Patient Admin Executive

Role Overview

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

Role Purpose

To deliver efficient front-office and administrative support that ensures smooth patient flow, accurate registration and billing, and timely communication while maintaining confidentiality and compliance with hospital policies and standards.

Key Responsibilities

Patient Reception & Communication

• Greet patients upon entry to the medical facility and direct them to appropriate departments.
• Provide routine information about the hospital when necessary.
• Handle telephone inquiries from patients and relay information to the respective doctor or nurse for call-backs.
• Check emails daily and respond to queries in a timely manner.

Appointment Management

• Manage appointments including tracking no-shows, rescheduling patients, and confirming appointment details.
• Maintain working knowledge of the Hospital Information System, clinic times, appointment duration, doctor duty rosters, and booking procedures.

Patient Registration & Records

• Confirm and register new patients.
• Ensure records of current patients are kept up to date.
• Maintain high standards of data accuracy while ensuring compliance with privacy regulations.

Billing & Insurance

• Provide information about medical insurance coverage to patients.
• Collect payments and co-payments based on insurance eligibility.
• Provide claim forms to patients requesting 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.
• Provide patients with detailed statements and assistance in understanding 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 hospital premises.
• Ensure timely and accurate processing at the end of each shift, adhering to finance protocols.

Compliance & Quality

• 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.
• Maintain patient and staff confidentiality.
• Handle complaints 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.

General Operations

• Perform duties of handling patients, telephone calls, cash, and back-office work as specified in the duty roster.
• Follow the duty schedule assigned by the team leader or supervisor, including different shift timings as required by the department.
• Maintain a safe and clean reception area by complying with procedures, rules, and regulations.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Contribute to team effort by accomplishing related results as needed.

Qualifications & Experience

• College Diploma in any discipline or related field.

Skills & Competencies

• Strong interpersonal, verbal, and written communication skills.
• Strong analytical and problem-solving skills.
• Excellent command of oral and written English. Arabic language is desirable but not essential.
• Ability to think critically and maintain a high level of confidentiality.
• Proficiency in MS Office.

Additional Information

• Work involves different shift timings as per departmental need.