ASSISTANT, BILLING

KPJ Selangor Specialist Hospital; Tebrau; On-site; MYR 28,000 - 47,000; Full time

Job summary

KPJ Selangor Specialist Hospital in Malaysia is seeking an Admission/Billing/Cashier/Insurance/MCO Clerk to handle cashiering, billing, and admission procedures in a multi-role capacity. The role covers coordinating with MCOs and ensuring accurate financial transactions for patient care.

Responsibilities include billing accuracy, deposit handling, and assisting in daily operations of the Business Office. The candidate should be prepared to work beyond regular hours as required.

Qualifications

• Minimum qualification of SPM or Diploma with relevant experience.
• Good written and communication skills in Bahasa Malaysia & English.
• IT literate and proficient with Microsoft Office.
• Willing to work after office hours, on weekend and public holidays.
• Able to coach and supervise junior staff.

Responsibilities

• Cashiering: generate patient bills, collect payments and issue receipts.
• Billing: enter/update charges, ensure accuracy before discharge, handle bill inquiries.
• Admission: complete forms, update patient data in K-CIS 2 and HITS 2, coordinate with MCO.
• MCO Clerk: process Initial Guarantee Letters, ensure forms are filled and liaise with insurers.
• Other tasks: relief duties and respond to queries as needed.

Skills

Communication skills

IT literacy

Microsoft Office

Team supervision

Education

SPM or Diploma

Tools

Microsoft Office

Job description

SUMMARY OF DUTIES / RESPONSIBILITIES

This staff shall perform the functions of Admission Clerk, Billing Clerk, Cashier Clerk and Insurance/MCO Clerk and as stipulated in the Duty Roster.

MAIN DUTIES/RESPONSIBILITIES

General Duties

1. 1.0 Cashiering functions
2. 1.1 Responsible to generate patient’s bill.
3. 1.2 Responsible to collect all payments and issue official receipts for all transactions.
4. 1.3 Responsible to arrange the agreement of deferred payment after approval from authorized personnel.
5. 1.4 To ensure all the required documents are obtained and in order.
6. 1.5 To ensure cash and credit card refund is done with proper approval from the Business Office Supervisor or Business Office Executive For cash refund of > RM500, get approval from Accountant.
7. 3.3 Responsible to generate Detail Close Till Report from HITS 2 and ensure own collection tally with the report.
8. 3.4 Responsible for the safety of own collection.
9. 3.5 Responsible to ensure the daily cash drop is done and recorded in accordance with KPJ policy.

Billing Clerk functions

1. 2.1 Responsible to enter / update all charges relating to patient’s treatment.
2. 2.2 Responsible to check with wards / other services and to ensure that all charges have been properly taken Up before patient is discharged.
3. 2.3 Responsible to check and ensure that billing is done accurately before finalization of bill.
4. 2.4 Responsible to attend to patient’s query regarding the bill, charges and payments.
5. 2.5 Responsible to reconfirm all Guarantee Letters, validity period, coverage limit with MCO Unit and insurance Companies before releasing patient for discharge.
6. 2.6 To ensure patient is properly discharged in K-CIS 2 once bill is finalized.
7. 2.7 To ensure GL validity had been done during received Final Guarantee Letter from Insurance Companies/ Manage Care Organization (MCO).
8. 2.8 Responsible to contribute in ensuring quality objective of the Unit is met.

Admission Clerk functions

1. 3.1 Must have updated information on room charges and room status.
2. 3.2 Well-versed with admission procedures and be able to explain to patient on the procedures during admission process.
3. 3.3 Responsible to complete all admission forms and obtain relevant data and documents from patient / relatives during admission process. All patient data must be updated in K-CIS 2 and HITS 2.
4. 3.4 To coordinate with MCO Unit to process request from patient who use their insurance cards to obtain initial guarantee letters.
5. 3.5 Be able to verify all Guarantee Letters, validity period, bed eligibility, coverage limit from corporate companies, MCO and insurance companies.
6. 3.6 Responsible to collect deposits (as per schedule) for cash paying and patient under insurance and to provide payer with official receipts accordingly.
7. 3.7 To assist Credit Control Clerk to collect initial deposits and top up deposits.
8. 3.8 Responsible to send mobile patients / relatives, admission form and other related documents to the wards.
9. 3.9 To coordinate with Medical Records registration staff on any update of patient information that needs updating in HITS 2.

MCO Clerk functions

1. 4.1 Responsible to ensure that all Initial Guarantee Letters request are submitted to relevant insurance / MCO for patients under the Insurance/ MCO coverage and response received.
2. 4.2 Responsible to ensure all insurance forms are filled up by Admitting Consultants on timely basis.
3. 4.3 Responsible to fax copy of bills and medical reports to Insurance/ MCO companies for issuance of final Guarantee Letter.
4. 4.4 To ensure that patients be informed immediately on the feedback from insurance companies, favorable or unfavorable.
5. 4.5 Responsible to respond to all queries made by Insurance/ MCO Companies on timely manner
6. 4.6 To ensure GL validity had been done in HITS2 during received Final Guarantee Letter from Insurance Companies/ Manage Care Organization (MCO).
7. 4.7 Daily check the completeness of document to be submitted to the Insurance / Manage Care Organization (MCO).
8. 4.8 Daily Assist on compile the document needed for submission purposes.

Other related jobs

1. 5.1 Other special assignments and adhoc task that required by the Business Office Executive at anytime.
2. 5.2 To be prepared to relieve other staff when they are on leave or away from office.
3. 5.3 To responds to any queries by Business Office Executive or Business Office Supervisor at anytime.

QUALIFICATIONS REQUIRED

• 1. Minimum qualification of SPM or meet minimum Diploma certificate with recognized institution or related field with relevant experience or an equivalent combination of education and work-related experience.
• 2. Good written and communication skills in Bahasa Malaysia & English Language are essential.
• 3. IT literate and proficient with Microsoft Office.
• 4. Willing to work after office hours, on weekend and public holidays (whenever required).
• 5. Good personality, pleasant appearance and able to communicate to the public.
• 6. Able to coach and supervise junior staff.

EXPERIENCE REQUIRED

1. 1 years of relevant experience or an equivalent combination of education and work related experience.
2. Preferably with relevant experience in Hospital / Healthcare business or an equivalent combination of education and work related experience.

PERSONAL CHARACTERISTICS

1. Demonstrates the excellent ability to interact with patient, employees and third parties that reflect highly on the hospital.
2. Problem solving, reasoning, motivating, organizational and training abilities.
3. Ability to work under pressure and meet deadlines.
4. Detail oriented, team builder, passionate.
5. Excellent English in both verbal and written communication.