Billing & Revenue Operations Lead

KPJ Healthcare Berhad

Kuala Lumpur

On-site

MYR 42,000 - 72,000

Full time

14 days+

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Job summary

KPJ Healthcare Berhad in Malaysia is seeking a billing coordinator to ensure accurate charging and to generate refunds and supplementary bills across departments. You will manage charge forms, obtain supporting documents, and ensure GST compliance while coordinating with various stakeholders to close referrals and guarantee letters.

The role emphasizes adherence to ISO quality objectives, professional conduct, and effective liaison with managed care organisations to finalize patient accounts and

Responsibilities

To check and key-in all details items tagged/charged by ward staff and support service department
The sum of detail item listing must be equal to summary bill (cycle bill).
To generate discounted bill, if required
Discounted bill must be approved by Accountant/ Finance Manager/ Business Office Manager/ Operation Manager or Chief Executive Officer (written/phone)
To be responsible for obtaining all charge forms from various departments
All charges must have supporting charge forms.
To ensure patient has no other outstanding amount before proceeding with refund transaction, Refund vouchers to be approved by Accountant/Finance Manager
To be responsible in creating supplementary bill, return item and credit note.
To ensure supporting documents approved by Authorized Personnel is attached to the transaction.
To issue Guarantee Letter to other KPJ Hospitals for referral cases
All Guarantee Letters must be signed by Authorized Personnel only e.g. Chief Executive Officer/Finance Manager/ Accountant or Business Office Manager
To ensure respective KPJ hospitals forward their bill to KPJ DSH on every referral cases
To charge patient’s account accordingly.
To ensure all staff get their share of day off. Duty roster must be submitted to Business Office Manager for approval
To train and guide billing staff in their daily work
To ensure all bill generated within the ISO quality objective time when completed service has been rendered.
To check 13th schedule Private Hospital Act Code on Consultant daily/ procedure charges otherwise to liaise with consultant.
All charges issued by consultants are charged accordingly to 13th schedule Private Hospital Act, Ministry of Health
To ensure “GST” code is correct
To fax final bill with relevant documents to managed care organization or to call for final Guarantee Letter
To ensure final Guarantee Letter / Topup Guarantee Letter received before patient leave the Hospital.
To check on pending final Guarantee Letter managed care organization (MCO) enquiry on consultant charges and to submit to consultant
Consultant to answer and faxed to related MCO and get final Guarantee Letter
Ensure patient episode are ended.
To call /SMS Drop AOR Patient and pending final Guarantee Letter patients
Ensure patient aware about any outstanding amount and account suspend accordingly.
To replace staff on duty cannot turn up on Sunday / Public Holiday on roster basis
Sufficient manpower to ensure smooth hospital operation on Sunday/ Public Holiday
To responsible all corporate discount given upon final bill
To perform any other duties as and when required by superior
To follow instruction given by superior
To carry out duties as an employee as stipulated in Occupational Safety and Health Act 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 wear or use any protective equipment or clothing provided by the employer;
To comply with any instruction or measure on occupational safety and health
Responsible and accountable to carry out duties as in the Occupational Safety and Health Act Regulations 1994
To call /SMS Drop AOR Patient and pending final Guarantee Letter patients

Job description

The role emphasizes adherence to ISO quality objectives, professional conduct, and effective liaison with managed care organisations to finalize patient accounts and

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