Posting date: 23-09-2017 | Closing date: 07-10-2018
Eximius Medical Administration Solutions Sdn Bhd Logo
Eximius Medical Administration Solutions Sdn Bhd
We are a third Party medical Benefits Administrator focused on Medical Billing Audit. Patient Safety is our passion.
Patient Administration Executive
(titiwangsa, Kul. Lumpur )
Job Descriptions

This is a role that requires ability to care for the patient and ensuring all administrative tasks for the patient are well taken care of. 
We are outsourced by corporates, as such we have our responsibility to them

This is a careline based position, all liaison are via telephone, mostly incoming calls from clinics, hospitals and patients. 
Centered around understanding the Insurance Health benefits as well as ability to judge patient requirements as directed by treating clinics & hospitals and to influence the decision with patient safety in mind. 

Tasks include the following:
- To answer all incoming calls in a professional manner (with Standard Greetings) as this is the first point of contact for clients. Calls pertaining to other business unit/personnel to be transferred in a professional manner.
- To verify member eligibility prior to Guarantee Letter Issuance
- To verify & understand the nature of treatment plan for the patient and to ensure it is Usual Reasonable & Customary
- To respond to hospitals upon receipt of fax or email for outpatient and inpatient Guarantee Letter (GL) within TATs.
- To respond to patients who call in, fax or email for outpatient and inpatient Guarantee Letter (GL) within TATs.
- To be well versed with SOP for GL issuance and always comply with client schedule of benefits & exclusion list.
- To oversee all query letters and to ensure completion in investigations when applicable  
- To report to supervisor in the event of difficulties or any matter which needs escalation to Higher Authority and/or Medical Director.
- To work on night shift duties. (night shifts required)
- To process medical claims according to insurance standards
- To carry out tasks as designated appropriate by call centre supervisor.
- To voice out opinions & ideas and to constantly improve work processes.
- To be flexible in understanding business nature of the company and to be flexible in undertaking tasks given by Supervisors and/or Superiors in fulfilling company needs.
- Must be able to work night shifts as well as we are 24/7

Fresh Graduates are highly encouraged to apply

Job Requirements

Superior Communication Skills
Math Skills
Analytical Skills
Must be able to speak and write in English
Diploma / Degree in any health or medical related field
Willingness to learn and participate

Happiness, Compassion & Empathy is a must

Only shortlisted candidates will be notified.

Interested applicants are invited to write-in / fax-in / email with comprehensive resume including current and expected salary to:

Eximius Medical Administration Solutions Sdn Bhd
Bangunan MMA, 124 Jalan Pahang
53000, KL

Employment Type
: Full Time
No of Vacancies
: 3
Min. Qualification
Min. Experience
: 1 Year(s)
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