CV, Medical Claims Specialist Seeking Job in the UK

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Serial No: 37604

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Skills keywords: admin, cashier, child caring, media and design, medical claims specialist, sales

Short Bio:

I am a hard working, and career driven young woman. My goal in life is to be successful in a career that I enjoy. I enjoy anything that has to with creativity. I am currently employed as a medical claims specialist, for Metropolitan Health. My journey started with a learner ship, then an Internship and I was then offered a permanent position, in which I had an interview and was successful. I have learnt a lot in this industry, but would like to broaden my knowledge and increase my skill set.

Current location:  Cape Town, South Africa - View on map

Nationality: South African

Preferred Sector of Employment:  media and design, Admin and Clerical, Medical and Nursing

Spoken languages: english

Location I am interested in working: Anywhere

Education

Grassy Park High School, Highest Grade Passed : Grade 12

Year Passed : 2010

Subjects

• English
• Afrikaans
• Life Orientation
• Business Studies
• Economics
• History

Experience: 

Company : Metropolitan Health (GEMS)

Position : Internship (Claims Specialist)

Period : May 2014 – March 2015

Position : Medical Claims Specialist (Permanent)

Period : May2015 – Current

Skills Acquired:

• Medical claims assessing

• Loading of medical appliance filters

• Reversal and rejection of medical claims

• Completing stale claim templates ( Medical claims older than 4 months)

• Receiving calls to assist with claims

• Communication

• Team work

• Data accuracy

• Reflections

• Solving queries

• Accuracy

• Time keeping

• House keeping

• Stake holder relations

• 2-IC duties

• Working on a system (EG) that requires 7 hours and 30 minutes of work to be completed for the day

• Solving queries via email

• Meeting targets

Company : Aroma Drop In

Position : Cashier

Period : 4 Month contract (February 2011-May 2011)

Skills Acquired

• Accuracy

• Client Centricity

• Communication skills

• Teamwork

• Time Keeping

• Stock Tacking

• House keeping

Company : Metropolitan Health

Position : Claims Assessing Learner ship

Period : June 2013- May 2014

• Membership and Contributions

• Introduction to Healthcare

• MS Excel 2010 Basic

• Relating Screens

• GEMS pricing

• ICD 10 codes

• GEMS benefits

• GEMS call centre fundamentals

• GEMS business partners

• Workers Academy: Medical Claims Assessing Programme

 Training:

• Claims assessing

• Claims school

• Claims screens

• Client services screens

• GEMS specific training

• Introduction to healthcare

Department Experience:

• Claims Department

Position : Claims Specialist

• Ex Gratia

Position : Assisstant Administrator

• Call Centre- CSA

Position : Buddying

Skills Acquired

• Accuracy

• Data Accuracy

• Team work

• Time Keeping

• House keeping

• Communication

• Navigating screens

• Reflections

• Data Capturing

• Solving Queries

• Stakeholder Relations