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Company Name : Al Futtaim Group

Patient Relations Executive – Healthcare | Dubai

bayt.com

Job Description

About the Role

 

Al Futtaim Group Healthcare is looking for Patient Relations Executive – Healthcare to provide end to end operational support to the patients including but not limited to insurance, appointments & invoicing and general customer service.

 

As a Patient Relations Executive – Healthcare you will be responsible to provide a multidisciplinary approach to ensure patient care is provided with the best service at all time.

 

About the Responsibility

 

You will be responsible for:

Medical Insurance:

  • Responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers with the use of accurate code to define diagnostics, treatments and procedures and to enter this information into a the facility’s database using medical coding protocol to produce a statement or claim.
  • To act as a liaison between the facility and payment parties to investigate the claim, verify its information, and update the database in the instance that a claim is denied by the third-party payer.
  • Review patient medical records
  • Communicating with medical billing specialists to ensure treatment codes are accurately received
  • Submission of claims
  • Taking timely approval of investigations/ procedures.

 

Medical Invoicing:

  • Invoicing the services as per the agreed prices.
  • Receiving patient treatment codes to use in assembling reimbursement claims
  • Make sure CPT codes are accurate as per service
  • Billing patients for medical services
  • Enter patient information into computer files, and possibly also in paper records
  • Organize, manage, and sort paperwork (including patients’ charts)
  • Continue to enter data as patients are subjected to diagnostic tests and receive treatments
  • Prepare and mail billing statements
  • Resolve conflicts regarding payments and reimbursements
  • Investigate and report instances of insurance fraud
  • Provide information and prepare documents for legal inquiries and litigation
  • Ensure the confidentiality of patients’ personal information
  • Perform clerical duties that may include answering the telephone, greeting patients, and sorting mail.

 

Customer Service:

  • Provides a high level of customer service to the patients.
  • Interacts with client with professional and personal manner.
  • Responds to questions according to regulatory protocols.
  • Guides flow of clinic traffic and directs clients to open station.
  • Maintains client schedule at clinics that have pre-scheduled appointment times.
  • Assists in accurate and legible documentation of clinic forms.
  • Assures every client is signed in and has completed clinic paperwork.
  • Check consent/ insurance form for completeness and legibility before the client goes to the Registered Nurse for services.
  • Communicates effectively with client regarding the information that is needed.
  • Responds to urgent customer needs in a timely and professional manner.
  • Makes recommendations and implements process improvements.
  • Participates in fostering a safe workplace.
  • Participates in employee job safety analysis to eliminate hazards and prevent accidents.

 

Cash Handling:

  • Manage up-to-date clinic income records by sending and receiving bank checks and documenting all relevant transactions.
  • Receives and reconciles cash, checks or credit card for payment and issues receipts as required
  • Handles cash box as needed. • Accurately makes change when needed. • Responsible for cash box during clinic and transfers money to accounts department at end of clinic for deposit
  • Handle all payments to clinic suppliers and accurately enter daily payment activities (credit, insurance, cash, check, payment for previous visit) into software management system
  • Counts and reconciles money in cash drawers at the beginning and end of shifts to ensure that amounts are correct and notifies supervisor if any discrepancy is found
  • Transfer income activities to the financial system on a daily basis
  • Create daily, weekly, and monthly reports from clinic financial data
  • Obtains valid authorization for all credit card payments
  • In the event a refund is being requested, initiates checking the system for delinquent accounts or outstanding balance, suggests to apply payment of refund against outstanding balances before processing any refunds
  • If a refund is necessary, ensures all appropriate documents and signatures are obtained, and refunds are entered in the system
  • Maintains general knowledge of cash handling and controls and complies to cash handling policies and procedures
  • Calculates total amounts received and reconciles with supervisor at the end of each shift before closing cash drawers
  • Liaise and support other members of the multi-disciplinary team and other agencies relating to patient care, maintaining good communication channels.
  • Be aware of safe guarding policies, both local and national, and implement such policies should it become necessary. 

 

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