Noluthando Keleku

Experience

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  Amazing cakes

  Dec 2007 - Dec 2008

  Cleaner and stock taker

  I used to work here part time during the December holidays and June holidays.

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  Forresters Arms Restaurant and Pub

  Mar 2009 - Aug 2015

  Runner, waitress and supervisor

  I started of as a runner, I then worked my way up to being a waitresses. I was then later appointed to be a supervisor. I worked part time here at some days and then became permanent.

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  Calling The Cape (G326)

  Feb 2010 - Sept 2011

  Call centre learnership and agent

  I studied and obtained my NQF Level 2 Contact Center Certificate through this institution as well as my certificate in Computer Literacy. I then joined G326 where I did the leanership.

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  Silvermist Mountain Lodge and Wine Estate

  Mar 2013 - Feb 2016

  Receptionist and part time waitress

  I used to be receptionist and a part time waitress for the wine/restaurant side.

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  Capita SA

  Mar 2016 - Aug 2017

  Inbound Customer Service Representative and email correspondence

  I started off in the contact centres as a Call Centre Agent on calls then progressed to email correspondence.

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  Discovery Health PTY LTD

  Aug 2017 - May 2019

  Contact Centre Consultant

  Update member detailsConfirm benefits and premiumsFinancial UnsuspensionClaims Queries, logging of inquiries Educate on different medical aid plans

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  Zestlife

  Sept 2019 - Mar 2023

  Confirm benefits and cover amounts for GAP, Gap dental and credit protection Reply to email correspondence Claim queries related to GAP, Gap dental and credit protection Premium queries/payment arrangements on all products Update all client information on all products Quality assess email correspondence for the contact centre Provide feedback to clients, team and manager when required Provided coaching for agents who hit below target (90%) Provide support for new consultants Assist with team when manager is not available Knowledge of medical aid Knowledge of icd10 codes PMB knowledge Claims enquiries validating documents received, and informing clients of what documents are outstanding Apply TCF by contacting the medical aid doing a conference call to obtain correct outstanding documents Providing a guideline telephonically of how to claim Maintain my daily Que on emails Show less

  • Claim assessor

    Sept 2022 - Mar 2023

  • Client Contact Centre Service and Administrator

    Sept 2019 - Oct 2022
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  Xpedient

  Apr 2023 - now

  Account Manager

  • Receipt medical aid and patient payments on doctors’ bank statements• Submit claims to medical aid.• Query medical aid rejections and shortfall• Deal with doctor and patient queries via email and phone• Contact patients to query payments for shortfalls or non-payments. • Correct invoices and link payments (procedure codes, ICD 10 codes, service dates etc)• Ensure that charged codes meet medical aid standards.• Refer and query PMB payment with medical aid • Maintain daily que within SLA.• Bill doctors accounts with procedure and ICD 10 codes.• Assist other team members with their doctor queries. • Knowledge of ICD10 code for PMB submission • Knowledge of medical aid benefits, rejection codes and reading statements. Show less