Cyberjaya Jobs Executive, Claims Management Position at PROTECTHEALTH CORPORATION SDN. BHD.

Image PROTECTHEALTH CORPORATION SDN. BHD.
  • Job vacancies posted on: 12 months ago

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We are open recruitment and happily inform you that we are looking for candidates to fill the position of Executive, Claims Management in our company, PROTECTHEALTH CORPORATION SDN. BHD.. For candidates who reside in Cyberjaya and its neighboring regions, we are looking for you to be a part of us and work in our company office, and able to labor under a contract system.

We have specific requirements for each of our employees as well as potential workers, because we are a professional and knowledgeable business in the field we work in. We are interested in hearing from you as soon as possible if you have expertise in the fields Healthcare & Practitioner/Medical Asst and possess a Bachelor's Degree, Post Graduate Diploma & Professional Degree or higher.

We offer you a fairly competitive salary that can be adjusted depending on the credibility you can contribute to our company. It typically ranges from RM 1,600 - RM 3,700 and likely to change at any time. This salary negotiation must be agreed based on our company's HRD agreement.

Job Info

Company PROTECTHEALTH CORPORATION SDN. BHD.
Position Executive, Claims Management
Region Cyberjaya
Career Level Junior Executive
Work Experience 3 years
Qualification Bachelor's Degree, Post Graduate Diploma, Professional Degree
Type of Work Contract
Specialization Required Healthcare, Practitioner/Medical Asst
Minimum Salary MYR 1.550
Maximum Salary MYR 3.700

Role Description

The Claims Executive is responsible for the support and coordination of claims management and operations activities.

Role Description

  • Reviewing and approving claims within the department benchmark/turnaround time whilst ensuring to adhere to claims processing standard operating procedure.
  • Resolves claims by approving or denying documentation, calculating benefits due, initiating payment and/or composing denial letters.
  • To resolve incoming enquiries from internal or external parties via emails, phone calls and the system.
  • Conduct analysis, and prepare periodic reports and presentations as required by management within the agreed service standards.
  • Assist to develop, comprehensive medical care and healthcare business claims rules.
  • Assist to develop, document and update policies, procedures and workflow of the department.
  • To correspond on and day to day operational functions of the department and coordinate with other departments.
  • Liaise with Digital Technologies division to troubleshoot issues/cases encountered in the day-to-day operations.
  • Continuously review and update/document the administrative rules and processes for the effective and efficient operation of the section.
  • Undertake new projects / other work and duties allocated by Management, as and when required.

Requirements

  • A Bachelor’s degree preferably in medicine, pharmacy, biotech or any health-related field.
  • Working experience handling claims for outpatient accounts or TPA.
  • Computer literate and proficient in Microsoft Office. Candidates must be willing to learn new computer systems and skills as necessary.
  • Willingness to work creatively and collaboratively in an interdisciplinary environment
  • Ability to manage multiple tasks and meet the demands of a fast-paced environment with changing priorities.
  • Working experience as a medical doctor and/or being familiar with ICD-10, ICD-9-CM and LOINC classification systems will be an advantage.

Office/Company Address

Country Malaysia
Region Selangor
City Cyberjaya
Map Google Map

Benefit

  • Flexible Working Hours
  • Flexible Benefits

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Company Description

Incorporated on 19 December 2016, ProtectHealth Corporation Sdn Bhd (ProtectHealth) is a wholly-owned subsidiary of ProtectHealth Malaysia, established under the Ministry of Health, Malaysia (MOH).

As a not-for-profit company, ProtectHealth coordinates, administers and manages initiatives related to financing healthcare services as mandated by MOH.

Company Info

  • Industry: Healthcare / Medical
  • Registration No.: 1212734-T
  • Company Size: 51 - 200 Employees
  • Average Processing Time: 10 days
  • Benefits & Others: Dental, Medical, Parking, Vision, Regular hours, Mondays - Fridays, Business (e.g. Shirts)
This vacancy is suitable for those of you who live in the following areas: Selangor