Financial Liaison Officer

2 weeks ago

Shah Alam, Selangor, Malaysia AVISENA HEALTHCARE SDN. BHD. Full time
***: Purpose of FLO B2B role is to improve patient experience. FLO B2B will play a vital role in managing business to business financial operations in the department. FLO B2B primary responsibility will be to establish and nurture strong relationships with our business partners (Panels, TPAs, Insurances), to ensure seamless financial transactions and effective communication. FLO B2B will collaborate closely with internal stakeholders such as Specialists, Finance and Operations team to facilitate smooth flow of financial information, resolve any issues and drive financial growth for the hospital. FLO B2B will focus on assisting panel with Amount Under Clarifications (AUC), Claims Under Reviews (CUR), surveys or audits. Addition to that, Financial Liaison Officer (B2B) will also be assisting panels with the documentation preparation for claim purposes.

This position reports directly to the
Head of Business Office.

DUTIES & RESPONSIBILITIES:

  • Establish and maintain strong relationship with business partners (Panel, TPAs, Insurance) and internal stakeholders.
  • Collaborate with the Finance and BO units to ensure accurate and timely submissions of claims, invoices and other financial documentation to business partners.
  • Monitor and track outstanding payments and facilitate effective communication and issue resolution.
  • Provide support and assistance to Doctors, Consultants and the Operation Team in resolving any difficulties or challenges faced with business partners, such as GL matters, case reviews (Q&A), Audit Findings, AUC, and CUR.
  • Conduct regularly reporting on transaction, identifying trends, risks and opportunities for process improvement and revenue optimization.
  • Coordinate with internal stakeholders such as Medical Records and IT to ensure updated clinical coding (13th Schedule, ICD10, ICD9 and MMA Code), proper documentation and compliance with insurance requirements.
  • Address inquiries, concerns and disputes related to financial transactions, ensuring prompt resolution, and maintaining positive relationships with business partners.
  • Continuously assess and improve departmental workflows to enhance efficiency, accuracy, and data analytic.
  • Provide training and guidance to BO Unit on processes, policies and requirements.
  • To assist HOD on training and guidance to internal stakeholders especially Doctors, Consultants, Business Office and Operation Team on processes, policies, and requirements.
  • To stay updated on industry regulations, policies, requirements, and changes related to business partner.

DAILY

  • To generate data and report for daily discharge and present to HOD.
  • To update any discrepancy on Doctor's Consultation and Procedures Fees to HOD.
  • To update on new and updated information related to charging matters (e.g. code, price, item packages, etc).
  • To facilitate any Q&A or queries from external business partners.
  • To support and assist internal stakeholders, especially Doctors and Consultants in resolving any difficulties involving business partners.
  • Address and resolved payment dispute and discrepancy with business partners (ad hoc needs)

MONTHLY

  • Present monthly reporting (no of QA, CUR, AUC) to HOD.
  • To assist HOD with product familiarization to all staff.
  • To update business partners by 5th of every month on price changes and newly added item via reports verified by PO

SPORADIC

  • To stay updated on industry regulations, policies, requirements, and changes related to business partner.
  • To assist HOD on training and guidance to internal stakeholders especially Doctors, Consultants, Business Office and Operation Team on processes, policies, and requirements.
  • To assist in special projects as requested by HOD.
  • To update BDC on any new potential customers (panelship).
  • To submit of quarterly report as required by lARM

ACADEMIC QUALIFICATION:
Diploma / STPM / Degree in any field preferably Degree in Business Studies, Finance, Business Management, Healthcare management or Equivalent

SKILLS & EXPERIENCE REQUIRED:

  • Honest, trustworthy & able to maintain confidentiality.
  • Have working experience in related field.
  • Possess good leadership and interpersonal skills.
  • Computer literate.
  • Problemsolving mindset with the ability to identify issues, propose effective solutions and implement process improvements.
  • Excellent communication to build and maintain relationships with external and internal stakeholders

OTHERS ADDITIONAL REQUIREMENT(S):

  • Ability to work independently and able to interact at all levels.
  • Able to work under pressure.
  • Able to work beyond normal working hours.
  • Able to be a good team player.

Job Types:
Full-time, Permanent

Salary:
RM2, RM4,000.00 per month

Benefits:

  • Maternity leave
  • Opportunities for promotion
  • Professional development

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