Hospital Admission & Insurance Support Specialist

KPJ Penang Specialist Hospital; Penang; On-site; MYR 33,000 - 67,000; Full time

Job summary

KPJ Penang Specialist Hospital in Penang seeks an administrative professional (SPM and above) to manage patient guarantee letters with insurers and corporate providers, ensuring complete documentation for admissions and outpatient visits.

The role requires updating status in hospital systems (HITS, BMS, Care Tracker, Pro Bridge), replying to deferment questionnaires, obtaining insurer approvals for referrals, and uploading documentation.

Qualifications

• To obtain initial guarantee letters for patients that admitted to hospital using Insurance, MCO and Corporate Companies.
• To update the guarantee letter status in the HITS,BMS,Care Tracker and Pro Bridge system and notify patient and consultant.
• To respond/reply the deferment/medical questionnaire highlighted by MCO and Insurance companies.
• To obtain approval from Insurer for referral consultant and add on procedure during admission.

Responsibilities

• Upload/email complete documentation for pre admission and outpatient visits guarantee letter.
• Ensure compliance with patient safety goals and hospital policies; follow safety measures per Occupational Safety and Health Act.
• Carrying out duties as assigned by superior and HOS; participate in new services introduced by the hospital.

Job description

KPJ Penang Specialist Hospital in Penang seeks an administrative professional (SPM and above) to manage patient guarantee letters with insurers and corporate providers, ensuring complete documentation for admissions and outpatient visits.

The role requires updating status in hospital systems (HITS, BMS, Care Tracker, Pro Bridge), replying to deferment questionnaires, obtaining insurer approvals for referrals, and uploading documentation.