Rihahizee Tuvare
BLACKBURN,UNITED KINGDOM
Summary
Compassionate and reliable individual with strong communication and teamwork skills, coupled with background in customer service and caregiving. Proficient in maintaining patient confidentiality and providing emotional support. Eager to make positive impact in healthcare support work role.
Overview
2
2
years of professional experience
Work History
Medical Claims Co-ordinator
Kalafhi Medical Center
Gaborone, Botswana
07.2022 - 08.2023
- Medical coding and claims billing using the correct ICD 10 and CPT codes
- Maintained up-to-date knowledge of changing insurance policies and regulations affecting medical claims.
- Liaised with healthcare professionals to gather necessary documentation and information for claim processing.
- Assisted patients in understanding their insurance policies and explaining their responsibilities for payment.
- Reviewed patient records for accuracy before claim submission, minimising errors and delays in reimbursement.
- Coordinated submission of medical claims to various insurance companies, adhering to strict deadlines and protocols.
- Monitored claim status through insurance company portals, keeping patients informed of any updates.
- Streamlined claims processing procedures, reducing average processing time and improving cash flow.
- Participated in multi-disciplinary team meetings to discuss complex cases and strategise on claim submissions.
- Managed confidential patient information with utmost discretion, in compliance with data protection laws.
- Developed and implemented efficient tracking systems for managing the lifecycle of each claim.
- Audited processed claims to identify and rectify inaccuracies in billing and coding practices.
- Provided detailed reports on claim outcomes, highlighting trends, challenges, and opportunities for improvement.
- Collaborated with IT department to troubleshoot and enhance medical billing software capabilities.
HIV TESTING & COUNSELINGS Intern Officer
Tebelopele Wellness Clinic
Francistown, Botswana
10.2021 - 07.2022
- Provide counseling and support to help clients cope with their diagnosis
- Health promotion talks to induce healthy lifestyle choices and prevent the spread of diseases
- Provide referrals to other health and social services
- (Francistown)
- Participated in community outreach programmes, representing the company and strengthening community relations.
- Conducted market research to support project initiatives, compiling and analysing data for team review.
- Handled phone calls and responded to emails on behalf of staff, keeping senior members free to focus on larger issues.
- Inputted key metrics on spreadsheets to maintain updated information.
- Assisted in organising and planning corporate events, contributing to successful execution and attendee satisfaction.
Education
Advanced Certificate - HIV&AIDS Counselling and Testing
Tebelopele College
Bachelor of Science - Health Promotion & Education
Boitekanelo College
Certificate of Higher Education - HEALTHCARE ASSISTANT/SUPPORT WORKER
FLORENCE ACADEMY
UNITED KINGDOM 10.2024 - 11.2024
Skills
- Claims processing
- Stop loss
- Results oriented
- Analytical thinking
- Strong work ethic
- Team player
- Computer literate
- Assertive
- Decisive
- Good communication skills
- Strong organizational skills
- Exceptional leadership skills
- Time management skills
- Good customer service skills
- Medical terminologies
Languages
English
Setswana
References
References available upon request.
Timeline
Certificate of Higher Education - HEALTHCARE ASSISTANT/SUPPORT WORKER
FLORENCE ACADEMY
10.2024 - 11.2024
Medical Claims Co-ordinator
Kalafhi Medical Center
07.2022 - 08.2023
HIV TESTING & COUNSELINGS Intern Officer
Tebelopele Wellness Clinic
10.2021 - 07.2022
Advanced Certificate - HIV&AIDS Counselling and Testing
Tebelopele College
Bachelor of Science - Health Promotion & Education
Boitekanelo College
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