Shannon Jade Phillip

Experienced Medical Bureau Claims Administrator with a proven track record at Healthbridge, adept in managing medical aid queries, processing denied and rejected claims, and training staff members. Demonstrated expertise in claims management, reconciliation of claims, and specialist coding. Previous roles include Receptionist in GP Surgery at Dr N Govender, where responsibilities included setting appointments and practice admin work, and Library Assistant at Rustic Manor Primary, focusing on cataloguing and assisting students.

Proficient in account analysis, liability claims, and familiar with account coding.

Career goal: to leverage extensive experience in claims management to contribute to a dynamic healthcare organisation.

Medical Bureau Claims Administrator at Healthbridge (2022 – Present)

• Claims queries
• PMB follows and applications
• Managing medical aid queries
• Follow up on unpaid accounts
• Capturing / submitting of claims
• Reconciliation of claims
• Patient liable
• Training of Staff members
• Processed denied and rejected claims by investigating reasons and taking corrective actions to resubmit
• Participated in multi-disciplinary team meetings to discuss complex cases and strategies on claim submissions

Receptionist in GP Surgery at Dr N Govender Surgery (2020 – 2022)

• Fielding calls
• Setting appointments
• Submitting and querying of medical aid accounts
• Assisting Dr with bloods and virtual checks
• Practice Admin work
• Stock take

Library Assistant at Rustic Manor Primary School (2017 – 2018)

• Cataloging and shelving books
• Assisting students and faculty find resources
• Monitoring who has borrowed materials
• Assisting teachers with students and admin work
• Built and maintained courteous and effective working relationships

High School Diploma – Trenance Manor Secondary (2015)

NQF Level 4 – ETDPSETA and BP DEVELOPMENTS (2019)

Certificate in Teaching English as a Foreign Language – Teach TEFL (2023)