Healthcare Billing & Claims Analyst

KPJ Bandar Maharani Specialist Hospital; Muar; On-site; MYR 45,000 - 78,000; Full time

Job summary

KPJ Bandar Maharani Specialist Hospital in Malaysia seeks an Insurance and Billing Officer to review admission documents, medical reports, and insurance coverage, liaising with consultants and clinical teams to ensure accurate documentation for claims.

You will coordinate pre-authorizations, monitor billing accuracy in the hospital system, and support the Business Office and Finance Department to submit timely claims.

Qualifications

• Diploma or Bachelor in Business Administration, Accounting, Finance or equivalent.
• 2-3 years in healthcare billing, case review, or insurance claims.
• Familiar with hospital systems (KCIS/HITS).
• Understanding of insurance processes and hospital billing procedures.

Responsibilities

• Review and verify admission documents, medical reports, and insurance coverage.
• Coordinate with consultants and clinical teams to ensure proper documentation for claims.
• Obtain pre-authorization, guarantee letters, and approvals from insurance companies.
• Ensure accuracy of charges and billing data before submission.
• Monitor patient length of stay and treatment plans to avoid claim rejections.
• Prepare reports on case status, approvals, and rejections for management.
• Support the Business Office and Finance Department in timely claim submissions.
• Escalate complex cases to Accountant/Lead, Business Operations.

Skills

Analytical skills

Communication

MS Office

Education

Diploma/Bachelor in Business/Finance

Healthcare/medical billing knowledge

Tools

KCIS/HITS

Job description

KPJ Bandar Maharani Specialist Hospital in Malaysia seeks an Insurance and Billing Officer to review admission documents, medical reports, and insurance coverage, liaising with consultants and clinical teams to ensure accurate documentation for claims.

You will coordinate pre-authorizations, monitor billing accuracy in the hospital system, and support the Business Office and Finance Department to submit timely claims.