EXECUTIVE, BILLING

KPJ Selangor Specialist Hospital

Kuala Lumpur

On-site

MYR 45,000 - 65,000

Full time

14 days+

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Job summary

KPJ Selangor Specialist Hospital seeks a Billing Supervisor to guide billing clerks in generating inpatient bills and handling inquiries. You will verify charged items and ensure all charges have supporting forms, aiming for accuracy and timeliness in the billing cycle.

The role requires oversight over discount processing, charge form collection, refund vouchers, supplementary bills, and adherence to ISO quality objectives.

Responsibilities

To guide billing clerk/ward clerk in generating inpatient bills and explaining inpatient inquiry
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 complete refund voucher
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 prepare duty roster
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 check GST status
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
To discharge inpatient for KCIS system
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 ensure correct corporate discount rate 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
Participate actively in any other new service that is introduced
Conformance to Integrated Management System (IMS), and/or Hospital Accreditation requirements
Ensure all policies and procedures of Integrated Management System (IMS) and /or Hospital Accreditation are adhered to and records maintained, if and when these programs are implemented
Prompt and effective action in taking corrective measures in cases of Integrated Management System (IMS), and/or Hospital Accreditation non-conformance
Achievement of satisfactory department performance on the external and internal audits
Ensure to actively participate in all 5S activities
Responsible and accountable to carry out all 5s activities directed by the Management
Ensure the policies on Patient’s and Family’s Rights are addressed at all times
Responsible and accountable to achieve the needs of the patient’s and family’s rights at all times
Ensure compliance to Patient Safety Goals as safety improvement measures recommended by World Alliance for Patient Safety (2008)
To ensure compliance at all points of engagement at all times
Ensure adhere to Standard People Practice (SPP)
To adhere to Standard People Practice (SPP)

Job description

SUMMARY OF DUTIES

To guide billing clerk/ward clerk in generating inpatient bills and explaining inpatient inquiry.

Main 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 complete refund voucher

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 prepare duty roster

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.

10.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 check GST status

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

To discharge inpatient for KCIS system

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 ensure correct corporate discount rate 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

Participate actively in any other new service that is introduced

Conformance to Integrated Management System (IMS), and/or Hospital Accreditation requirements

Ensure all policies and procedures of Integrated Management System (IMS) and /or Hospital Accreditation are adhered to and records maintained, if and when these programs are implemented

Prompt and effective action in taking corrective measures in cases of Integrated Management System (IMS), and/or Hospital Accreditation non-conformance
Achievement of satisfactory department performance on the external and internal audits