Summary
Overview
Work History
Education
Skills
Timeline
Generic
Moegamat Zain Roberts

Moegamat Zain Roberts

Operations Management
Diep River

Summary

An insightful manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends and regulatory requirements of industry operations. Analytical approach to business planning and day-to-day problem-solving. Collaborative with dedication to partnering with co-workers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.

Overview

27
27
years of professional experience
2
2
years of post-secondary education

Work History

Operations Manager

Down 2 Earth Rooted (Pty) Ltd
Diep River
01.2021 - Current
  • Set, enforced, and optimized internal policies to maintain responsiveness to demands.
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
  • Identified and resolved unauthorized, unsafe, or ineffective practices.
  • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
  • Introduced new methods, practices, and systems to reduce turnaround time.
  • Devised processes to boost long-term business success and increase profit levels.
  • Developed systems and procedures to improve operational quality and team efficiency.
  • Increased profit by streamlining operations.
  • Analyzed and reported on key performance metrics to senior management.

Reception Manager –Admin Clerk, Filing Clerk, Private Ledger Clerk

Life St. Vincent Pallotti Hospital
03.2020 - Current
  • Admission & Emergency Unit Clerks, Managing a compliment of 21 staff members / 4 departments
  • Recruitment of staff in line with employment equity requirements
  • Ensuring and maintaining that all patient services metric targets are met
  • Define and Implement action plans for gaps identified
  • Ensure effective ethical / business practice in all 4 departments through weekly meetings, and quality assurance spot checks
  • Maintaining compliance in all reception working procedures to the required SLA’s
  • Ensure motivation of staff at all times to ensure best performance
  • Manage & Identifying risk through trend analysis
  • Ensuring that the values and visions of Life Healthcare are enforced through the service provided to our clients
  • Constantly working hand in hand with the Patient services manager to ensure positive monthly goal achievements
  • Providing quarterly training sessions for staff to ensure that information retained is up to date with all or any changes made
  • Conducting Bi –annual performance appraisals to evaluate staff performance
  • Ensure management of possible risk in relation to short falls and deductibles in line with funder benefit rules
  • Ensure all transactional processing is managed in relation to the Human Resources / Employee Benefits: i.e
  • Remuneration, leave and overtime, etc
  • Support initiatives for retention of staff and champion staff through constant reward and recognition
  • Attending RSRT/Cost monthly meeting with all departmental heads to discuss concerns and possible ways to reduce/avoid monetary risk to the business, formulary / negotiation compliance, profits and loss
  • Working hand in hand with Patient Services Manager in relation to the annual in-house contractual agreements and fee structure increases
  • Editing accommodation(W7) on the Impilo system after receiving the 2 over 1 sign off documentation
  • Effecting patient discounts on system upon approval – 2 over 1 sign off approval applicable
  • Upheld confidentiality of information to avoid potential data breaches and client lawsuits.
  • Optimized information gathering and presentations with implementation of practical filing system.
  • Oversaw file room operations for 2 employees and streamlined workflows to promote quicker turnaround.
  • Tracked incoming and outgoing files and materials and maintained accurate records for potential discrepancies.
  • Oversaw file room operations for [Number] employees and streamlined workflows to promote quicker turnaround.
  • Managed sensitive or confidential files with attention to data security and storage policies.
  • Compiled and inventoried documents for archival.
  • Developed and maintained relationships with customers and suppliers through account development.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Onboarded new employees with training and new hire documentation.
  • Accomplished multiple tasks within established timeframes.
  • Cross-trained existing employees to maximize team agility and performance.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Improved marketing to attract new customers and promote business.
  • Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
  • Successfully managed budgets and allocated resources to maximize productivity and profitability.
  • Planned, created, tested and deployed system life cycle methodology to produce high quality systems to meet and exceed customer expectations.
  • Launched quality assurance practices for each phase of development
  • Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.

