Katlego Moche
Johannesburg
Summary
Results-driven Pre-Authorizations Consultant at Discovery Health with a diverse background as a Registered Teacher and Exercise Specialist, holding a BSports Science & Psychology degree. Experienced in roles such as Medical Assistant, Recruiter, and Junior Sport Scientist. Passionate about Complex Health Systems and Accessibility. Thrives in multicultural environments and excels in tools like LinkedIn Recruiting, Bullhorn, and data analysis software. Proven track record includes mentoring teams, conducting impactful training sessions, and fostering success across various fields.
Overview
5
5
years of professional experience
Work History
Pre-Authorisations Consultant
Discovery Health
11.2023 - Current
- Highly skilled and multilingual pre-authorizations consultant with expertise in ensuring compliance, minimising financial risk, and streamlining patient treatment journeys.
- Analyze treatment plans and medical records to determine necessity and redirection of hospitalisation. - Apply local and international medical coding standards (ICD-10, CPT, etc.).
- Liaise with healthcare providers, patients, and stakeholders regarding preauthorization status.
- Case Manage day procedures in various clinical settings (hospitals, Dr's rooms, specialized clinics).
- Advise non-clinical stakeholders on clinical procedures and practices for claims processes and benefit confirmation.
Junior Sport Scientist
University of the Western Cape Sports
10.2021 - Current
- As a Sport Scientist, I possess extensive expertise in managing multidisciplinary teams and delivering evidence-based treatments. My knowledge spans Clinical Exercise Therapeutics, Performance Analysis, and high-performance training, enabling me to optimize athlete performance, prevent injuries, and enhance overall well-being.
- Conduct comprehensive evaluations for diverse populations, including high performance athletes, community groups, and individuals with disabilities.
- Provide specialized interventions, including physical therapy, adaptive sports, athletic recovery, and performance-enhancing exercises.
- Work closely with coaches, physiotherapists, conditioning specialists, biokineticists, educational specialists, and other healthcare professionals.
- Supervise interns and support staff, ensuring exceptional care and training delivery across high-performance centers, community gyms, and rehabilitation clinics.
Wellness Intern
Sports Skills for Life Skills
01.2021 - Current
- As a wellness intern, I provided comprehensive healthcare and first aid support to athletes, prioritizing their safety and well-being. I collaborated with medical professionals to deliver holistic care and promoted community engagement through multiple initiatives.
- Provided immediate healthcare and first aid support during training sessions, matches, and events. - Collaborated with the club's medical team to develop and implement player rehabilitation plans.
- Utilized various techniques, including taping, icing, and therapeutic interventions, to enhance athlete recovery.
- Educated clients on proper ergonomics practices, preventing injuries and enhancing workplace well-being.
Medical Assistant (Locum)
Dr M V Setati Medical Practice
06.2020 - 12.2021
- Assisted physicians with minor surgeries, including preparing operating room and sterilising instruments.
- Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
- Enhanced patient care by recording vital signs and updating patient records including requesting additional clinical tools (X- rays; Blood pathology; Physical tests) to aid in patient care.
- Contributed to reduction in patient readmission rates by providing thorough discharge instructions and follow-up care including the management of Chronic Conditions ( Hypertension; Diabetes; HIV etc) .
- Conducted patient follow-up calls to monitor treatment progress and answer any questions.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Postgraduate Diploma - Public Health
University of Pretoria
PretoriaPostgraduate Certificate - Teaching (Life Orientation & Phys Ed)
Stadio Education
JohannesburgBachelor Of Arts (Health) Sport & Exercise Science - Human Performance & Disability
The University of the Western Cape
Cape Town12.2022
Bachelor of Sport Recreation & Exercise Science - undefined
The University of the Western Cape
Cape Town12.2021
Skills
- Health Care Expert
- Exercise Physiology Expert
- Physical Therapy
- First Aid and Preparedness Expert
- Community Health Expert
- Sports Science Expert
- Direct patient care
- Clinical documentation
- CPR
- Medical procedures
- Family education
- Diagnostic testing assistance
LANGUAGES
English Native speaker
IsiZulu Highly proficient
SeTswana Native speaker
IsiXhosa Very good command
SeSotho Very good command
SePedi Very good command
IsiNdebele Highly proficient
EXTRA-CURRICULAR ACTIVITIES
Jun 2019 — Dec 2022 Senior Radio Presenter , UDubs Radio (UWC) Cape Town Jun 2019 Debater, UWC Debating Society Cape Town Jan 2020 First aider , UWC Sport Cape Town Jan 2022 Travelling Medic, UWC Sport Cape Town
Affiliations
South African Council of Educators (SACE)
Register of Exercise Professionals South Africa (REPSA)
Timeline
Pre-Authorisations Consultant
Discovery Health
11.2023 - Current
Junior Sport Scientist
University of the Western Cape Sports
10.2021 - Current
Wellness Intern
Sports Skills for Life Skills
01.2021 - Current
Medical Assistant (Locum)
Dr M V Setati Medical Practice
06.2020 - 12.2021
Bachelor of Sport Recreation & Exercise Science - undefined
The University of the Western Cape
Postgraduate Diploma - Public Health
University of Pretoria
Postgraduate Certificate - Teaching (Life Orientation & Phys Ed)
Stadio Education
Bachelor Of Arts (Health) Sport & Exercise Science - Human Performance & Disability
The University of the Western Cape
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