Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. The role provides a range of administrative and billing duties supporting patient registration, appointment management, and financial processing across the medical facility.

Role Purpose

Deliver efficient front-desk and back-office administration to ensure smooth patient flow, accurate registration, timely appointment management, and compliant billing and payment processing.

Key Responsibilities

Patient Engagement & Information

• Greet patients upon arrival, direct them to appropriate departments, and provide routine information about the hospital when necessary.
• Handle telephone inquiries from patients and relay information to the respective doctor or nurse for callbacks.
• Provide patients with detailed statements and assistance in understanding their charges and payment options.
• Maintain patient and staff confidentiality.

Appointment & Registration Management

• Manage appointments, including handling no-shows, rescheduling, and confirmations.
• Register new patients and ensure records of current patients are kept up to date.
• Maintain working knowledge of the Hospital Information System, clinic times, appointment duration, doctor's duty roster, and appointment booking procedures.

Billing & Insurance

• Provide information about medical insurance coverage to patients and collect payments or co-payments based on insurance eligibility.
• Provide claim forms when patients request 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.
• Collect co-pays, deductibles, and outstanding balances at the time of service.
• Prepare and process patient invoices for services, ensuring accurate charges.
• Ensure billing practices comply with legal and insurance requirements.

Financial Processing & Cash Management

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

Communications & Administrative Tasks

• Check emails daily and respond to queries in a timely manner.
• Perform duties of handling patients, telephone calls, cash, and back-office work as specified in the duty roster.

Compliance & Operations

• 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.
• Maintain high standards of data accuracy while ensuring compliance with privacy regulations.
• Maintain a safe and clean reception area by complying with procedures, rules, and regulations.

Quality & Continuous Improvement

• Ensure complaints are handled in a structured, timely, and professional manner that is fair, courteous, and respectful of privacy.
• Identify problems and continuously improve the department's services.
• Support Continuous Quality Improvement and participate in all quality assurance activities of the service.

Team & Professional Development

• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Perform assigned duties according to the duty schedule set by the team leader or supervisor, which includes different shift timings as needed by the department.
• Participate in hospital training programs.
• Contribute to team effort by accomplishing related results as needed.

Qualifications & Experience

• College Degree or Diploma in any discipline or related field.

Skills & Competencies

• Proficiency in the Hospital Information System.
• Strong interpersonal and communication skills.
• Ability to manage multiple tasks and priorities simultaneously.
• Attention to detail and high data accuracy standards.
• Patient confidentiality and privacy awareness.

Additional Information

• Shift work required, including varied shift timings as per departmental needs.
• Participation in hospital training programs is mandatory.