by conducting regular audits and providing feedback to team members.
- Reduced claim denials by ensuring thorough and accurate clinical documentation.
- Maintained up-to-date knowledge of industry best practices, contributing to a consistently high-performing coding team.
Funder Case Manager
Liberty Health
07.2011 - 01.2015
- Identified new potential funding sources through networking events, conferences, and online databases to broaden the organization''s donor base.
- Collaborated with program managers to develop compelling proposals, increasing the organization''s awarded funds.
- Maintained organized records of submitted applications, awarded grants, and relevant correspondence for easy reference and compliance purposes.
- Secured increased support from existing donors with tailored stewardship efforts highlighting project successes and impact.
Senior Hospital Case Manager
Netcare
02.2010 - 06.2011
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Evaluated program effectiveness continually through data analysis and outcome measurement metrics.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Billings Manager
Netcare
11.2007 - 01.2010
- Developed comprehensive training materials for new hires to quickly acclimate them to company procedures and software systems.
- Optimized resource allocation within the department by analyzing workload trends and adjusting staffing levels accordingly.
- Streamlined communication with clients by establishing clear expectations for payment terms and resolving disputes promptly.
- Provided ongoing professional development opportunities for staff members through workshops, seminars, and mentoring programs.
Senior Case Manager
Netcare
01.2007 - 10.2007
- Collaborated with external agencies to secure resources for clients, ensuring optimal support and care.
- Delivered ongoing training sessions for staff members on best practices in case management, enhancing overall team performance.
- Spearheaded initiatives aimed at streamlining workflows within the department, reducing administrative burdens on staff members while maintaining high-quality services for clients.
- Implemented data-driven decision-making processes to optimize services provided to clients.
Hospital Case Manager
Netcare
06.2003 - 12.2006
- Promoted a safe environment for vulnerable populations by reporting suspected abuse or neglect as mandated by law.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Professional Nurse
Netcare
01.1987 - 05.2003
- Enhanced patient satisfaction through compassionate and empathetic communication.
- Utilized evidence-based practices to guide decision-making in patient care delivery.
- Collaborated with interdisciplinary team members to provide comprehensive patient care.
- Participated in quality improvement initiatives, contributing ideas for process enhancements in nursing practice.
Education
IT Management For CIO Teams - Information Technology
Wits University
Online 01.2020 - 12.2020
Principles of Project Management - Project Management
Wits University
Online 01.2019 - 12.2019
Principles of Learning And Development - Education
Wits University
Online 01.2018 - 12.2018
Basic CCSA Coding - Medical Insurance Coding
Netcare Training
Durban, South Africa 07.2008 - 12.2008
Basic And Intermediate ICD 10 Coding - Medical Insurance Coding
Netcare Training
Durban, South Africa 01.2008 - 06.2008
FMS Intravenous Therapy Course - Nursing
Armed Forces Hospital
Oman 01.2000 - 12.2000
Diploma in Critical Care Nursing - Nursing
Netcare Training Academy
Durban, South Africa 01.1998 - 12.1998
Diploma in Personal Computing - Computer And Information Sciences
Careers 2000
Durban, South Africa 01.1997 - 12.1997
Diploma in Midwifery - Nursing Midwifery
R K Khan
Durban, South Africa 01.1987 - 12.1987
Diploma in General Nursing - Nursing
R K Khan Hospital
Durban, South Africa 01.1983 - 12.1986
Skills
Project Management
Software Lifecycle Processes
Software Testing
Scrum Master
Product Owner
Conflict Management
Timeline
IT Management For CIO Teams - Information Technology
Wits University
01.2020 - 12.2020
Principles of Project Management - Project Management
Wits University
01.2019 - 12.2019
Principles of Learning And Development - Education
Wits University
01.2018 - 12.2018
Clinical/Technical Business Support Specialist
Liberty Health
05.2015 - Current
Clinical Coder
Liberty Health
01.2015 - 04.2015
Funder Case Manager
Liberty Health
07.2011 - 01.2015
Senior Hospital Case Manager
Netcare
02.2010 - 06.2011
Basic CCSA Coding - Medical Insurance Coding
Netcare Training
07.2008 - 12.2008
Basic And Intermediate ICD 10 Coding - Medical Insurance Coding
Netcare Training
01.2008 - 06.2008
Billings Manager
Netcare
11.2007 - 01.2010
Senior Case Manager
Netcare
01.2007 - 10.2007
Hospital Case Manager
Netcare
06.2003 - 12.2006
FMS Intravenous Therapy Course - Nursing
Armed Forces Hospital
01.2000 - 12.2000
Diploma in Critical Care Nursing - Nursing
Netcare Training Academy
01.1998 - 12.1998
Diploma in Personal Computing - Computer And Information Sciences
Careers 2000
01.1997 - 12.1997
Professional Nurse
Netcare
01.1987 - 05.2003
Diploma in Midwifery - Nursing Midwifery
R K Khan
01.1987 - 12.1987
Diploma in General Nursing - Nursing
R K Khan Hospital
01.1983 - 12.1986