Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. This is a patient-facing administrative role responsible for delivering excellent patient experience through registration, appointment management, billing, insurance, and front-desk operations.

Role Purpose

Deliver seamless patient administrative services by managing patient interactions, maintaining accurate records, processing billing and insurance claims, and ensuring compliance with hospital policies and JCI standards.

Key Responsibilities

Patient Experience & Reception

• Greet patients upon arrival and direct them to appropriate departments.
• Provide routine information about the hospital when necessary.
• Maintain a safe and clean reception area in compliance with procedures, rules, and regulations.

Telephone & Communication

• Handle telephone inquiries from patients and provide information to the respective doctor or nurse for call backs.
• Check emails daily and respond to queries in a timely manner.

Appointment Management

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

Patient Registration & Records

• Register new patients and ensure records of current patients are kept 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 payment and co-payment based on insurance eligibility.
• Provide claim forms to patients seeking 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 time of service.
• Ensure billing practices comply with legal and insurance requirements.

Financial Operations

• 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 in adherence to finance protocols.

Compliance & Quality

• Strictly adhere to NMC regulations and policies, especially those related to infection control, patient safety, and JCI standards.
• 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.
• Participate in hospital training programs.

Complaint Management

• Handle complaints in a structured, timely, and professional manner that is fair, courteous, and respectful of privacy.
• Identify problems and contribute to continuous improvement of department services.

General Duties

• Perform duties of handling patients, telephone calls, cash, and back-office work as specified in the duty roster.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Contribute to team effort by accomplishing related results as needed.

Qualifications & Experience

No specific qualifications or years of experience stated in the source material.

Additional Information

• Follow the duty schedule as assigned by team leader or supervisor, which includes different shift timings as per department need.
• Full details are available on the employer's original posting.