Patient Admin Executive - UAEN

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.

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Greet patients, direct them to appropriate departments and provide routine information about the hospital when necessary.

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Check emails daily, ensuring you respond to queries in a timely manner.

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Ensure operations are carried out uniformly according to the hospital policies and procedures.

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Contributes to team effort by accomplishing related results as needed and maintains safe and clean reception area by complying with procedures, rules, and regulations.

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Participate in the Hospital training programs.

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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.

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Follows the duty schedule as assigned by the team leader/supervisor which includes different shift timings as per the need of the department

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Strictly adheres to NMC’s regulations and policies especially those related to infection control, patient safety & JCI.

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Supports Continuous Quality Improvement and participates and contributes to all the quality assurance activities of the service.

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Exercises effective interpersonal skills in dealings with department staff, colleagues and management.

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Maintains patient & staff confidentiality.

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Maintain high standards of data accuracy while ensuring compliance with privacy regulations.

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Verify patients’ insurance coverage and eligibility .

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Maintain updated records of insurance policies, benefits, and limits.

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Keep the pending approval monitoring system updated for the next days follow-up.

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Ensure correct documentation is attached for claims

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Resolve discrepancies.

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Educate patients about their insurance coverage, co-payments.

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Handle patient queries regarding claims, approvals, or reimbursement.

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Maintain accurate records of all insurance claims and payments.

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Work closely with the front desk, billing team, and clinical staff to ensure accurate documentation and billing.

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Assist in resolving billing discrepancies related to insurance.

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Stay updated on insurance policies, regulations, and guidelines.

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Ensure compliance with insurance rules and clinic policies.

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Enter new patient information and update in our system.

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Guide the staff to follow the correct ICD&CDT codes to avoid the rejection.

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Coordinating with head office insurance team for escalations when required

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

Highschool/ College Diploma - Any discipline or related fields.