Associate, Care Services-insurance
2 weeks ago
**The Person**:
- Possess a **Degree in Nursing or Healthcare related discipline of State Registered Nurse or Medical Assistant with 2-3 years of experience**.
- At least 5 **- 8 years of clinical experience preferably with experience in Accident & Emergency, ICU and OT.**:
- Working experience in managed healthcare environment would be an asset.
- High level of integrity, takes accountability of work and good attitude over teamwork.
- Takes initiative to improve current state of things and adaptable to embrace new changes.
**The Role**:
- Pre-certifies cases for issuance of guarantee letter in accordance with Company’s requirements and guidelines.
- Ensure initial and final guarantee letters are issued accurately and timely.
- Support Call Center CSEs in handling technical/medical issues.
- Ensure cases of fee dispute are handled and resolved within targeted time frame.
- Back-up Call Center operations.
- Act as check and balance for GL cases and billing settlement.
- Take accountability in considering business and regulatory compliance risks and takes appropriate steps to mitigate the risks.
- Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company.
- Highlight any potential concerns /risks and proactively shares best risk management practices.
- Other responsibilities entailed.
**Salary**: RM2,800.00 - RM3,500.00 per month
Schedule:
- Monday to Friday
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