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GP CLAIM EXECUTIVE
RM 2,500 - RM 2,999 / month
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Simplified
* Verify and process hospital and/or GP claims within 3-5 days according to the client’s schedule of benefits. * Ensure documentation in DMS is complete and compliant. * Process reimbursement claims within 5-7 working days. * Investigate and resolve client/clinic/hospital queries from all communication channels (WhatsApp/calls/emails). * Outreach to LTM patients to be transferred to our pharmacy partner (target will be established). * Issue Credit Notes (CN) and Debit Notes (DN). * Prepare and arrange for the delivery of hospital bills and claim invoices for dispatch. * Update clinics on the status of rejected claims. * Ensure claims are ready for invoicing as per the client’s invoice cycle. * Check patient entitlement on a monthly basis. * Verify claim amounts in the system to identify negative entitlement, duplicates, or claims that are not covered by entitlement.