Senisha Perumal
Phoenix
Summary
I have 15 years' experience with medical billing and bureau environment. Detail-oriented professional with focus on deadlines. Fast and accurate billing. Extensive knowledge of GP, trauma and hospital billing. Up to date with scheme rules, ICD 10 codes, procedure codes and medical aid guidelines. Eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of daily tasks. Motivated to learn, grow and excel in the industry. Excellent work ethic and time management skills. Strive under pressure and adapt to new situations.
Overview
16
16
years of professional experience
Work History
Medical Claims Admininstrator
Healthbridge Bureau
09.2024 - Current
- Vetting of claims and submissions
- Claim rejections and reprocessing of claims
- Monthly reporting and age analysis for clients
- Patient liable - Emails and SMS
- Contacting medical schemes for payments and claims queries.
- Assisting with billing and medical coding queries.
- Contact: Reante Govender 071 524 6633
Medical Billing Administrator/ Team Leader
Medis Medical Bureau Services
03.2018 - 08.2024
- Capturing and processing of medical aid claims including electronic and paper claims
- Fixing rejections and resubmit claims
- Follow-up on unpaid accounts - inform the practices on shortfalls and unpaid accounts, SMS and email patients
- Query accounts with medical aids regarding unpaid claims
- Reconciling of remittances and cash payments
- Email daily and monthly transaction reports to clients
- Manage a team of 8 people - overseeing and delegating day-to-day tasks to ensure a smooth workflow
- Motivating the team and creating a positive work environment that is efficient
- Resolving queries within the team and queries that the client has.
- Keeping up to date with the latest medical industry rules and regulations
- Tracking team progress to maintain a balanced workflow
- Auditing of age analysis before month end reports are sent to clients
- Strategizing plans to ensure all claims and age analysis are completed by month end amd sent to all clients.
- Oversaw training and development programs to enhance team skills and knowledge.
- Analyzed trends in claim processing times and worked closely with staff members to reduce delays.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient
- Contact: Alan Baronet 072 784 4924, Linda Moodley 082 853 9938
Medical reception/Admin Manager
Dr K Govender (GP)
Durban
08.2017 - 02.2018
- Company Overview: Type of practice: General Practitioner
- Answering of phone
- Personal Assistant
- Admin and reception
- Authorizations
- Handled billing and coding, ran daily income sheets
- Verifying member benefits
- Updating patient records
- Reconciling payments
- Monthly financial reports
- Bad debts collection - Calling patients, printing of statements and emailing
- Type of practice: General Practitioner
- Contact: Dr K Govender 0837999912
Medical Billing Clerk
Medpro Practice Management
12.2008 - 07.2017
- Entering patients details on the database
- Capturing and processing of medical aid claims
- Admin and reception - answering calls, filing and queries
- Data capturing
- Liaising with medical aid
- Obtaining auth numbers and checking of funds
- Reconciling of payments
- Contact person: Ms Christine Hans 0315076719
Education
High School Diploma - Mathematics (HG), English (HG), Afrikaans (HG), Physical Sciences (HG), Accounting (HG), Business Studies (HG), Life Orientation (HG)
Foresthaven Secondary School
Phoenix12.2008
Skills
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- G Suite
- Claim processing
- Medical coding
- Team management
Personal Information
- ID Number: 9104050124081
- Driving License: Code 8
Timeline
Medical Claims Admininstrator
Healthbridge Bureau
09.2024 - Current
Medical Billing Administrator/ Team Leader
Medis Medical Bureau Services
03.2018 - 08.2024
Medical reception/Admin Manager
Dr K Govender (GP)
08.2017 - 02.2018
Medical Billing Clerk
Medpro Practice Management
12.2008 - 07.2017
High School Diploma - Mathematics (HG), English (HG), Afrikaans (HG), Physical Sciences (HG), Accounting (HG), Business Studies (HG), Life Orientation (HG)
Foresthaven Secondary School