Open to opportunities

Crystal Modise

@crystalmodise

I coordinate healthcare operations, medical billing, claims, reconciliations, and patient administration across busy clinical environments.

South Africa

Message

What I'm looking for

I'm looking to contribute my healthcare administration, medical billing, claims and operations coordination experience in a role that values accurate processes, patient service, confidentiality and continuous workflow improvement.

I've coordinated day-to-day administration, billing and operations at Dr Motakek ENT Practice at Life Fourways Hospital since 2021.

I manage medical aid and insurance claims from documentation and submission through follow-up, reconciliation and query resolution. I also coordinate prior authorisations, referrals, specialist consultations and surgical bookings while maintaining accurate confidential records.

Previously, I managed billing and reporting at Changes Addiction Rehabilitation Centre and supported multidisciplinary healthcare operations at ARCA. Across these roles, I've improved workflow accuracy, handled high-volume priorities and liaised with patients, clinicians, hospitals, insurers and medical aid providers.

Experience

Work history, roles, and key accomplishments

Current

Medical Administrative Specialist / Operations Coordinator

Current

Dr Motakek ENT Practice

Jan 2021 - Present (5 years 8 months)

Coordinate day-to-day administrative, billing, and operational activities in a specialist medical practice. Manage medical aid and insurance claims processes, including documentation, submission, follow-up, and resolution of outstanding requirements.

Healthcare Administration Medical Billing Claims Administration Medical Aid Administration Patient Management Account Management Payment Reconciliation Data Management Record keeping Reporting Process Coordination Query Resolution Stakeholder Liaison Documentation Confidentiality Problem Solving Process Improvement

Medical Billing & Reporting Administrator

Changes Addiction Rehabilitation Centre

Jan 2018 - Jan 2021 (3 years)

Managed medical billing and claims administration in support of medical aid and insurance reimbursement processes. Prepared, reviewed, and maintained accurate billing and claims documentation and supported claim submissions and follow-up.

Medical Billing Claims Administration Medical Aid Administration Documentation Payment Reconciliation Financial Record Keeping Reporting Query Resolution Stakeholder Liaison Confidentiality Time Management

Administrative Assistant

Assisted Recovery Centres of Africa

Jan 2017 - Jan 2018 (1 year)

Provided administrative and operational support within a multidisciplinary healthcare environment. Coordinated patient appointments, documentation, and communication between patients and healthcare professionals.

Administrative Support Patient Coordination Documentation Record keeping Scheduling Office Operations Confidentiality