Patient Admin Executive

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.