Senior Executive, Business Office

Job Summary

Responsible for processing and ensuring medical claims are managed timely and in accordance with policy terms and conditions, and assist with reception duties, registration, financial counseling, collection of payment and other administration duties.

Role and Responsibilities

Business Office Management

• Responsible for following up on queries regarding CPF and TPA claims.
• Provide end-to-end support in processing medical claim submissions, reimbursement and generation of report
• Collect accurate information and documents to proceed with the claim process
• Monitor and timely follow-up on the progress of pending claims to assist with quick resolutions and proper closure
• Check validity of claims prior to data entry into system and ensure mediclaims are filed within a strict timeline
• To handle enquiries from internal and external parties within the agreed targeted turnaround time
• Provide financial counselling to patient and patient’s family
• Follow up on unpaid claims from insurers
• Ensure proper documentation is being followed in preparation for audit
• Work closely with HODs to implement new workflows for new agreements with insurers
• Mentor and train new team members

Qualifications and Education Requirements

• Diploma or Degree with at least 2 years’ experience in relevant field
• Meticulous and detail oriented at work with accuracy of data entries into system
• Able to work in a fast-paced environment and work independently
• Problem solver, Good Team Player
• Willing to learn and adaptable to working environment with minimal supervision
• Proficient in Microsoft Office applications (Excel, Word and Power Point)