Patient Admin Executive

Role Overview

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

Role Purpose

Deliver efficient patient-facing and back-office administration to ensure smooth operations, accurate billing, timely patient service, and compliance with hospital policies and quality standards.

Key Responsibilities

Patient Reception & Service

• Greet patients upon arrival, direct them to appropriate departments, and provide routine information about the hospital as needed.
• Handle telephone inquiries from patients and relay information to the respective doctor or nurse for callbacks.
• Maintain a safe and clean reception area by complying with procedures, rules, and regulations.

Appointment Management

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

Patient Registration & Records

• Register new patients and ensure current patient records 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 co-pays, deductibles, and outstanding balances at the time of service.
• 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 any outstanding balances, including co-pays, deductibles, or non-covered services.
• Provide patients with detailed statements and assistance in understanding charges and payment options.
• Provide claim forms to patients requesting reimbursement.
• Ensure billing practices comply with legal and insurance requirements.

Financial Processing

• 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.

Communications & Administration

• Check emails daily and respond to queries in a timely manner.
• Perform duties as specified in the duty roster, including handling patients, telephone calls, cash, and back-office work.
• Follow the duty schedule assigned by the team leader or supervisor, which includes different shift timings as per departmental need.

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 standards.
• Maintain working knowledge of the Hospital Information System.
• Ensure complaints are handled in a structured, timely, and professional manner that is fair, courteous, and respectful of privacy.
• Support Continuous Quality Improvement and participate in all quality assurance activities of the service.
• Participate in hospital training programs.

Teamwork & Interpersonal

• Contribute to team effort by accomplishing related results as needed.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.

Qualifications & Experience

• College degree or diploma in any discipline or related field.

Skills & Competencies

• Hospital Information System proficiency.
• Patient registration and records management.
• Billing, invoicing, and insurance processing.
• Cash handling and financial deposit procedures.
• Telephone communication and customer service.
• Email management and written communication.
• Data accuracy and compliance with privacy regulations.
• Interpersonal and teamwork skills.

Additional Information

• Follows shift-based schedule as assigned, with varying shift timings according to departmental needs.