Customer Service Medical
Resume:
Leota Evelyn Pillay
*** ********* *****, ***** ******, Midrand, 1686
Mobile: 078-***-****
Email: *********@*****.***
South African Date of Birth: 17 November 1982
Languages: English, Zulu
Career Objective
I am a hardworking and dedicated individual seeking a position in a stable and professional environment. I thrive under pressure, am highly self-motivated, and bring a strong work ethic to every role. I am methodical, goal-driven, and passionate about people. My experience in both healthcare and customer service has sharpened my skills, and my vibrant personality makes me a great team player. I aim to create positive, low-stress environments and provide excellent service at all times. I believe I would be a valuable asset to any company.
Education
Matric Subjects: English, Afrikaans, Mathematics, Biology, Accounting
Computer Skills: Microsoft Word, Excel, PowerPoint, Publisher, Internet & Social Media
Tertiary Education
Midlands School of Nursing – Auxiliary Nurse (2001–2003): Speech Therapy, First Aid, Nutrition, Hospitality.
Current Employment
Unity Health
Nursing Manager November 2023 – Present
- Manage a team of 8 nurses
- Conduct full symptom assessments before referring patients to doctors
- Oversee patient healthcare and issue pre-authorisations for consultations
- Process medical claims and ensure compliance with scheme requirements
- Apply knowledge of PMB conditions and ICD-10 coding
- Coach and train staff on customer care, handling irate members, and retention strategies
- Maintain service excellence and ensure patient satisfaction
Previous Employment
Exclusive Medical Nursing Agency
Case Manager 2022 – 2023
- Managed caregivers and client cases
- Processed claims through EDI and paper submissions
- Used systems such as Occular, CRM, GoodX, Healthbridge, and MIP
- Coordinated patient care and ensured timely claim processing
COVID SA
Healthcare Worker 2021 – 2022
- Conducted COVID-19 swab tests and antibody testing
- Collected and submitted lab specimens
- Issued medication and monitored patient vitals
- Wrote reports and supported patient education
Presidents Palace
Nurse 2015 – 2019
- General nursing care for COVID patients
- COVID testing and administration of drips with doctor authorisation
- Issuing of scheduled drugs, specimen collection, and reporting
- First Aid, vital signs monitoring, and regulatory compliance
Fedhealth Medical Aid
Claims Processor 2011 – 2015 (Retrenched)
- Coding and processing claims
- Email and query handling
- Hospital authorisations
- Basic medical checks for staff
Medscheme Medical Aid
Claims Consultant 2009 – 2011
- Advising members and hospitals on cover
- Claims assessment and processing
- Managing authorisations and patient queries
Morningside Medical Centre
Care Assistant 2004 – 2009
- Bathing, feeding, turning, and repositioning patients
- Measuring vital signs (BP, temperature)
- Supporting patients with daily activities
- Reporting health concerns to nurses/doctors
St Anne’s Private Hospital
Enrolled Nurse 2004 – 2005
- Administering medication as per doctor's advice
- Wound dressing, catheter and pressure care
- IV therapy, urine testing, sanitizing environments
- Monitoring patient recovery and reporting progress
Midlands Medical Centre (ICU & Casualty)
Enrolled Nurse 2003 – 2004
- Monitoring and recording vitals
- Patient care and medication support
- Pre/post-operative care, wound care
- Assisting with mobility and hygiene
Midlands School of Nursing
Enrolled Nursing Auxiliary 2001 – 2003
- Worked in ICU, Medical, Surgical & Casualty Wards
- Vital signs, ECG, pre- & post-op care
- Patient preparation for theatre, wound care
- Assisting patients with hygiene and dietary needs
- X-ray escort, doctors’ rounds, patient support
References
Feroza Patel (Fedhealth Manager) – 011-***-****
Fiona James – 011-***-****
Dr. Baldeo (Presidents Palace) – 076-***-****
Tinashe (COVID SA) – 073-***-****
Unity Health Contact: Manini – +27-82-549-****
Contact this candidate