Patient Relations Executive

5 months ago


Dubai, United Arab Emirates Rals Healthcare Full time

For our healthcare unit**:

- **Mini VM Polyclinic
- Al Qusais**, **we are hiringPatient Relations Executive.

**JOB PURPOSE**:
The purpose of this role is to provide end to end operational support to the patients including but not limited to insurance, appointments & invoicing and general customer service. A multidisciplinary approach to ensure patient care is provided with the best service at all times.

**KEY ACCOUNTABILITIES**:
**1.** **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 numeric code to define diagnostics, treatments and procedures and to enter this information into 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
- Coding treatment information using Common Procedure Terminology (CPT) codes
- Communicating with medical billing specialists to ensure treatment codes are accurately received
- Submission of claims
- Taking timely approval of investigations

**2. 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)
- Translate the information into alphanumeric medical code
- Prepare and mail billing statements
- Resolve conflicts regarding payments and reimbursements
- Respond in writing and on the telephone to patients’ questions about billing
- 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.

**3.** **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.

**4. 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 Floor Supervisor at end of clinic for deposit
- 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 members of the multi-disciplinary team and other agencies relating to patient care, maintaining good communication channels.
- Be aware of safeguarding policies, both local and national, and implement such policies should it become necessary.

**QUALIFICATIONS, EXPERIENCE, & SKILLS**:
**Minimum Qualifications and Knowledge**:
Graduate Degree in any stream experience in Insurance, Cash Handling, Customer Service & Invoicing.

**Job-Specific Skills**:
Have knowledge to undertake the below mentioned multidisciplinary tasks;
a) Medical Insurance Coding

b) Medical Invoicing

c) Cash Handling

d) Customer relatio



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