Healthcare worker with passion for medical care

Interest: Science, Medicine, Clinical Research, clinical data science\r\nHobbies: Hiking, Travelling, Yoga, Reading, watching tv, The Opera, Swimming, Horse ridding.\r\n

Company: Discovery Limited\r\nPosition: Pre-Authorization Specialist \r\nPeriod: 1 February 2022 - 31 May 2022\r\nResponsibilities: Administrative Duties, Taking Team Meeting Minutes and other data capturing, Organising departmental emails by category and allocation tickets.\r\n● Knowledge of the DHMS plan types \r\n● Resolve complex customer issues by collaborating with other departments and finding appropriate solutions\r\n● Handle customer complaints and ensure customer satisfaction through efficient and effective problem-solving\r\n● Knowledge of the DHMS. Provide product and service information to customers\r\n● Knowledge of Authorization SOPs and protocols \r\n● Continuously monitor customer feedback to identify areas for improvement in our products and services\r\n● Maintain accurate member records and update them as necessary\r\n● Remote work (working from home since COVID-19 lockdown) \r\n● Authorizations overrides (approval & Cancellations) and loading of payment instructions \r\n● Wound Care Reviews (NPWT & VAC) and Authorizations \r\n\r\nCompany: Discovery Limited\r\nPosition: COVID-19 Clinical Specialist\r\nPeriod: 1 June 2020 - 31 January 2022\r\nResponsibilities: Offer Discovery round support, for confirmed and suspected cases for COVID-19, such as MSO (Medical Service Organizations) and Healthy Company for follow up care, organizing and scheduling of testing and emotional support if needed. \r\n● Responsible for Data Management and working with the Master Data\r\n● Ensuring data integrity is kept. \r\n● Administrative Duties, Taking Team Meeting Minutes and other data capturing, Organising departmental emails by category and allocation tickets.\r\n● Client Relationship Management (CRM) responsibilities\r\n● Overseeing, organising, storing and analysing data.\r\n● Email based member support and query resolutions. \r\n● Providing support and routine check-in on member recovery progress. \r\n● Follow-up on patient progress of admitted members with hospital Case Managers.\r\n● Track and Trace Oximeter orders and deliveries.\r\n● Contact tracing of both suspected and confirmed cases within Discovery (employees) \r\n● Report back to Team leader, Services Execs and HCM of each department affected \r\n● Advise of Return to work Dates for each affected employee in isolation \r\n● Follow-up on member after they have recovered to find out how their experience was and what we can do to better their experience. \r\n● Training new members of the team on processes and protocols of a COVID-19 Clinical Specialist.\r\n\r\nCompany: Discovery Limited\r\nPosition: Pre-Authorization Consultant\r\nPeriod: 1 July 2019 - 31 May 2020\r\nResponsibilities: \r\n● Loading and Approving authorization request \r\n● Respond to customer inquiries and requests through email, chat and phone in a courteous and professional manner\r\n● Provide advanced customer service to clients, addressing their needs and concerns effectively\r\n● Solid PMB knowledge in Hospital Benefits and Disease Risk Management Operations with Medical Scheme operational insight.\r\n● Administrative Duties, Taking Team Meeting Minutes and other data capturing, Organising departmental emails by category and allocation tickets.\r\n● Knowledge of the DHMS plan types \r\n● Resolve complex customer issues by collaborating with other departments and finding appropriate solutions\r\n● Handle customer complaints and ensure customer satisfaction through efficient and effective problem-solving\r\n● Knowledge of the DHMS. Provide product and service information to customers\r\n● Knowledge of Authorization SOPs and protocols \r\n● Continuously monitor customer feedback to identify areas for improvement in our products and services\r\n● Maintain accurate member records and update them as necessary\r\n\r\n