ASSISTANT, GUARANTEE LETTER

KPJ Healthcare Berhad; Kuala Lumpur; On-site; MYR 36,000 - 58,000; Full time

Job summary

KPJ Healthcare Berhad in Malaysia is seeking an Healthcare Administration Officer to manage patient guarantee letters and related documentation during admission and pre-admission processes. You will coordinate with Insurance companies, MCOs, and corporate clients, ensure completeness of forms, update system records, and deliver courteous support to patients throughout their hospital stay.

The role requires adherence to hospital policies, accreditation standards, and safety regulations, with

Responsibilities

• Obtain initial guarantee letters for patients admitted to hospital using Insurance, MCO and Corporate Companies.
• Update guarantee letter status in HITS, BMS, Care Tracker and Pro Bridge system and notify patient and consultant.
• Ensure completeness of claim forms and other relevant documents received.
• Respond to deferment/medical questionnaire highlighted by MCO and Insurance companies.
• Obtain approval from Insurer for referral consultant and add-on procedure during admission (recorded at Pro Bridge).
• Upload/email complete documentation for pre-admission and outpatient visits guarantee letters.
• Responsible for top-up guarantee letters requested by patients following the initial guarantee letter limits.
• Obtain the credit limit or coverage for patients admitted to hospital from MCO and Insurance companies.
• Verify guarantee letters for outpatient patients before proceeding to see consultants.
• Provide courteous service to all patients during admission.
• Carry out duties as assigned by superior and HOS, and adhere to safety regulations (OSHA 1994).
• Participate in new services introduced and ensure Patient Safety goals are followed as per World Alliance for Patient Safety (2008).
• Adhere to Hospital policies, accreditation standards, and ISO framework (ISO 9001:2015, ISO 14001:2015, ISO 45001:2018).

Job description

• Obtain initial guarantee letters for patients that admitted to hospital using Insurance, MCO and Corporate Companies.
• To update the guarantee letter status in the HITS,BMS,Care Tracker and Pro Bridge system and notify patient and consultant.
• Responsible for completeness of claim forms and other relevant documents received.
• To response/reply the deferment/medical questionnaire that been highlighted by MCO and Insurance companies
• To obtain approval from Insurer for referral consultant and add on procedure during admission. It has recorded at Pro Bridge.
• To upload/email complete documentation for pre admission and outpatient visits guarantee letter.
• Responsible for top up guarantee letter patient requested follows limit stated in initial guarantee letter.
• To obtain the credit limit or coverage for patients that been admitted to hospital from MCO and Insurance companies
• To verify guarantee letter for outpatient patients before proceed to see consultants
• Serve with kindness to all patients during their admission to hospital
• Any appropriate job assigned by immediate superior and HOS
• To carried out duties as an employee as stipulated in Occupational Safety and Health Act and Regulations 1994:
  a. To take reasonable care at work for the safety of yourself and other persons;
  b. To co-operate with your employer or any other person in the discharge of any duty;
  c. To wear or use any protective equipment or clothing provided by the employer.
  d. To comply with any instruction or measure on occupational safety and health.
• Participate actively in any other new service that is introduced
• Ensure compliance of Patient safety goals as safety improvement measures recommended by World Alliance for Patient Safety (2008)
• Ensure the policies on Patient and Family’s Rights are addressed at all
  times.
• Ensure all Hospital policies and procedures and Hospital Accreditation are adhered to and records maintained, if and when these programs are implemented.
• Adopt the policies and procedures of ISO 9001:2015, ISO 14001:2015, ISO 45001:2018, Malaysian Hospital Accreditation Standards and Joint Commission International Accreditation Standards.

Job Description

SPM and above

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Healthcare Services More than 10,000 employees

KPJ Healthcare Berhad is the leading provider of private healthcare services in Malaysia, with a history dating back to 1981 when it introduced the first private specialist hospital in Johor. The Group's core values of Safety, Courtesy, Integrity, Professionalism, and Continuous Improvement drive its integrated network of more than 29 specialist hospitals across Malaysia. Additionally, KPJ has expanded its presence internationally, with hospitals in Indonesia, Bangkok, and Bangladesh, as well as investments in retirement and age-care resorts in Australia and Malaysia.

KPJ's competitive advantage stems from its extensive reach and accessibility throughout the nation, offering a wide range of medical specialist services, some of which are pioneering in the country's healthcare industry. The company also excels in utilizing integrated technology to enhance patient care, including the adoption of Cloud Computing and continuous improvements to the KPJ Clinical Information System (KCIS). Furthermore, KPJ is exploring digitalized medical technology applications in areas such as E-Pharmacy, wearable technology, robotics, Artificial Intelligence (AI), and the Internet of Things (IoT).

With over three and a half decades of experience in hospital development and management, KPJ is built on strong fundamentals, positioning it well for the evolving healthcare industry. The company's health tourism segment has experienced significant growth through aggressive marketing strategies, expanding its footprint in various regions.

In addition to hospital-based care, KPJ has made strides in healthcare-related industries, particularly in KPJ Senior Living Care services and Healthcare Education, recognizing their potential for the future due to increasing consumer demand. KPJ hospitals have received recognition from accreditation bodies, ensuring the quality and safety of their services.

The company is committed to giving back to the community and has established a network of Klinik Wakaf An-Nur (KWAN) charity clinics and a Hospital Waqaf An-Nur (HWAN) to provide care to the underprivileged. With 18 KWAN clinics and five mobile clinics, KPJ's efforts have positively impacted over one million patients since 1998.

Overall, KPJ Healthcare Berhad's extensive network, commitment to innovation, and dedication to quality healthcare services and community outreach make it a prominent and trusted player in the private healthcare industry.

KPJ Healthcare Berhad is the leading provider of private healthcare services in Malaysia, with a history dating back to 1981 when it introduced the first private specialist hospital in Johor. The Group's core values of Safety, Courtesy, Integrity, Professionalism, and Continuous Improvement drive its integrated network of more than 29 specialist hospitals across Malaysia. Additionally, KPJ has expanded its presence internationally, with hospitals in Indonesia, Bangkok, and Bangladesh, as well as investments in retirement and age-care resorts in Australia and Malaysia.

KPJ's competitive advantage stems from its extensive reach and accessibility throughout the nation, offering a wide range of medical specialist services, some of which are pioneering in the country's healthcare industry. The company also excels in utilizing integrated technology to enhance patient care, including the adoption of Cloud Computing and continuous improvements to the KPJ Clinical Information System (KCIS). Furthermore, KPJ is exploring digitalized medical technology applications in areas such as E-Pharmacy, wearable technology, robotics, Artificial Intelligence (AI), and the Internet of Things (IoT).

With over three and a half decades of experience in hospital development and management, KPJ is built on strong fundamentals, positioning it well for the evolving healthcare industry. The company's health tourism segment has experienced significant growth through aggressive marketing strategies, expanding its footprint in various regions.

In addition to hospital-based care, KPJ has made strides in healthcare-related industries, particularly in KPJ Senior Living Care services and Healthcare Education, recognizing their potential for the future due to increasing consumer demand. KPJ hospitals have received recognition from accreditation bodies, ensuring the quality and safety of their services.

The company is committed to giving back to the community and has established a network of Klinik Wakaf An-Nur (KWAN) charity clinics and a Hospital Waqaf An-Nur (HWAN) to provide care to the underprivileged. With 18 KWAN clinics and five mobile clinics, KPJ's efforts have positively impacted over one million patients since 1998.

Overall, KPJ Healthcare Berhad's extensive network, commitment to innovation, and dedication to quality healthcare services and community outreach make it a prominent and trusted player in the private healthcare industry.