Associate Claims

2 weeks ago


Bandar Sunway Selangor, Malaysia Sunway Medical Centre Sdn Bhd Full time 80,000 - 120,000 per year

Job Description

  • Coordinate with international patients and their home country insurance companies to ensure timely receipt, review, and verification of Guarantee Letters (GL) in accordance with hospital policies and international standards.
  • Collaborate with insurance providers to resolve discrepancies, incomplete information, or mismatched bill sizes in the Financial Guarantee Letters (FGL).
  • Maintain up-to-date records of all GLs in the hospital's system and track their status for timely processing and approvals.
  • Liaise with stakeholders including insurers, doctors, and third-party payers (TPPs) to address GL-related issues, ensure appropriate financial agreements, and follow up on missing or delayed information.
  • Act as the primary liaison for insurance companies, TPPs, and corporate clients regarding GL approvals, hospital charges, and doctors' fees.
  • Provide secondary support for discharge and billing issues when frontline responses are insufficient, including registration, cashiering, GL verification, and coordination with stakeholders.
  • Follow up on outstanding insurance claims and debts, using Insurance Ageing Reports to prioritize actions.

Job Requirement

  • Bachelor's degree in Business Administration, Healthcare Management, or a related field
  • Minimum 2 years working experiences in insurances, GL, medical claims, related work
  • Previous experience in international patient services, insurance handling, or healthcare administration is highly desirable
  • Familiarity with healthcare insurance claims, policies, and procedures for international patients
  • Strong proficiency in Microsoft Office applications
  • Familiarity with international health insurance practices, guarantee letters, and reimbursement processes
  • Excellent verbal and written communication skills.
  • Ability to work effectively with diverse populations and ensuring inclusivity

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