Horse riding
Liandri Janse Van Rensburg
Medical Aid Claims Consultant And Chronic Department
Johannesburg
Summary
* Enthusiastic Medical aids Consultant eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of claims and training in Medical aid claims.
* Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
* Reliable employee seeking Medical aid claims position. Offering excellent communication and good judgment.
* Experienced claims consultant with over 7 years of experience in Medical industry. Excellent reputation for resolving problems and improving customer satisfaction.
* Dedicate Claims department and Chronic management professional with history of meeting company and patient goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
* Keen And Dedicated to Chronic patient needs and always thrive to advise and help them where i can
* Go the extra mile in everything I do
Overview
17
17
years of professional experience
3
3
Languages
Work History
Medical Aid Claims Consultant
Medizone Clinic
Vereeniging
03.2015 - Current
- Submitting Claims on a daily basis to the relevant Medical aids eg: GEMS, MEDSCHEME, UNIVERSAL, DISCOVERY, BESTMED, NATIONAL HEALTH GROUP, METROPOLITAN GROUP, MOMENTUM, MEDSHIELD, MEDIHELP,GENISIS GROUP,3SIXTY HEALTH just to name a few administrators
- Aiding the Doctor to manage and register HIV and Chronic patients
- Registering All Chronic Patients to designated chronic departments eg: Aid for aids, Live sense, Mediscor, Universal etc
- Assisting the Doctor with every six month follow up and reminding patients to consult and do bloodwork
- Sending all documentation and bloodwork to designated chronic departments
- Submitting daily consultations to the medical aids with correct ICD 10 CODES AND NAPPI CODES for medication supplied
- 2015- Started as Medical Receptionist at Medizone
- Worked in the Pharmacy assisting the Pharmacist with dispensing medication and stock and ordering of Medication
- Onboarded new temps by entering employee information into systems.
- Used Microsoft Word and other software tools to create documents and other communications.
- Developed and implemented performance improvement strategies and plans to promote continuous improvement.
- Maintained excellent attendance record, consistently arriving to work on time.
- Exceeded goals through effective task prioritization and great work ethic.
- Actively listened to customers' requests, confirming full understanding before addressing concerns.
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
- Increased customer satisfaction by resolving issues.
- Worked flexible hours across night, weekend and holiday shifts.
- Worked with customers to understand needs and provide excellent service.
- Received and processed stock into inventory management system.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Drove operational improvements which resulted in savings and improved profit margins.
- Prepared variety of different written communications, reports and documents.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
- Developed team communications and information for meetings.
- Monitored company inventory to keep stock levels and databases updated.
Real Estate Sales Agent
Tickleys Properties
Vereeniging
01.2020 - 05.2022
- Generated leads for sales and rental properties through cold calls and referrals.
- Negotiated between buyers and sellers of properties with efficiency and transparency to maximize profits and maintain satisfaction of clients.
- Sold properties and helping maximizing business revenue
- Educated clients looking to sell or buy on current market conditions, legal requirements, pricing and mortgages.
Model Scout
SA Beauty Photography
Sandton
01.2002 - 04.2009
- Planned and launched large-scale events that boosted employee participation by [Number]%.
- Improved office efficiency by effectively managing internal communications and correspondence.
- Worked alongside global business leader to deploy new training strategies.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration.
- Advocated for staff members, helping to identify and resolve conflicts.
- Planned, monitored and appraised employee work results by training managers to coach and discipline employees.
- Carried out day-to-day duties accurately and efficiently.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Prepared variety of different written communications, reports and documents.
- Partnered with departmental managers to ascertain hiring needs and subsequently provide candidate recommendations.
- Completed human resource operational requirements by scheduling and assigning employees.
Education
High School Diploma -
High School Sasolburg
Sasolburg 04.2001 -
Skills
Medical claims submission
Interests
Showjumping
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Show Jumper, Horse Rider
Own and train horses
Competing in Showjumping
Sanesa Instructor
Quote
Judge a man by his questions rather than his answers.
Voltaire
Timeline
Real Estate Sales Agent
Tickleys Properties
01.2020 - 05.2022
Medical Aid Claims Consultant
Medizone Clinic
03.2015 - Current
Model Scout
SA Beauty Photography
01.2002 - 04.2009
High School Diploma -
High School Sasolburg
04.2001 -
Show Jumper, Horse Rider
Own and train horses
Competing in Showjumping
Sanesa Instructor
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