Company Confidential is looking for new potential candidates to fill in for Cost Containment Case Management Executive position. If you currently looking for new healthcare job opportunities and qualified with the job desc, feel free to apply this job.
- Review thoroughly each claim to ensure accuracy of information and verification of facts whether customary and reasonable based on rates stipulated by law (Malaysia).
- Process claims according to standard recommendation and guidelines set.
- Systematically follow-up and attend to internal & external customer’s enquiries pertaining to claims while meeting internal standard turnaround time.
- Audit of claims for inconsistencies and accurately recorded.
- Able to lead new team members in solving complex problems while handling case assessment and audit.
- Preparation of basic cost containment or savings reports.
- Proficiency in Computer software – Microsoft Excel & Word.
- Good command (spoken & written) in English & Bahasa Malaysia. Any extra language would be added advantage for the job.
- Possess interest and able to give excellent attention to details with large data.
- Basic Medical knowledge or background would be essential for training of new staff and handling of medical claims.
Education, Professional Qualifications and Experience
- Candidate must possess at least a Professional Certificate, Diploma, Advanced/Higher/Graduate Diploma, Bachelor's Degree, Post Graduate Diploma, Professional Degree, Medicine, Medical Science, Nursing or equivalent.
- Minimum 3 years working experience preferable in the insurance medical claims or medical industry.
- Full-Time position(s) available.
How To Apply
If you confident and feel that this job is suitable to you, go ahead take your action now.
Hope you find your dream hospital job in Selangor.