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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
