Assistant / Manager Business Office
Job Duties
1. Supervise Billing Team: Lead, train, and manage a team of billing specialists to ensure timely and accurate processing of medical claims, ensuring that all claims are billed in compliance with healthcare regulations.
2. Claims Management: Oversee the preparation, submission, and follow-up of insurance claims to ensure maximum reimbursement and to minimize denials. Review and resolve claim denials and rejections, working closely with insurance companies, payers, and the healthcare team to ensure proper resolution.
3. Revenue Cycle Oversight: Ensure the efficiency and accuracy of the entire revenue cycle process from patient registration to final payment, identifying areas for improvement in billing operations.
4. Compliance and Regulations: Ensure compliance with all relevant healthcare billing regulations, including HIPAA, Medicare, Medicaid, and insurance payer guidelines.
5. Reporting & Analysis: Prepare and present regular reports on billing performance, including metrics on claim volume, denials, reimbursement rates, and overall revenue cycle efficiency.
6. Collaborate Across Departments: Work with healthcare providers, the coding team, insurance companies, and other departments to resolve billing issues, discrepancies, and ensure timely payments.
7. Customer Service: Address patient billing inquiries and disputes, offering resolution in a professional and empathetic manner.
8. Audit Preparation: Assist with internal and external audits related to billing, ensuring that all billing documentation and processes are thorough and accurate.
9. Continuous Improvement: Continuously assess billing processes and systems, making recommendations for improvements to increase accuracy, reduce errors, and improve collections.
Education / Professional Qualifications
1. Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
2.Minimum 7-10 years of working experience in the field of hospital
Professional Experience / Minimum Requirements
1. Professional image and grooming
2. Self-confidence and interpersonal skills
3. Analytical and problem-solving skills
4. Good communication (both verbal and written) skills
5. Strong listening skills
6. Able to operate with minimal supervision
7. Able to manage time effectively, set priorities appropriately, schedule calls
8. Able to maintain professional demeanor under stress
9. Able to operate within customer standard operating procedures
Job Type: Full-time
Pay: RM5,000.00 - RM6,000.00 per month
Benefits:
- Health insurance
- Maternity leave
- Opportunities for promotion
Schedule:
- Rotational shift
Work Location: In person
Expected Start Date: 04/01/2025