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Patient Admin Executive

NMC · Sharjah, United Arab Emirates

Healthcare AdministrationExternal listingfull-timeabout 2 hours ago

About The Role

Responsible to provide a range of duties including greeting patients when they enter the medical facility, confirming and registration of new patients, insurance, answering calls and checking emails on a regular basis.

  • Greet patients, direct them to appropriate departments and provide routine information about the hospital when necessary.
  • Check emails daily, ensuring you respond to queries in a timely manner.
  • Ensure operations are carried out uniformly according to the hospital policies and procedures.
  • Contributes to team effort by accomplishing related results as needed and maintains safe and clean reception area by complying with procedures, rules, and regulations.
  • Participate in the Hospital training programs.
  • Ensure complaints are handled in a structured, timely and professional manner which is fair, courteous and respectful of privacy, to identify problems and to continuously improve the department's services.
  • Follows the duty schedule as assigned by the team leader/supervisor which includes different shift timings as per the need of the department
  • Strictly adheres to NMC’s regulations and policies especially those related to infection control, patient safety & JCI.
  • Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.
  • Exercises effective interpersonal skills in dealings with department staff, colleagues and management.
  • Maintains patient & staff confidentiality.
  • Maintain high standards of data accuracy while ensuring compliance with privacy regulations.
  • Verify patients’ insurance coverage and eligibility .
  • Maintain updated records of insurance policies, benefits, and limits.
  • Keep the pending approval monitoring system updated for the next days follow-up.
  • Ensure correct documentation is attached for claims
  • Resolve discrepancies.
  • Educate patients about their insurance coverage, co-payments.
  • Handle patient queries regarding claims, approvals, or reimbursement.
  • Maintain accurate records of all insurance claims and payments.
  • Work closely with the front desk, billing team, and clinical staff to ensure accurate documentation and billing.
  • Assist in resolving billing discrepancies related to insurance.
  • Stay updated on insurance policies, regulations, and guidelines.
  • Ensure compliance with insurance rules and clinic policies.
  • Enter new patient information and update in our system.
  • Guide the staff to follow the correct ICD&CDT codes to avoid the rejection.
  • Coordinating with head office insurance team for escalations when required

Keeping all insurance records updated and ready for audits/inspections.

  • College Diploma - Any discipline or related fields.

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