ASSISTANT, GUARANTEE LETTER

KPJ Penang Specialist Hospital; Penang; On-site; MYR 33,000 - 67,000; Full time

Job summary

KPJ Penang Specialist Hospital in Penang seeks an administrative professional (SPM and above) to manage patient guarantee letters with insurers and corporate providers, ensuring complete documentation for admissions and outpatient visits.

The role requires updating status in hospital systems (HITS, BMS, Care Tracker, Pro Bridge), replying to deferment questionnaires, obtaining insurer approvals for referrals, and uploading documentation.

Qualifications

• To 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.
• To respond/reply the deferment/medical questionnaire highlighted by MCO and Insurance companies.
• To obtain approval from Insurer for referral consultant and add on procedure during admission.

Responsibilities

• Upload/email complete documentation for pre admission and outpatient visits guarantee letter.
• Ensure compliance with patient safety goals and hospital policies; follow safety measures per Occupational Safety and Health Act.
• Carrying out duties as assigned by superior and HOS; participate in new services introduced by the hospital.

Job description

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

KPJ Healthcare Berhad is founded on the vision of being the preferred healthcare provider in the region. We are focused on delivering world-class quality healthcare services throughout our regional footprint across 5 countries, namely Malaysia, Indonesia, Thailand, Bangladesh, and Australia. We are in search of remarkable people to join us in exploring and discovering better healthcare solutions together. Whether you are a student, a graduate, or an experienced professional, discover the impact you could make with a career at KPJ.