Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. The role encompasses front-desk operations, patient registration, appointment management, and billing administration across the medical facility.

Role Purpose

To deliver efficient patient-facing administrative services including reception, registration, appointment coordination, and billing while maintaining accurate records, compliance with hospital policies, and high standards of patient care and confidentiality.

Key Responsibilities

Patient Reception & Communication

• Greet patients upon arrival, direct them to appropriate departments, and provide routine information about the hospital when necessary.
• Handle telephone inquiries from patients and provide information to the respective doctor or nurse for callbacks.
• Check emails daily and respond to queries in a timely manner.
• Maintain working knowledge of the Hospital Information System, clinic times, appointment duration, doctor's duty roster, and appointment booking procedures.

Appointment Management

• Manage appointments including tracking no-shows, rescheduling patients, and providing confirmations.

Patient Registration & Records

• Register new patients and ensure records of current patients are up to date.
• Maintain high standards of data accuracy while ensuring compliance with privacy regulations.
• Maintain patient and staff confidentiality.

Billing & Insurance

• Provide information about medical insurance coverage to patients.
• Collect payments and co-payments based on insurance eligibility.
• Provide claim forms for patients requesting reimbursement.
• Generate and process patient invoices for services rendered, including consultations, treatments, and diagnostic tests.
• Ensure all charges are accurately recorded in the patient's account, reflecting correct services, dates, and codes.
• Issue bills and invoices to patients for outstanding balances, including co-pays, deductibles, or non-covered services.
• Provide patients with detailed statements and assistance in understanding charges and payment options.
• Collect co-pays, deductibles, and outstanding balances at the time of service.
• Ensure billing practices comply with legal and insurance requirements.

Financial Operations

• Facilitate daily cash collection, credit card slips, and cheques deposits at the designated location within hospital premises.
• Ensure timely and accurate processing at the end of each shift, adhering to finance protocols standards.

Compliance & Quality

• Ensure operations are carried out uniformly according to hospital policies and procedures.
• Strictly adhere to NMC's regulations and policies, especially those related to infection control, patient safety, and JCI.
• Support Continuous Quality Improvement and participate in all quality assurance activities of the service.
• Ensure complaints are handled in a structured, timely, and professional manner that is fair, courteous, and respectful of privacy.
• Identify problems and contribute to continuous improvement of the department's services.

General Operations

• Perform duties of handling patients, telephone calls, cash, and back-office work as specified in the duty roster.
• Maintain safe and clean reception area by complying with procedures, rules, and regulations.
• Participate in hospital training programs.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Accomplish related results as needed to support team effort.

Qualifications & Experience

• College Degree or Diploma in any discipline or related fields.

Additional Information

• Follow duty schedule as assigned by team leader or supervisor, including different shift timings as per department need.