EXECUTIVE, CASE REVIEW

Job Description:

• Ensure patients are correctly and justly billed.
• To review the charges in the bills against procedure performed on patients during warded or upon discharge.
• To ensure the completeness of the Insurance Claim form and other related documents by the Consultant / Medical Officer.
• To liaise with Nursing/OT/Consultant on the clearance of procedures.
• To ensure all items are keyed in by billing staffs and bills are complete and free from omission (Daily Checking).
• Receiving of final GL
• To finalize bill.
• To use cashiering till responsibly and assure the amount collected accordingly.
• Attend to walk-in and telephone enquiries.
• To perform any other relevant duties as and when required by supervisor
• To carried out duties as an employee as stipulated in occupational safety and Health Act Regulations 1994:-

- Participate actively in any other new service that is introduced

- Ensure all policies and procedures of ISO 9001:2008, ISO 14001: 2004, OHSAS 18001: 2007, and / or Hospital Accreditation are adhered to and records maintained, if and when these programs are implemented.

• Ensure to actively participate in all 5S activities
• Ensure the policies on patient’s and family’s rights are addressed at all times.
• Ensure compliance to patient safety goals as safety improvement measures recommended by World Alliance for Patient Safety (2008)
• Ensure adherence to Standard People Practice (SPP)
• To perform any other duties as and when required by the management.

Education:

• SPM with more than 5 years working experience in relevant field
• Diploma in Business Admin/Finance

Knowledge and Experiences:

• Minimum 2-5 years working experience in case review / billing management

Skills & Competencies:

• Communication skills
• Attention to detail
• Problem solving skills