Reception & Admin Manager

Melomed Tokai Private Hospital
Diep River
03.2016 - 06.2019
  • Manage Porters , Drivers, Admission & 24HR Emergency Unit Clerks, Banking, Petty Cash and Doctors Sessional Rooms
  • Initiated and set up the admissions/trauma/porter processes since inception
  • Part of the MANCO team for the commissioning of the hospital
  • Managing a compliment of 26 staff/4 departments
  • Recruiting/training existing and new staff
  • Buying of furniture/assets for the various departments, including doctor suites
  • Managing telephone systems for hospital and doctors rooms
  • Managing the PABX services and SLA’s with service provider
  • Managing the driver log process and ensure maintenance uphold of assets
  • Banking daily cash intake, payment allocations and reconciliation
  • Managing petty cash, issuing and reconciliation process
  • Ensuring and maintaining all patient services metric targets are met
  • Define and Implement action plans for gaps identified
  • Facilitate the patient refund process from start to finish
  • Ensure effective ethical / business practice in all 4 departments through weekly meetings, and quality assurance spot checks
  • Generate patient estimate quotations for all private paying patients
  • Maintaining compliance in all reception working procedures to the required SLA’s
  • Ensure motivation of staff at all times to ensure best performance
  • Managing a staff allocation for 24hr cover
  • 24/7 on call support to all admission/trauma staff & drivers
  • Manage & Identifying risk through trend analysis
  • Managing private patient ledger and ensure sufficient funding
  • Manage foreign patient insurances and constant liaising with service providers abroad
  • Marketing the hospital via GP/specialist referral practices
  • Facilitate GP/specialist events –talks & presentations
  • Liaising with specialists daily in relation to funder concerns, patient admission coding and letters of motivations
  • One on One visits with surrounding GPs marketing the facilities offered at our hospital
  • Arranging doctor CME talks and lunches
  • Managing foreign funding and facilitating funding transfers
  • Ensuring efficiencies/ with ward/pharmacy billing
  • Working hand in hand with case managers/ Admin manager to ensure best operating practice
  • Leveraged experience through vital management positions guiding business to success.
  • Monitored internal controls to protect client facilities and assets.
  • Formulated analysis assessments to make informed decisions on proposed projects.
  • Streamlined company processes and procedures while enhancing customer satisfaction.

Reception Manager –Admin Clerk, Filing Clerk, Private Ledger Clerk

Kingsbury & Claremont Hospital, Town
Cape
01.2010 - 02.2016
  • Managing a compliment of 21 staff members / 4 departments
  • Recruitment of staff in line with employment equity requirements
  • Ensuring and maintaining that all patient services metric targets are met
  • Define and Implement action plans for gaps identified
  • Ensure effective ethical / business practice in all 4 departments through weekly meetings, and quality assurance spot checks
  • Maintaining compliance in all reception working procedures to the required SLA’s
  • Ensure motivation of staff at all times to ensure best performance
  • Manage & Identifying risk through trend analysis
  • Ensuring that the values and visions of Life Healthcare are enforced through the service provided to our clients
  • Constantly working hand in hand with the Patient services manager to ensure positive monthly goal achievements
  • Providing quarterly training sessions for staff to ensure that information retained is up to date with all or any changes made
  • Conducting Bi –annual performance appraisals to evaluate staff performance
  • Ensure management of possible risk in relation to short falls and deductibles in line with funder benefit rules
  • Ensure all transactional processing is managed in relation to the Human Resources / Employee Benefits: i.e
  • Remuneration, leave and overtime, etc
  • Support initiatives for retention of staff and champion staff through constant reward and recognition
  • Attending RSRT/Cost monthly meeting with all departmental heads to discuss concerns and possible ways to reduce/avoid monetary risk to the business, formulary / negotiation compliance, profits and loss
  • Working hand in hand with Patient Services Manager in relation to the annual in-house contractual agreements and fee structure increases
  • Editing accommodation(W7) on the Impilo system after receiving the 2 over 1 sign off documentation
  • Effecting patient discounts on system upon approval – 2 over 1 sign off approval applicable, Confirmations
  • Validating of authorisation and procedure
  • Confirming length of stay
  • Liaising with doctors’ rooms, medical aids as well as patients
  • Requesting motivation letters from doctors
  • Maintaining SLA with all clients i.e.: doctors, patients and medical aids
  • Relieve the confirmations clerk when not available or on annual leave
  • Developed and maintained relationships with customers and suppliers through account development.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Onboarded new employees with training and new hire documentation.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Accomplished multiple tasks within established timeframes.
  • Managed and motivated employees to be productive and engaged in work.
  • Assisted in organizing and overseeing assignments to drive operational excellence.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.

