Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. Location not specified in source.

Role Purpose

To deliver efficient reception, patient registration, appointment management, and billing services while maintaining confidentiality, data accuracy, and compliance with hospital policies and regulatory standards.

Key Responsibilities

Reception & Patient Services

• 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 ensure timely responses to queries.
• Maintain a safe and clean reception area in compliance with procedures, rules, and regulations.

Appointment Management

• Manage appointments including handling no-shows, rescheduling patients, and confirmations.
• Maintain working knowledge of the Hospital Information System, clinic times, appointment durations, doctor's duty roster, and appointment booking procedures.

Patient Registration & Records

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

Insurance & Billing

• Provide information about medical insurance coverage to patients.
• Collect payments and co-payments 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 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.

General Duties & Compliance

• 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 per department need.
• 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.
• Participate in hospital training programs.
• Exercise effective interpersonal skills in dealings with department staff, colleagues, and management.
• Handle complaints 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.
• Contribute to team effort by accomplishing related results as needed.

Qualifications & Experience

• College Diploma in any discipline or related field.