Mpho Promise Mokoena
Palm Ridge Ext 1
Summary
Dynamic professional with extensive experience in client service, authorizations, and administrative functions, gained through collaboration with leading organizations. Proven ability to handle client queries, process documentation, liaise with professionals, and effectively resolve escalations. Strong interpersonal skills and proficiency in CRM and business systems facilitate success in both independent and team environments. Committed to clear communication, relationship building, and consistently meeting deadlines while upholding quality standards, ready to contribute to a forward-thinking organization.
Overview
17
17
years of professional experience
Work History
Client Service Consultant for Dental Authorization, Client service Consultant Network Leisure for Universal
Universal Health
- Contact Person: Richard Maleka
- 011 591 9101/073 541 7932
QA Consultant
PHA
10.2024 - Current
- Conduct quality assurance on pre-authorization and membership processes.
- Ensure compliance with company procedures and industry standards.
- Identify gaps, errors, and areas for improvement in case handling.
- Provide feedback to consultants and support training initiatives to improve accuracy.
- Maintain high standards of reporting and documentation for audit purposes.
Chronic Department Agent (Polmed)
Medscheme Holdings
03.2015 - 04.2019
- Registering Chronic Medication, over-ride of meds, advance supply, renewal of scripts, leasing with the pharmacist on approving of meds, assisting doctors with the coding of accounts, educating doctors on the ICD 10 codes, advising of tariff rates and dealing with escalations from the service providers.
- Reference: Hulisani Molautsi (Team Leader)
- Contact No: (011) 671 2970
Authorization Department, Client Service and Back office
Bonitas Medical Aid
01.2009 - 01.2015
- Reference: Noloyiso Bulelelwa Mazomba
- Team Leader
- Contact No: (011) 758 8708
- Reason for Leaving: Business adventures on property
Education
Certificate - Business Fundamental
Unisa
01.2010
Diploma - Call Centre Agent
Damelin Business School
01.2005
Grade 12 - South Sotho, English, Afrikaans, Business Economics, Economics and Accounting
E.D Mafole High School
01.1997
Skills
- Problem-solving
- Communication
- Pro-activeness
- Adaptability
- Ambition
- Analytical Thinking
- Building Relationships
- Decision Making
- Customer Orientation
Timeline
QA Consultant
PHA
10.2024 - Current
Chronic Department Agent (Polmed)
Medscheme Holdings
03.2015 - 04.2019
Authorization Department, Client Service and Back office
Bonitas Medical Aid
01.2009 - 01.2015
Client Service Consultant for Dental Authorization, Client service Consultant Network Leisure for Universal
Universal Health
Diploma - Call Centre Agent
Damelin Business School
Grade 12 - South Sotho, English, Afrikaans, Business Economics, Economics and Accounting
E.D Mafole High School
Certificate - Business Fundamental
Unisa