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Marriette J. — Mid-Level Medical Billing and Claims Administrator from South Africa

Marriette J.

Mid-Level Medical Billing and Claims Administrator

South Africa 2-3 years
Open to offersNew to Platform
Languages
English
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About

Marriette J. is a highly accurate and detail-driven Medical Aid Administrator with extensive experience in medical aid claims processing, ICD‑10 and CPT coding, patient account management, and healthcare administration. Based in Govan Mbeki, Mpumalanga and Pretoria, South Africa, she has a strong background in pharmacy operations and billing management, proven by her ability to resolve claim discrepancies, manage confidential patient data, and ensure compliance with medical aid and regulatory standards. Her professional journey includes significant roles such as Billing Manager at Netcare Group, where she managed the full claims cycle and supervised billing staff, and Responsible Pharmacist at Apothecare Pharmacy, overseeing dispensary operations and regulatory compliance. As a Billing Manager, she excelled at workflow optimization and producing financial and administrative reports. Currently, she diversifies her skill set by teaching English as an Online TEFL Instructor at LingoAge, leveraging her expertise in Microsoft Excel and Google Workspace to enhance her digital classrooms.

Experience

  • Responsible Pharmacist

    Apothecare Pharmacy · 2023 — 2024
    Oversaw operations within the dispensary, implemented standard operating procedures, and managed stock control along with regulatory compliance. Accurately processed prescriptions and medical aid claims, providing counselling to patients while upholding high clinical standards. Managed necessary documentation to guarantee correct submissions of claims.
  • Online TEFL Instructor

    LingoAge & Other Platforms · 2024 — Present
    Instructed English online to both young learners and adults. Managed digital classrooms, tracked learner progress, and maintained accurate records for administrative purposes.
  • Locum Pharmacist

    Gauteng · 2017 — 2023
    Delivered safe dispensing services, provided patient counselling, and managed medical aid claim handling across various pharmacy locations. Ensured compliance with SAPC and pharmacy-related regulations.
  • Billing Manager

    Netcare Group · 2009 — 2017
    Managed the complete cycle of medical aid claims including submission, follow-up, reconciliation, and dispute resolution. Conducted ICD‑10 and CPT coding accurately to facilitate precise billing. Addressed queries from patients and medical aids in a professional manner. Generated daily and monthly financial and administrative reports. Ensured adherence to Netcare's policies and healthcare regulations while supervising billing staff to enhance workflow efficiency.

Skills & Expertise

Education

  • Matric
    High School Secunda · 1993 — 1993
  • Nursing Studies
    Wes Transvaal Nursing College & Potchefstroom University

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