Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. Location not specified in the source.

Role Purpose

Deliver front-line administrative and billing support to patients, managing appointments, registration, inquiries, payments, and invoicing while ensuring compliance with hospital policies, infection control standards, and JCI regulations.

Key Responsibilities

Patient Services & Reception

• Greet patients and direct them to appropriate departments.
• Provide routine information about the hospital when necessary.
• Handle telephone inquiries from patients and relay information to the respective doctor or nurse for call backs.
• Maintain a safe and clean reception area in compliance with procedures, rules, and regulations.

Appointment Management

• Manage appointments, including no-shows, rescheduling, and confirmations.
• Maintain working knowledge of the Hospital Information System, clinic times, appointment duration, doctor's duty roster, and booking procedures.

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.

Insurance & Payment Collection

• Provide information about medical insurance coverage to patients.
• Collect payments and co-payments based on insurance eligibility.
• Provide claim forms for patients requesting reimbursement.

Billing & Invoicing

• 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 the 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 their 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.

Cash & Financial Processing

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

Compliance & Quality

• Strictly adhere to NMC's regulations and policies, especially those related to infection control, patient safety, and JCI.
• Ensure operations are carried out uniformly according to hospital policies and procedures.
• Support Continuous Quality Improvement and participate in all quality assurance activities of the service.

Communications & Customer Service

• Check emails daily and respond to queries in a timely manner.
• Handle complaints in a structured, timely, and professional manner that is fair, courteous, and respectful of privacy.
• Identify problems and continuously improve department services.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.

General Duties

• Perform duties of handling patients, telephone calls, cash, and back-office work as specified in the duty roster.
• Follow the duty schedule assigned by the team leader or supervisor, which includes different shift timings as per department need.
• Contribute to team effort by accomplishing related results as needed.
• Participate in hospital training programs.

Qualifications & Experience

• College Diploma in any discipline or related field.