Summary
Overview
Work History
Education
Skills
Schooling
First Names
Personal Information
Certification
Timeline
Generic

Thabane Sthembiso Mhlongo

Non-Clinical Pre Authorizations Consultant
Durban

Summary

Experienced and enthusiastic Consultant with a proven track record of success in diverse industries. Demonstrates exceptional interpersonal, problem-solving, and analytical skills to deliver valuable advice and expertise to client organizations, driving improvements in business performance. Proficient in operations, strategy, and finance. Adept at identifying growth opportunities and implementing effective solutions to optimize organizational efficiency.

Effective advisor communicates well with people of all ages and backgrounds. Excellent eye for detail enabling quick identification of areas for improvement and suggesting strategies to help businesses reach goals.

Overview

9
9
years of professional experience
6047
6047
years of post-secondary education
1
1
Certification
1
1
Language

Work History

Non-clinical Pre Authorizations Consultant

Momentum Health Solutions
04.2025 - Current
  • Collaborated with cross-functional teams to successfully deliver comprehensive solutions for members and services providers.
  • Managed client relationships through regular check-ins and updates on medical progress.
  • Loading in-hospital authorization for members and confirm benefits.
  • Liaising with service providers and members through telephone to better understand member needs and recommend appropriate solutions.
  • Confirming dental benefits, processing claims and loading auths.
  • Confirming metal wellness program benefits.
  • Calling members identified by the system to introduce back and neck program.

Disease Risk Management -Admin Assistant

Momentum Health Solutions
01.2021 - Current
  • Registering members on the maternity programme
  • Experienced in Chronic Disease Management and oncology related queries
  • Indexing the incoming documents to the correct route
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Boosted team productivity by managing communication channels and ensuring timely responses to inquiries.
  • Answered multi-line phone system, routing calls

2IC - Second in command:

  • Identify system issues and escalating to the relevant department
  • Ensuring adherence internal & external Service levels and turnaround times.
  • Identify learning gaps.
  • Ensuring that staff members are kept abreast of all changes within the Business or amendments to SLAs.
  • Leave management and analysis of the Power BI dashboards from HC to make strategic and operational decision.
  • Enhanced office environment, organizing spaces for better workflow and employee comfort.

HIV Programme Administrator

Thebe Health Risk Management (Administrating GEMS contract -HIV department)
08.2016 - 12.2020
  • Typing and taking of minutes during meetings, document scanning, photocopying, laminating, e-mailing & browsing, booking of flights and accommodations and process of payments, ordering of stationary, consolidation and compiling of report, data capturing
  • Ordering office equipment, welcoming the visitors, maintaining boardroom, receiving calls/maintaining switchboard, maintaining of CEO calendar, processing the letters to members
  • Post emailing, working as call centre agent (doing outbound and inbounds calls to and from the members) and processing of invoices
  • Call Centre- Ad hoc Phone call- welcoming members on the programme, assisting the members on non clinical queries and member counseling (HIV Counseling and Testing and Adherence Counseling)
  • Company newsletter editor
  • Empowerment committee member
  • Fun at work committee member
  • Health and Safety Occupational Health committee member
  • Training newly equipped Administrative Assistants on HIV/AIDS management and the organization system

Admin Co-ordinator

Siyabonga Multi-Purpose & Telecentre
01.2016 - 08.2016
  • Typing of letter/documents
  • Scanning, Photocopying and E-mailing & Browsing, booking of flights, accommodations, and process of payments, ordering of stationary, office equipment, welcoming the visitors, monitoring boardroom, receiving calls, monitoring of Project Manager’s calendar
  • Office skills facilitator- groomed to facilitate on the basic knowledge and understanding of HIV/AIDS in a workplace and its effects on a business sub-sector, own organization, and specific workplace

Education

High School - IsiZulu (home language), English (1st additional language), Mathematical Literacy, Tourism, History, Geography, Life Orientation

Thathunyawo High School
12-2014

End-User Computing and Office Administration - End-User Computing, Office Administration

Siyabonga Multi-Purpose & Telecentre
04-2016

HIV testing and counselling - HIV testing and counselling, Voluntary counselling and testing, Initiating evaluation and staging, Antiretroviral, Mother-to-child HIV transmission prevention, Post-Exposure Prophylaxis (pep), Pre-Exposure Prophylaxis, Pre-HIV test counselling, Post-HIV test counselling

Foundation For Professional Development (FPD)
09-2016

Skills

  • Self-motivated
  • Excellent written and verbal communication
  • Self-disciplined, responsible, determined, hardworking and assertive
  • Capable of interacting at high level
  • Possess excellent planning and organizing skills
  • Computer literate
  • Quality assurance
  • MS office
  • Team leadership & development
  • Staff management
  • Great attention to details
  • Great interpersonal skills with ability to communicate well and accurately at all levels

Schooling

  • Thathunyawo High School, 12, IsiZulu (home language), English (1st additional language), Mathematical Literacy, Tourism, History, Geography, Life Orientation, 2014
  • Siyabonga Multi-Purpose & Telecentre, End-User Computing and Office Administration, End-User Computing, Introduction to Computer, Typing Skills, Ms-Word, Ms-Excel, Ms-PowerPoint, Internet (Emailing & Browsing), Office Skills, Function in a business environment, Work as a project member, Implement project administration processes according to requirements, Demonstrate knowledge and understanding of HIV/AIDS in a workplace, Monitor and control the maintenance of office equipment, 2016
  • Foundation for Professional Development (FPD), HIV testing and counselling, Voluntary counselling and testing, Initiating evaluation and staging, Antiretroviral, Mother-to-child HIV transmission prevention, Post-Exposure Prophylaxis (pep), Pre-Exposure Prophylaxis, Pre-HIV test counselling, Post-HIV test counselling, 2016

First Names

Thabane Sthembiso

Personal Information

  • ID Number: 9412105926081
  • Health Status: Good
  • Date of Birth: 12/10/94
  • Gender: Male
  • Nationality: South African
  • Marital Status: Single

Certification

Report Writing and Email Etiquette

Timeline

Non-clinical Pre Authorizations Consultant

Momentum Health Solutions
04.2025 - Current

Report Writing and Email Etiquette

11-2024

Disease Risk Management -Admin Assistant

Momentum Health Solutions
01.2021 - Current

HIV Programme Administrator

Thebe Health Risk Management (Administrating GEMS contract -HIV department)
08.2016 - 12.2020

Admin Co-ordinator

Siyabonga Multi-Purpose & Telecentre
01.2016 - 08.2016

High School - IsiZulu (home language), English (1st additional language), Mathematical Literacy, Tourism, History, Geography, Life Orientation

Thathunyawo High School

End-User Computing and Office Administration - End-User Computing, Office Administration

Siyabonga Multi-Purpose & Telecentre

HIV testing and counselling - HIV testing and counselling, Voluntary counselling and testing, Initiating evaluation and staging, Antiretroviral, Mother-to-child HIV transmission prevention, Post-Exposure Prophylaxis (pep), Pre-Exposure Prophylaxis, Pre-HIV test counselling, Post-HIV test counselling

Foundation For Professional Development (FPD)
Thabane Sthembiso MhlongoNon-Clinical Pre Authorizations Consultant