Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. The role provides a range of administrative and patient-facing duties including greeting patients, registration, billing, insurance handling, telephone management, and email correspondence.

Role Purpose

To deliver efficient patient administration services by managing patient flow, registering and updating records, processing payments and claims, handling telephone and email inquiries, and ensuring all operations comply with hospital policies and quality standards.

Key Responsibilities

Patient Reception & Flow

• 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.

Appointment Management

• Manage appointments including confirmations, rescheduling, and no-show tracking.
• Maintain working knowledge of clinic times, appointment duration, and booking procedures.
• Maintain working knowledge of doctor duty rosters.

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.

Telephone & Email Management

• 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.

Billing & Insurance

• Provide information about medical insurance coverage to patients.
• Collect co-pays, deductibles, and outstanding balances at the time of service.
• Collect payment or co-payment based on insurance eligibility.
• Generate and process patient invoices for services rendered, including consultations, treatments, and diagnostic tests.
• Ensure that 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.
• Provide claim forms to patients who want to claim reimbursement.
• Ensure billing practices comply with legal and insurance requirements.

Cash & Finance Handling

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

Hospital Information Systems

• Maintain working knowledge of the Hospital Information System.

Compliance & Quality

• Ensure operations are carried out uniformly according to hospital policies and procedures.
• Strictly adhere to NMC 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 continuously improve department services.
• Participate in hospital training programs.

Team & Interpersonal

• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Accomplish related results as needed to contribute to team effort.
• Follow the duty schedule as assigned by the team leader or supervisor.

Qualifications & Experience

• College Diploma in any discipline or related field.

Additional Information

• Duty schedule includes different shift timings as per departmental need.