Billing Officer

Punam Eye Care; Kepong; On-site; MYR 100,000 - 150,000; Full time

Job summary

A medical facility in Kuala Lumpur is seeking a dedicated candidate for medication preparation and dispensing, outpatient processing, and managing billing and insurance claims. Responsibilities include preparing medications according to prescriptions, handling patient documentation, and ensuring accurate billing. Ideal candidates should be detail-oriented. This role provides an opportunity to work in a supportive environment, contributing to patient care and administrative support.

Responsibilities

• Carefully prepare medications according to prescriptions issued by the doctor.
• Measure, count, label, pack, and prepare medication doses accurately.
• Ensure all prepared medications follow correct dosage, strength, quantity, and instruction requirements.
• Verify medication labels to ensure accuracy before handing to patients.
• Open & Close daily account with one pharmacist.
• Ensure accuracy of patient details before submitting a GL request.
• Obtain patient signatures on required forms.
• Prepare outpatient bills accurately based on services rendered.
• Follow up on unpaid balances via call, SMS, WhatsApp, or email.
• Monitor medication stock levels and report low inventory.

Job description

Medication Preparation & Dispensing

• Carefully prepare medications according to prescriptions issued by the doctor.
• Measure, count, label, pack, and prepare medication doses accurately.
• Ensure all prepared medications follow correct dosage, strength, quantity, and instruction requirements.
• Verify medication labels to ensure accuracy before handing to patients or passing for verification.
• Follow SOPs strictly when preparing controlled or sensitive medication.
• Dispense sale medication to patient.
• Open & Close daily account with one pharmacist.

Outpatient Processing & GL Handling

• Apply Guarantee Letters (GL) through the relevant insurance/TPA portal or platform.
• Ensure accuracy of patient details and case type before submitting a GL request.
• Inform patients of GL waiting time, required documents, and coverage limitations.
• Update patient records once GL is approved or rejected.
• Notify doctor and patient immediately if GL is pending, rejected, or partially approved.

Patient Consent & Documentation

• Obtain patient signatures on required forms (consent forms, GL forms, billing confirmation, etc.).
• Ensure patients understand what they are signing, including any out-of-pocket charges.
• File and label all signed documents according to clinic SOP.

Billing & Payment Collection

• Prepare outpatient bills accurately based on services rendered, medication, procedures, and GL coverage.
• Ensure bills are completed and submitted to the billing staff (e.g., Wawa) on the same day.
• Collect payments from patients for items not covered by GL (e.g., lubricants, consumables).
• Issue receipts and update payment records in the clinic system.
• Handle billing discrepancies and escalation issues when necessary.

Weekend Inpatient GL Duty

• Receiving inpatient admission details via call, WhatsApp, or system notification.
• Applying GL through insurance/TPA platforms.
• Updating status of GL approval or rejection promptly.
• Ensuring documentation is recorded and the accuracy of all details.
• Ensure emergency or urgent inpatient GL requests are processed promptly.
• Provide weekend coverage support as part of rotation or assigned schedule.

Insurance Claims Management (Pay & Claim)

• Preparing required claim documents (invoice, receipt, medical report, GL rejection letter if required).
• Assisting patients with claim procedures and required documentation.
• Ensuring all billings and medical documents are complete and accurate.
• Submitting claims to insurance when needed or guiding patients on submission steps.
• Following up on outstanding claims when necessary.
• Maintain proper filing and tracking of all pay-and-claim cases.
• Communicate claim status updates to patients when required.

Credit Control (NEW)

• Follow up on unpaid balances via call, SMS, WhatsApp, or email.
• Update the credit control list daily and report ageing of accounts.
• Work with the billing team to reduce bad debts and overdue cases.
• Ensure documentation for credit cases is complete (invoices, statements, proof of follow-up).
• Maintain a professional and tactful approach when following up with patients/insurers.

Inventory

• Monitor medication stock levels and report low inventory.
• Complete outpatient reports and daily logs.
• Assist with filing, scanning, and other administrative duties.