EXECUTIVE, BILLING

KPJ Sentosa KL Specialist Hospital; Malaysia; On-site; MYR 36,000 - 58,000; Full time

Job summary

KPJ Sentosa KL Specialist Hospital seeks a billing professional to manage detailed charges, refunds, and supplementary bills, ensuring compliance with regulations. You will process referrals, generate guarantees, and maintain accurate records while supporting a team in a dynamic hospital setting.

The role requires meticulous attention to charge forms, GST compliance, and coordinating with multiple departments to keep patient accounts clear and up to date.

Responsibilities

• Check and enter all detail items tagged/charged by ward staff and support service departments; ensure sum equals the summary bill.
• Generate discounted bill with required approvals by Accountant/Finance Manager/Business Office Manager/Operations Manager/CEO.
• Obtain charge forms from various departments; ensure charges have supporting charge forms.
• Complete refund voucher; ensure patient has no outstanding amount; refunds approved by Accountant/Finance Manager.
• Create supplementary bill, return item, and credit note; attach supporting documents approved by authorized personnel.
• Issue Guarantee Letter to KPJ Hospitals for referrals; letters signed by Authorized Personnel (CEO/Finance Manager/Accountant/Business Office Manager).
• Ensure referred bills are forwarded to KPJ DSH; charge patient’s account accordingly.
• Prepare duty roster; ensure staff receive day off; rosters submitted for approval.
• Train and guide billing staff; ensure bills generated within ISO quality objectives after service rendered.
• Check 13th schedule Private Hospital Act charges for consultants and liaise with consultants; charges issued accordingly.
• Verify GST status; ensure GST code is correct.
• Fax final bill with documents to managed care organizations or obtain final Guarantee Letter before patient leaves hospital.
• Follow up on pending final Guarantee Letters from MCO and obtain final documents.
• Discharge inpatient in KCIS system; ensure patient episodes are ended.
• Communicate with patients via call/SMS about outstanding amounts and suspend accounts if needed.
• Replace staff on duty when unable to attend on Sundays/Public Holidays; ensure coverage.
• Apply corporate discounts correctly on final bill.
• Perform any other duties as required by superior; follow instructions.
• Comply with Occupational Safety and Health Act regulations; ensure safety at work.
• Participate in new services introduced and conform to IMS and Hospital Accreditation requirements.
• Adhere to IMS/Hospital Accreditation policies; maintain records and drive corrective actions when needed.
• Participate in all 5S activities and uphold patient rights and safety goals.

Job description

SUMMARY OF DUTIES

• 1. 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).
• 2. 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)
• 3. To be responsible for obtaining all charge forms from various departments All charges must have supporting charge forms.
• 4. 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
• 5. 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.
• 6. 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
• 7. To ensure respective KPJ hospitals forward their bill to KPJ DSH on every referral cases To charge patient’s account accordingly.
• 8. 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
• 9. 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
• 11. To check GST status To ensure “GST” code is correct
• 12. 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.
• 13. 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
• 14. To discharge inpatient for KCIS system Ensure patient episode are ended.
• 15. To call /SMS Drop AOR Patient and pending final Guarantee Letter patients Ensure patient aware about any outstanding amount and account suspend accordingly.
• 16. 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
• 17. To responsible all corporate discount given upon final bill To ensure correct corporate discount rate given upon final bill
• 18. To perform any other duties as and when required by superior To follow instruction given by superior
• 19. 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
• 20. Participate actively in any other new service that is introduced Conformance to Integrated Management System (IMS), and/or Hospital Accreditation requirements
• 21. 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
• 22. Ensure to actively participate in all 5S activities Responsible and accountable to carry out all 5s activities directed by the Management
• 23. 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
• 24. 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
• 25. Ensure adhere to Standard People Practice (SPP) To adhere to Standard People Practice (SPP)

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.