Veejandra Chotoo
Pre Authorization Agent
Benoni
Summary
Dynamic professional with over 22 years of experience in healthcare administration and customer service, excelling in roles that bridge the gap between patients and insurance providers. Expertise in understanding complex insurance policies and pre-authorization requirements, ensuring seamless communication with healthcare professionals and patients alike. Proven ability to maintain data accuracy and organization, reinforcing operational efficiency. Strong problem-solving skills enable effective resolution of pre-authorization challenges, fostering positive outcomes for all stakeholders. Committed to delivering exceptional service and support in fast-paced environments
Overview
31
31
years of professional experience
1989
1989
years of post-secondary education
Work History
Supervisor
Medpro Healthcare
01.2017
- Sales
- Office Administration
- Marketing
- Administrator of the Web Page
- Administrator of the Facebook Page
- Customer care services
Claims supervisor
Propriety Health-X Press Medical Aid Fund
01.2005
- This is the place for a brief summary of your key responsibilities and most stellar accomplishments
Market Events Coordinator
- Current
Owner and Manager
Nataraj Spice Emporium
01.2012 - 01.2015
- Company Overview: [DUE TO MALL INTERVENTION HAD TO CLOSE]
- Service customers on a daily basis
- Sales
- Credits and stock control
- Client liaisons directly with retail and wholesale
- Administrative duties and orders
- Knowledge of sales of point systems
- Buying stock
- Managing stock
- [DUE TO MALL INTERVENTION HAD TO CLOSE]
Service consultant
Fresenius Kabi
01.2011 - 01.2012
- Dispense medication via Syspro programme to govt
- Hospitals
- Service hospitals on a daily basis
- Solving queries
- Credits and stock control
- Client liaisons directly with patients and nurses
- Administrative duties and practice orders
- Knowledge SYSPRO
Oncology service consultant
Questmed Pharmaceuticals
01.2009 - 01.2011
- Dispense oncology medication via CKS Unisolve programme
- Service practices on a daily basis
- Medical claims and solving queries and benefits with medical aids
- Credits and stock control
- Client liaisons directly with patients and nurses
- Administrative duties and practice orders
- CKS Unisolve knowledge and SYSPRO
Manager
S.N Tar Driveways
01.2005 - 01.2009
- Site management
- Supervise, manage and control earthwork preparation
- Supervise manage and control preparation and laying of hot pre-mix asphalt
- Safety management of staff
- Quotation and client liaisons
- Administrative duties
- Manage and oversee payroll
Client retention officer/ customer liaisons officer
Propriety Health-X Press Medical Aid Fund
01.2003 - 01.2005
- Work with existing brokerages affiliated with Prosperity Health to maintain their existing members
- Assist consultant with services rendered
- Create and implement protocol procedures to maintain the smooth operation of information control
- Control monthly debit reports to ascertain member and financial loss to company
- Handle claims queries
- Assist in design of company brochures
- Regularly distribute copies of advertisements and features
- Maintain client files
- Maintain regular contact with clients and brokers
- Distribute materials for display on internal notice boards
- Assist in member complaint against broker fraud and cause of resignation
Administrative clerk/sales of medical products
Telg-africa medical aid management and financial services
01.2000 - 01.2003
- Claims and broker queries
- Sales
- Receipt and payment of claims
- Reconciliation of medical savings account and various medical aid claims
- Confirmation of membership, waiting periods etc
- Benefit option changes
- Tax certificates
- Registration of chronic medication
- Payment of foreign accounts
- Compile and distribute correspondence to members and brokers
- Issuing of membership certificates
- Training on product design, policies and procedures
- Tracking of weekly and monthly sales
Fraud broker
Telg-africa medical aid management and financial services
01.2000 - 01.2003
- Handle queries pertaining to fraudulent activities
- Assist members with cases against brokers in order to refund member contributions
- Work directly with Persal credit control assist in member refund due to fraud
- Work directly with Medcheme broker to assist in irregularities in service supplier payments
Marketing assistant
Telg-africa medical aid management and financial services
01.2000 - 01.2003
- Handle all queries pertaining to brokers who fraudulently sign on members
- Assist members to open case against broker in order to refund member contributions
- Work directly with Persal credit control to assist in member refund due to fraud
- Sell medical aid products as extra commission incentive
- Communicate with staff internally, pertaining to new products and broker correspondence
- Ensure that relevant documentation is handed to brokers and staff
- Design product brochures
- Analyze and create breakdown of various medical options on excel
- Design and coordinate various pamphlets for external marketing
- Print brochures and certificates
- Design and print business cards and complaints for all directors and brokers
- Research new medical aid products for future business
- Offer solutions to create new business ideas
- Create all relevant documents as per management request
- Search the net to compile design and pictures for brochures
- Reconciliation of MSA for Discovery Health members
- Create power point presentations
- Coordinate mini-seminars for marketing manager
- Prepare scheme comparisons for brokers, members and internal staff
- Provide technical support to the marketing department
Administrative clerk
N17 private hospital
01.1997 - 01.2000
- General administration
Administrative clerk
Actonville Private hospital
01.1994 - 01.1997
- Manage casualty department administration
Education
Grade12 -
Liverpool Secondary School
Actonville, South Africa12-1989
Skills
Customer service
Team building
Attention to detail
Relationship building
Priority management
Processes and procedures
Self motivation
Excellent communication
Adaptability and flexibility
Professionalism
Education - Secondary Education
Standard 10, 1989, Liverpool Secondary School, Actonville
Current Activity
I am currently doing market events at Rosebank Sunday Market, the Glen Fresh Market and Four ways Farmers Market.
Self Profile
Adaptable and enthusiastic researcher, able to work independently or as part of a team
Timeline
Supervisor
Medpro Healthcare
01.2017
Owner and Manager
Nataraj Spice Emporium
01.2012 - 01.2015
Service consultant
Fresenius Kabi
01.2011 - 01.2012
Oncology service consultant
Questmed Pharmaceuticals
01.2009 - 01.2011
Claims supervisor
Propriety Health-X Press Medical Aid Fund
01.2005
Manager
S.N Tar Driveways
01.2005 - 01.2009
Client retention officer/ customer liaisons officer
Propriety Health-X Press Medical Aid Fund
01.2003 - 01.2005
Administrative clerk/sales of medical products
Telg-africa medical aid management and financial services
01.2000 - 01.2003
Fraud broker
Telg-africa medical aid management and financial services
01.2000 - 01.2003
Marketing assistant
Telg-africa medical aid management and financial services
01.2000 - 01.2003
Administrative clerk
N17 private hospital
01.1997 - 01.2000
Administrative clerk
Actonville Private hospital
01.1994 - 01.1997
Market Events Coordinator
- Current
Grade12 -
Liverpool Secondary School
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