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.

College Diploma - Any discipline or related fields.

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.