Patient Relations Executive I Al Futtaim Health
3 weeks ago
Established in the 1930s as a trading business, Al-Futtaim Group today is one of the most diversified and progressive, privately held regional businesses headquartered in Dubai, United Arab Emirates. Structured into five operating divisions; automotive, financial services, real estate, retail and healthcare; employing more than 35,000 employees across more than 20 countries in the Middle East, Asia and Africa, Al-Futtaim Group partners with over 200 of the world's most admired and innovative brands. Al-Futtaim Group’s entrepreneurship and relentless customer focus enables the organization to continue to grow and expand; responding to the changing needs of our customers within the societies in which we operate.
By upholding our values of respect, excellence, collaboration and integrity; Al-Futtaim Group continues to enrich the lives and aspirations of our customers each and every day
**Overview of the role**
Provide end to end operational support to the patients including but not limited
to insurance, appointments & invoicing and general customer service.
**What you will do**
**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)
- 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
- 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 m
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