Bill Auditor, IT Support

Kingsbury & Claremont Hospital
Cape Town
01.2007 - 12.2010
  • Cape Town
  • Systems &, Logging of all calls to helpdesk
  • Resetting of server/network points
  • Maintenance of Fibre optic cabling and ADSL backup support
  • Assisting with hardware & software related issues
  • Maintaining of SLA with all customers in line with contractual agreements
  • Systems support for doctors and all other clients(eg: radiology)
  • Uploading data onto company website
  • Setting up hardware and desktop support
  • Assist with server related issues
  • Maintaining LAN structure and support
  • Used ticketing systems to manage and process support actions and requests.
  • Assisted customers in identifying issues and explained solutions to restore service and functionality.
  • Collaborated with supervisors to escalate and address customer inquiries or technical issues.
  • Promoted efficiency among departments with prompt resolution of system issues.
  • Documented support interactions for future reference.
  • Set priorities and problem-solved workflow issues to maintain rapport with customers and managers.
  • Created and implemented maintenance plans for customer accounts to secure customer satisfaction and reliability.
  • Developed and implemented procedures for responding to customer inquiries and resolving technical issues.
  • Provided technical support to customers, troubleshooting technical issues and providing solutions.

Bill Auditor & Private and Foreign Quotes Consultant / Managing, clerk

Kingsbury & Claremont Hospital
Cape Town
06.2007 - 12.2009
  • Reporting on the integrity of the billing process, from pre-admissions through to submissions of accounts
  • Auditing of all patients folders
  • Ensuring our SLA are met while enforcing the four main billing agreements with our service providers
  • Ensuring the accuracy of ICD10 & CPT4 coding
  • Establish a report of trending in short payments
  • Ensure correct billing process is working efficiently and effectively and correctly enforced
  • Identify weaknesses and recommend corrective action where need be
  • Review hospital cases on daily basis with a view to express and report an opinion thereon
  • Meet SLA of 95% in line with the business plan and individual JPM / Job Description documents
  • Utilising my part clinical knowledge and understanding of the hospital industry and its practices to evaluate all patient billing
  • Calculating costing for hospitalization for all private, foreign and medical insurance patients
  • Authorizing discounts on private and foreign accounts
  • Stand -In to the Patient Services Manager- when not available or on annual leave
  • Managing of staff – Filing and submissions clerk
  • Adhering and ensuring budgets are adhered to
  • Buying of stationery and liaising with suppliers, to negotiate better rates
  • Negotiating of fee structure with medical reps, doctors and pharmaceutical suppliers in order to maintain competitive standards in terms of Medical care for our patients.

Bill Auditor

Kingsbury & Claremont Hospital
Cape
10.2007 - 12.2008
  • Town
  • Clinical ICD10 & CPT 4 coding – Private, Foreign and WCA accounts
  • Coding of all Emergency unit, In-patient and out-patient accounts
  • Liaising with medical insurance for further updates in order to obtain an extended length of stay
  • Indentify trends in gains and losses against contractual fees
  • Indentify areas where losses occur and where further increased efficiencies are needed
  • Implement corrective actions
  • Monitor patient’s account during the hospital stay
  • Monitor patient’s stay to ensure complete payment of patient’s account

Relief Ward Secretary

Kingsbury & Claremont Hospital
Cape
01.2005 - 01.2007
  • Charging of various ward/theatre stock to patient folder
  • Ordering ward/theatre stock
  • Monitoring variances of stock
  • Weekly spot checks on ward variances and report analysis feedback
  • Arranging x-rays/bloods with in-house departments
  • Arranging follow-up appointments for patients
  • Monitoring consignment stock in ICU/HIGH CARE
  • Charging of various equipment usage in relation to scheme rules and in-house contractual agreements
  • Census reporting twice daily
  • Re-routing of patient calls

Admissions Clerk

Kingsbury & Claremont Hospital
Cape Town
05.2002 - 12.2004
  • Admission of patients on Imeds systems
  • Processing of statements of accounts and submissions of accounts to schemes electronically
  • Obtaining authorisation from all medical aid schemes and medical insurance
  • Responsible for training colleagues in the use of Imeds systems and admissions process
  • Responsible for training of new admissions clerks in the administrative procedure of the department
  • Ensuring that discharges of patients are performed and that all service categories are correct
  • Managing cash receipt books and cash protocol to ensure all patient payments are maintained in line with company policy
  • Presenting a friendly and helpful disposition at all times
  • Meeting all SLA to all clients i.e.: doctors, patients, medical reps, medical aids,etc
  • Relieve reception supervisor, when on annual leave and not available
  • Calculating estimated costing for hospitalisation for all private paying patients, as well as foreign patients.

