Job Description

Job Overview:

We are seeking a meticulous and responsible

Panel Claim Officer / Account Officer

to join our clinic's finance and administrative team. This position focuses on

Accounts Receivable (AR)

and

Panel Claim Management

, ensuring accurate billing, timely collection of payments, and proper reconciliation of panel and insurance claims. The ideal candidate should have strong attention to detail, good communication with panel partners, and a sound understanding of healthcare billing processes.

Key Responsibilities:

1. Panel Claim Management

Prepare, verify, and submit

panel claims

to corporate, insurance, and third-party administrators (TPAs) accurately and within stipulated timelines. Monitor

claim rejections, pending approvals, and unpaid claims

, ensuring prompt resubmission or clarification to panels. Maintain organized documentation of all submitted, approved, and rejected claims. Liaise with

panel companies, TPAs, and insurance representatives

to resolve discrepancies, delays, or disputes. Ensure compliance with each panel's claim format, tariff code, and policy requirements. Update and maintain the

panel claim tracker / AR aging report

for management review. Work closely with clinic operations to ensure proper recording of panel visits and claimable services. Coordinate with the Resident Doctor and Clinic Manager for medical report requests or justifications required for claim approvals.

2. Accounts Receivable (AR) Management

Record and reconcile

daily sales and panel receipts

in the accounting system. Track

outstanding receivables

and ensure timely follow-up with panel companies and clients. Prepare

monthly AR statements

, aging analysis, and summary reports for management. Verify all invoices and receipts are accurately issued and filed systematically. Assist in

bank reconciliation

related to incoming payments and deposits. Monitor credit terms granted to panels and alert management on overdue accounts. Ensure compliance with accounting standards and clinic financial policies.

Requirements:

Diploma / Degree in

Accounting, Finance, Health Administration

, or related field. Minimum

1-2 years of working experience

in accounting, billing, or panel claim management (preferably in healthcare or clinic setting). Familiarity with

panel claim systems (e.g., HealthMetrics, PMCare, Mednefits, or similar platforms)

is an added advantage. Proficient in

Microsoft Excel / accounting software (e.g., SQL)

Good analytical, communication, and follow-up skills. Detail-oriented, organized, and able to work independently with minimal supervision. Able to meet tight deadlines and manage multiple priorities effectively. Team player with a positive working attitude and professional integrity.

Benefits:

Attractive salary package Overtime, allowances, and on-call rates EPF, SOCSO & EIS contributions Medical benefits for staff Annual leave, sick leave & maternity leave (as applicable) Training and career development opportunities Supportive team environment
Job Types: Full-time, Internship

Pay: From RM1,800.00 per month

Benefits:

Additional leave Maternity leave Professional development
Education:

Diploma/Advanced Diploma (Required)
Experience:

Panel Claim: 1 year (Required)
Location:

Kangar (Required)
Work Location: In person