Carol Disemelo

Methodical, impact driven and performance orientated dental assistant and practice coordinator. I have over 10 years' experience in corporate health and medical administrator industry. Proven ability for customer service, with great interpersonal relations and operational effectiveness.

Dental Assistant and Administrator - Infinity Smile Dental Practice

(2019-12)

Managing front desk and patient interactions. Administration of opening patient files and data capturing onto the system. Liaising with medical schemes for patient benefits both in and out of hospital. Billing claims, both electronically and manually. Follow up of claims sent via EDI. Reconciliation of remittances on the system. Follow up of member liability claims. Debt management & collection. Stock control. Perform 6-month patient recalls. Tariff coding and listing.

Patient

Education. Follow up care of procedures done. Review of payment arrangements. Manage patient escalations & queries. Manage relationships with dental supplies and laboratories and maintain lab work. HR functionalities. Theatre bookings. Send out of reminders for upcoming appointments.

Practice Administrator - Refodile Health

(2016-12 - 2018-12)

Answering of calls and taking messages for front desk. Confirming medical & dental benefits with schemes. Organize diary for Dr. Reconciling and remittances. Arranging and booking hospital authorizations. Theatre bookings. Stock control.

Health Professional Consultant and Onsite Consultant - Discovery Health

(2014-02 - 2016-11)

Client Liaison between the Health providers and Discovery Health. Assisting all Discovery Lonmin clients with all services pertaining to their benefits, medical claims and hospital authorizations. Confirmation of benefits with different stakeholders. Capturing of data for providers. Assisting with Health ID. Assist in all walk-in queries at the Walk in Centre (Head Office). Manage the dental departments' internal authorization process (Lonmin Mines).

Systems

Developments in line with management. Liaising with the Network department for Provider Network training. Facilitating the training for consultants.

Dental Consultant and Team Leader - Prime Cure Netcare Head Office

(2008-01 - 2013-11)

Confirmation of benefits with different stakeholders. Capturing of data for dental providers. Manage the dental departments' internal authorization process. Leave application and approval of dental assistants in my team. Systems Developments in line with dental management. Approval of x-rays for ex-gratia. Approving / declining requested dental authorization as per dental protocol. Liaising with the Network department for Provider Network training.

Higher Certificate - Dental Assisting - Tshwane University of Technology (2001 - 2002)

Certificate - Matric - Grenville High School (2000)