Job description
Role Overview
Patient Admin Executive at NMC Healthcare. The role is responsible for providing a range of duties including greeting patients when they enter the medical facility, confirming and registration of new patients, billing, insurance, answering calls and checking emails on a regular basis.
Role Purpose
To deliver efficient front-of-house and administrative support across patient reception, registration, appointment management, billing, and insurance processing while maintaining hospital policies, patient confidentiality, and service quality standards.
Key Responsibilities
Patient Reception & Service
- Greet patients upon arrival and direct them to appropriate departments.
- Provide routine information about the hospital when necessary.
- Maintain safe and clean reception area by complying with procedures, rules, and regulations.
- Contribute to team effort by accomplishing related results as needed.
Appointment Management
- Manage appointments including confirmations, rescheduling, and no-shows.
- Maintain working knowledge of the Hospital Information System, clinic times, appointment duration, doctor's duty roster, and booking procedures.
- Handle telephone inquiries from patients and provide information to the respective doctor or nurse for call backs.
Patient Registration & Records
- Register new patients and ensure records of current patients are 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 for patients requesting 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 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.
Financial Operations
- Facilitate daily cash collection, credit card slips, and cheques deposits at the designated location within the hospital premises.
- Ensure timely and accurate processing at the end of each shift, adhering to standards of finance protocols.
Communications & Administrative
- 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 & Quality Improvement
- Ensure operations are carried out uniformly according to hospital policies and procedures.
- Strictly adhere to NMC's regulations and policies, especially those related to infection control, patient safety, and JCI standards.
- Ensure complaints are handled in a structured, timely, and professional manner which 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.
- Participate in hospital training programs.
Interpersonal & Operational
- Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
- 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
- College Diploma in any discipline or related field.