Patient Admin Executive

Role Overview

Patient Admin Executive at NMC Healthcare. The role is responsible for delivering comprehensive administrative and patient-facing support across registration, billing, insurance coordination, and reception duties at the medical facility.

Role Purpose

To provide seamless patient administrative support by managing patient registration and records, coordinating appointments, processing billing and insurance claims, handling communications, and maintaining accurate financial transactions while ensuring compliance with hospital policies and JCI standards.

Key Responsibilities

Patient Experience & Reception

• Greet patients upon arrival, direct them to appropriate departments, and provide routine information about the hospital as needed.
• Handle telephone inquiries from patients and relay information to the respective doctor or nurse for callbacks.
• 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.

Appointment Management

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

Patient Registration & Records

• Register new patients and ensure records of current patients are kept 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 and collect payment or 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 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.

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 the 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

• 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.
• 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.
• Participate in hospital training programs.

Shift & Scheduling

• Follow the duty schedule as assigned by the team leader or supervisor, which includes different shift timings as per the needs of the department.
• Accomplish related results as needed and contribute to team effort.

Qualifications & Experience

• College Diploma in any discipline or related field.

Additional Information

• Shift work required with varying shift timings based on departmental needs.