EXECUTIVE, BILLING

SUMMARY OF DUTIES

To guide billing clerk/ward clerk in generating inpatient bills and explaining inpatient inquiry.

Main  Responsibilities

1. To check and key-in all details items tagged/charged by ward staff and support service department

• The sum of detail item listing must be equal to summary bill (cycle bill).

2. To generate discounted bill, if required

• Discounted bill must be approved by Accountant/ Finance Manager/ Business Office Manager/ Operation Manager or Chief Executive Officer (written/phone)

3. To be responsible for obtaining all charge forms from various departments

• All charges must have supporting charge forms.

4. To complete refund voucher

• To ensure patient has no other outstanding  amount before proceeding with refund transaction, Refund vouchers to be approved by Accountant/Finance Manager

5. To be responsible in creating supplementary bill, return item and credit note.

• To ensure supporting documents approved by Authorized Personnel is attached to the transaction.

6. To issue Guarantee Letter to other KPJ Hospitals for referral cases

• All Guarantee Letters must be signed by Authorized Personnel only e.g. Chief Executive Officer/Finance Manager/ Accountant or Business Office Manager

7. To ensure respective KPJ hospitals forward their bill to KPJ DSH on every referral cases

• To charge patient’s account accordingly.

8. To prepare duty roster

• To ensure all staff get their share of day off. Duty roster must be submitted to Business Office Manager for approval

9. To train and guide billing staff in their daily work

• To ensure all bill generated within the ISO quality objective time when completed service has been rendered.

10.To check 13th schedule Private Hospital Act Code on Consultant daily/ procedure charges otherwise to liaise with consultant.

• All charges issued by consultants are charged accordingly to 13th schedule Private Hospital Act, Ministry of Health

11. To check GST status

• To ensure “GST” code is correct

12. To fax final bill with relevant documents to managed care organization or to call for final Guarantee Letter

• To ensure final Guarantee Letter / Topup Guarantee Letter received before patient leave the Hospital.

13. To check on pending final Guarantee Letter managed care organization (MCO) enquiry on consultant charges and to submit to consultant

• Consultant to answer and faxed to related MCO and get final Guarantee Letter

14. To discharge inpatient for KCIS system

• Ensure patient episode are ended.

15. To call /SMS Drop AOR Patient and pending final Guarantee Letter patients

• Ensure patient aware about any outstanding amount and account suspend accordingly.

16. To replace staff on duty cannot turn up on Sunday / Public Holiday on roster basis

• Sufficient manpower to ensure smooth hospital operation on Sunday/ Public Holiday

17. To responsible all corporate discount given upon final bill

• To ensure correct corporate discount rate given upon final bill

18. To perform any other duties as and when required by superior

• To follow instruction given by superior

19. To carry out duties as an employee as stipulated in Occupational Safety and Health Act Regulations 1994:-

• To take reasonable care at work for the safety of yourself and other persons;
• To co-operate with your employer or any other person in the discharge of any duty;
• To wear or use any protective equipment or clothing provided by the employer;
• To comply with any instruction or measure on occupational safety and health
• Responsible and accountable to carry out duties as in the Occupational Safety and Health Act Regulations 1994

20. Participate actively in any other new service that is introduced

• Conformance to Integrated Management System (IMS), and/or Hospital Accreditation requirements

21. Ensure all policies and procedures of Integrated Management System (IMS) and /or Hospital Accreditation are adhered to and records maintained, if and when these programs are implemented

• Prompt and effective action in taking corrective measures in cases of Integrated Management System (IMS), and/or Hospital Accreditation non-conformance
• Achievement of satisfactory department performance on the external and internal audits

22. Ensure to actively participate in all 5S activities

• Responsible and accountable to carry out all 5s activities directed by the Management

23. Ensure the policies on Patient’s and Family’s Rights are addressed at all times

• Responsible and accountable to achieve the needs of the patient’s and family’s rights at all times

24. Ensure compliance to Patient Safety Goals as safety improvement measures recommended by World Alliance for Patient Safety (2008)

• To ensure compliance at all points of engagement at all times

25. Ensure adhere to Standard People Practice (SPP)

• To adhere to Standard People Practice (SPP)