Claims Assessor

Metropolitan Health Group
Cape Town
09.1997 - 12.1999
  • Assessing of all staff claims for all practices, in conjunction with scheme rules and benefit schedules and SLA’s
  • Meeting the agreed claim stats / targets per day
  • Be vigilant of fraudulent claims
  • Attend to telephonic queries

Membership Clerk

Medscheme
Port Elizabeth
01.1996 - 08.1997
  • Uploading of all new members and dependents information
  • Issuing medical aid cards
  • Attending to walk-in queries as well as telephonic queries
  • Maintaining efficient service levels and adhering to deadlines

Education

Business Management (NQF 6) Business Analyst Manag

Novia One Business School
Cape Town
04.2022 - 05.2022

Business Management (NQF5) - Generic Management

Novia One Business School
Cape Town
01.2021 - 10.2021

Completion of Front Line Managements Course – Life Healthcare - Front Line Management

Life KIngsbury & Claremont Hospital
Cape Town
01.2021 - 01.2022

Completed the Clinical ICD 10 and CPT4 coding course with case managers Y2010 – Revised course completed -

Life Kingsbury & Claremont Hospital
07.2014 - 12.2014

Advanced IR Training -

Life Kingsbury & Claremont Hospital
01.2014 - 02.2014

Completion of Disaster Risk Management – Warden Course (Evacuation, Fire Aspects, Control 7 Communication - undefined

Completed Life Skills Course - undefined

Completed Atlas Fired Security course - undefined

Skills

    Business Development

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Timeline

Business Management (NQF 6) Business Analyst Manag

Novia One Business School
04.2022 - 05.2022

Operations Manager

Down 2 Earth Rooted (Pty) Ltd
01.2021 - Current

Completion of Front Line Managements Course – Life Healthcare - Front Line Management

Life KIngsbury & Claremont Hospital
01.2021 - 01.2022

Business Management (NQF5) - Generic Management

Novia One Business School
01.2021 - 10.2021

Reception Manager –Admin Clerk, Filing Clerk, Private Ledger Clerk

Life St. Vincent Pallotti Hospital
03.2020 - Current

Reception & Admin Manager

Melomed Tokai Private Hospital
03.2016 - 06.2019

Completed the Clinical ICD 10 and CPT4 coding course with case managers Y2010 – Revised course completed -

Life Kingsbury & Claremont Hospital
07.2014 - 12.2014

Advanced IR Training -

Life Kingsbury & Claremont Hospital
01.2014 - 02.2014

Reception Manager –Admin Clerk, Filing Clerk, Private Ledger Clerk

Kingsbury & Claremont Hospital, Town
01.2010 - 02.2016

Bill Auditor

Kingsbury & Claremont Hospital
10.2007 - 12.2008

Bill Auditor & Private and Foreign Quotes Consultant / Managing, clerk

Kingsbury & Claremont Hospital
06.2007 - 12.2009

Bill Auditor, IT Support

Kingsbury & Claremont Hospital
01.2007 - 12.2010

Relief Ward Secretary

Kingsbury & Claremont Hospital
01.2005 - 01.2007

Admissions Clerk

Kingsbury & Claremont Hospital
05.2002 - 12.2004

Claims Assessor

Metropolitan Health Group
09.1997 - 12.1999

Membership Clerk

Medscheme
01.1996 - 08.1997

Completion of Disaster Risk Management – Warden Course (Evacuation, Fire Aspects, Control 7 Communication - undefined

Completed Life Skills Course - undefined

Completed Atlas Fired Security course - undefined

Moegamat Zain RobertsOperations Management