ASSISTANT, BILLING

GENERAL DESCRIPTION 

• Responsible in Perform entry data to system/Portal for in-patient/outpatient in line with services policy. 

• Coordinate with other team member in all activities in the unit.  

• Responsible to keep HOS informed of any incidences or reportable situations that needs superior involvement. 

• Entry all charges into the system and communicates by providing complete bills to all patients or companies within the specific time period and according to the Policies and Procedures of the hospital and in keeping with the generally accepted principles, policies and procedures of the relevant Services. 

• Collaborate within unit and other related services with regards of inpatient/outpatient GL status and admission / discharge process. Update into portal all related documents/GL/bills to secure coverage and to give feedback on all the questionnaires received. 

• This post requires adequate level of knowledge in ensure key in charges data, continuous update of patient’s bill and administration task as support staff at Service level.  

• Freedom of action is relatively high but guided by the policies and procedures of the Services and Hospital. Issues of ethical and managerial significance affecting the Services must be reported to the HOS. All decisions will be based on hospital policies and departmental procedures, as well as relevant legislative requirements and approved accounting standards. 

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JOB DESCRIPTION 

ORGANIZATION AND MANAGEMENT 

1. Understands and carries out the task in line with Vision and Mission Statements, Philosophy, Goals and Objectives that suit the scope of the Services and hospital. 

2. Understands the service organization structure. 

3. Informs Head of Service or Supervisor when changes occur in circumstances which affect standards of procedure. 

4. Attends meetings held by the services in order to discuss issues and matters pertaining to the operation of the service. 

5. Daily routine: 

• To check and key in all detail items tagged/charged. 

• To be responsible for obtaining all charge forms from various services 

• Responsible for the bed reservations, bed update status and clearance in BMS system. 

6. Answers phone calls and relay messages.  

7. Carried out duty in the following: 

• All clerical work eg. Admission, discharges and transfer of patients, filing results  

• Upload/dispatch bills, all related forms e.g. lab/radiology to insurance portal  

• Ensure physical bills are dispensed out to clients timely. 

• Communicate with other services such as admission and discharge offices. 

• Communicate with Insurance company/ MCO for coverage insurance and limitation. 

• Update to GL section for top up if coverage near reach limit. 

• To collect sufficient cash deposit and cash top up once exceeding initial deposit as per service policy. 

• Communicate with doctor to complete the insurance form or reply to QA (if any). 

• Prepare requisition for supplies to be signed by HOS  and dispatch to Purchasing Service before storing in service. 

• Ensure that patient charge slips are appropriately filled and keyed in before sending for submission. 

• Ensure payment received in order and do allocation immediately and precisely.  

• Ensure the best custodian of Cash Management as per service policy and cash reconciliation is done timely. 

• Perform duties in various in services as per roster. 

Others: 

• This Job Description of Billing is subject to periodic review and may be changed at any time in consultation with the employee.  
• Performs any other job-related duties not specified in this job description when assigned by superiors. 
• The duties and responsibilities are not exhaustive. Other duties may be involved. 

HUMAN RESOURCE AND DEVELOPMENT 

• Takes personal responsibility for own professional development and keeps up to date with professional change and growth by maintaining mandatory learning hours for attending 30 hours of training. 
• Participates in the orientation of new members of staff to the services. 
• Participates actively in any other new service that is introduced. 
• Maintain the record of personal leave and training attended. 

POLICIES AND PROCEDURE 

• To adhere to the hospital policies, procedure, guidelines and work instructions to ensure compliance with work policies and procedures. 
• Maintain the confidentiality of patients’ personal and medical history compliance with hospital and government legislative requirements. 
• Ensure adherence to Prevention and Control of Infection. 

FACILITIES AND EQUIPMENT 

1. Keep working station and work place always neat and tidy. 

• Maintains proper storage of equipment assigned in the unit (computer & printer). 

• Check all equipment to ensure that they are in good condition and ready to be used at all time. Report if there is any faulty. 

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2. Liaise with HES/ Report to Bio Medical personnel if any faulty and takes necessary action accordingly. 

3. Operates / maintains specialized equipment assigned to the unit and provides assistance / guidance to new staff in their use. 

4. Checks that all equipment in the unit are functioning well and service according to PPM schedule. 

5. Assists in maintenance of instruments and equipment by proper cleaning, handling, disinfect and utilizing as directed. 

6. Assists the HOS in keeping accurate records of equipment inventory, enough supplies and stationaries in the service. 

  SAFETY AND QUALITY IMPROVEMENT ACTIVITIES 

1. Complies and promotes Baby Friendly Hospital Initiative Breastfeeding Policy, and protect, promote and support Baby Friendly Hospital activities. 

2. Complies to all risk mitigation policy, HIRARC, and participate in all drill activity run in hospital. 

3. Participates actively in any other new service that is introduced by the services. 

4. Participate in any initiative activities in service for further improvement  

5. Participates in 5S activities and comply with the specified requirements 

6. Practices Standard People Practice (SPP) at all times.  

7. Ensure compliance of Patient safety goals as safety improvement measures recommended by World Alliance for Patient Safety. 

8. Policies on patient and family rights are addressed at all times  

9. Participates actively and encourages compliance to all policies and Procedures of  ISO 9001, ISO 14001, ISO 45000, Malaysian Hospital Accreditation Standards, PSG and IMS.  

10. Complies with any instruction or measure on occupational safety and health  

11. Carries out duties as an employee as stipulated  in Occupational Safety and Health Act and 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 cooperate with the outsourcing parties or any other persons 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. 

• Reporting unsafe practices, conditions, near misses, incidents and accidents to Chief Executive Officer and OSH and Environmental committee 

ADDITIONAL DUTIES AND RESPONSIBILITIES IN THE SPECIFIC AREAS (If any) 

• To ensure bills and other related documents successfully uploaded to portal. 
• To always check status of GL coverage through portal and immediately answer all the questionnaires. 
• To follow up with doctors for any pending issues related to insurance QA. 
• To update in BMS the progress of final GL and discharge process as for ward to take action to inform patient. 
• To issue CN/DN for all bills with insurance excess. 
• To all patients/doctors/wards on final GL status. 
• To issue IOU for patient discharge without final GL and over 3 hours waiting time and complete with 2 guarantors. 

 JOB  REQUIREMENT 

Education:  

• Sijil Pelajaran Malaysia 

Knowledge and Experiences: 

• 1 years of relevant working experience 

• Able to communicate in English and Bahasa Malaysia 

• Computer literate especially in Microsoft Office and Excel 

Skills & Competencies: 

Special skills required 

• Caring, honest and responsible worker. 

• High integrity, ethical, and accountable in all professional duties. 

• Strong communication and interpersonal skills, able to work effectively with multidisciplinary teams.  

Personal attributes  

• Seek to serve, maintain patient’s dignity, privacy, autonomy and  confidentiality.  

• Prepared to work as a team member. 

• Able to guide new staff and other related staff.  

• Possess the attitude to make the patient care the primary concern, treating every patient compassionately, demonstrating and an aspiration to altruism.  

• Willingness to work on scheduled hours, shift, and weekends, public holidays and anytime when called during emergency.