Assistant, Guarantee Letter

Job Description

• Obtain initial guarantee letters for patients that admitted to hospital using Insurance, MCO and Corporate Companies.
• To update the guarantee letter status in the HITS,BMS,Care Tracker and Pro Bridge system and notify patient and consultant.
• Responsible for completeness of claim forms and other relevant documents received.
• To response/reply the deferment/medical questionnaire that been highlighted by MCO and Insurance companies
• To obtain approval from Insurer for referral consultant and add on procedure during admission. It has recorded at Pro Bridge.
• To upload/email complete documentation for pre admission and outpatient visits guarantee letter.
• Responsible for top up guarantee letter patient requested follows limit stated in initial guarantee letter.
• To obtain the credit limit or coverage for patients that been admitted to hospital from MCO and Insurance companies
• To verify guarantee letter for outpatient patients before proceed to see consultants
• Serve with kindness to all patients during their admission to hospital
• Any appropriate job assigned by immediate superior and HOS
• To carried out duties as an employee as stipulated in Occupational Safety and Health Act and Regulations 1994:-
  a. To take reasonable care at work for the safety of yourself and other persons;
  b. To co-operate with your employer or any other person in the discharge of any duty;
  c. To wear or use any protective equipment or clothing provided by the employer.
  d. To comply with any instruction or measure on occupational safety and health.
• Participate actively in any other new service that is introduced
• Ensure compliance of Patient safety goals as safety improvement measures recommended by World Alliance for Patient Safety (2008)
• Ensure the policies on Patient and Family’s Rights are addressed at all
  times.
• Ensure all Hospital policies and procedures and Hospital Accreditation are adhered to and records maintained, if and when these programs are implemented.
• Adopt the policies and procedures of ISO 9001:2015, ISO 14001:2015, ISO 45001:2018, Malaysian Hospital Accreditation Standards and Joint Commission International Accreditation Standards.

Job Description

SPM and above