ASSISTANT, GUARANTEE LETTER

Jcorp

5 days ago

Description

GENERAL DESCRIPTION

To plan and carryout duties in related to Insurance / MCO guarantee letters and queries in providing excellent quality management and continuous improvement and development in line with hospital objectives.

JOB DESCRIPTION

MCO Functions

Responsible to ensure all insurance forms are filled up completely by Admitting Consultants and patient before fax or upload into portal for requesting Initial or Final Guarantee Letter.
Responsible to fax or upload into online portal a copy of bills and medical reports to Insurance/ MCO companies for issuance of Final Guarantee Letter.
To ensure that patients being informed immediately on the feedback from insurance companies and attend to their queries.
Immediately update patient and Consultant on the decline of guarantee letter and informing patient to pay a top up deposit as per cash paying patient.
To coordinate with Billing Unit and Ward on the feedback from insurance company to facilitate the discharge procedure for patients.
To follow up with Consultants on medical report not completed in time.
Responsible to respond to all queries made by Insurance/ MCO Companies on timely manner.
Immediately requesting any top up Guarantee Letter either for Inpatient or Outpatient.
To ensure all patients payee code are converted once received initial guarantee letter.
Responsible to ensure the GL Validity are updated into Hits.
To coordinate with Credit Control Unit on submission of bills to insurance companies and collection.
To assist any representatives from Insurance/MCO on the visit of their clients in ward.
To ensure all Insurance / MCO portal are refresh for every 10 minutes.

Billing Functions

To check on the final bill before fax or upload into the online portal for the final guarantee letter.
Responsible to fax or upload immediately into the online portal on the amendment of final bill.

OSH Act & Regulations 1994

Responsible and accountable to carry out duties as employee stipulated in OSH Act & Regulations 1994.
To take reasonable to carry 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 were or use any protective equipment or clothing provided by the employer.
To comply with any instruction and measure on occupational safety and health.

Patient Safety Goal

Ensure compliance of Patient Safety Goals as safety improvement measures as recommended by World Alliance for Patient Safety.
Ensure the policies on Patient and Family’s Rights are addressed at all times.

Integrated Management System

Participates actively and encourages compliance to all policies and Procedures of ISO 9001:2015, OHSAS 18001, ISO 14001:2015, ISO 45001:2018, ISO 37001: 2016, Malaysian Hospital Accreditation Standards and PSG.

PDPA Act 2010

To review and adopt internal personal data protection policies and practices to comply with the PDPA Act 2010.

Participate actively in any other new service that is introduced

Ensure produce better result and Continual Improvement in deliver service to customers.

To perform any others duties as and when required by the management

JOB REQUIREMENTS

Minimum qualification of SPM.
Diploma from recognized university.
Good interpersonal, pleasant appearance, good written communication skill as well as fluent in both spoken and written in Bahasa and English.
IT literate with knowledge in Microsoft Office.
3 years experience in related fields.
Good interpersonal, pleasant appearance, good written and communication skill as well as fluent in both spoken and written Bahasa, English and Mandarin.
IT literate and proficient in Microsoft Office.
Willing to work extra hours i.e. after office hours, on weekends and public holidays (whenever required).

PERSONAL CHARACTERISTICS

Good in communication and managing skills.
Possess excellent decision-making, strategic thinking, leadership, interpersonal and ethical conduct skills.

Compliance