Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. The role is based at a hospital facility and focuses on patient-facing administrative and financial services.

Role Purpose

Deliver efficient patient registration, appointment management, and billing services while maintaining accurate records, processing payments, and ensuring compliance with hospital policies and regulatory standards including infection control, patient safety, and JCI requirements.

Key Responsibilities

Patient Reception and Communication

• Greet patients, 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 call backs.
• Check emails daily, ensuring you respond to queries in a timely manner.

Appointment Management

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

Patient Records and Registration

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

Financial Services and Billing

• Provide information about medical insurance coverage to patients and collect payment or co-payment based on insurance eligibility.
• Provide claim forms in case the patient wants to claim reimbursement.
• 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 any 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 and Financial Processing

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

Compliance and Quality

• Ensure operations are carried out uniformly according to the 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 and contribute to all the quality assurance activities of the service.
• Ensure complaints are handled in a structured, timely, and professional manner which is fair, courteous and respectful of privacy, to identify problems and to continuously improve 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 a safe and clean reception area by complying with procedures, rules, and regulations.
• Contribute to team effort by accomplishing related results as needed.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Participate in the hospital training programs.
• Follow the duty schedule as assigned by the team leader or supervisor, which includes different shift timings as per the need of the department.

Qualifications & Experience

• High School Diploma or equivalent degree.
• College Diploma in any discipline or related fields.

Skills & Competencies

• Proficiency with the Hospital Information System.
• Strong interpersonal and communication skills.
• Ability to handle multiple tasks simultaneously.
• Attention to detail and accuracy in data entry and billing.
• Customer service orientation.
• Ability to work in shift patterns as required by the department.