Patient Access Officer-Sakina-Hubs&Satellite

Sheikh Shakhbout Medical City

Responsible for ensuring appropriate and accurate registration of all patients obtaining services at the facility utilizing the facility's registration system; ensuring all insurance benefits, eligibility and pre-certification and/or authorizations are obtained to meet individual payer payment authorization protocols prior to the date of service. Generating, monitoring and reviewing daily cash receipts, registration reports and patient collections. Also responsible for handling routine patient inquiries related to the admission process, insurance verification, financial counseling, financial assistance and billing.

Qualification :-

Special Certificate:-

Required :
2- 4 years in a similar role
Desired :
N.A.

Registration and verification
Accurately obtaining and entering demographic, financial and insurance data into the system for all registered patients using appropriate codes

Identifying and assigning correct medical record numbers

Assisting in verifying eligibility for insurance patients as required

Communicating with physician offices, utilization review and other entities to secure additional needed information to expedite verification and/or notification process.

Preparing admissions packets, obtaining required signatures and copies of ID S from patients and/or their qualified personal representatives (QPR)
Financial counseling, financial assistance and billing
Providing deposit quotes to patients and physicians offices; when applicable, collecting payments prior to admission

Advising patients of unpaid accounts; requesting any additional information required for resolution of open balances; based on facility guidelines extending payment arrangements to eligible patients

Monitoring timely and thoroughly in-house patients with outstanding balances, including bad debt

Securing financial records to include patient s facility payment history and a financial statement to determine the most appropriate means of account resolution

Documenting patient s account in appropriate system fields with all pertinent and unique information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance

Communicating any actions taken or resolutions achieved to all parties involved; physicians, patients and service areas

Generating cash receipts and ensuring accurate accounting of daily receipts
Reporting
Providing statistical data and reporting on monthly and adhoc basis for management and key departments as per instruction from Manager/Senior Officer

Assisting the Manager/Senior Officer in monitoring the quality of the work produced in the department; providing feedback and coordinating with training, as needed, to ensure that accounts are properly secured
Providing customer service and support /
Handling all internal and external customers using departmental/organizational values and standards

Promoting a customer oriented philosophy of facility

Maintaining positive working relationships using courteous and professional techniques to establish and maintain a rapport with patients, physicians and various facility personnel either via telephone or during face to face interaction

Assisting with positive resolution of issues that arise between patients/families and the healthcare team

Communicating directly with physicians, patients and other management personnel in resolving issues and concerns

Ensuring timely response and resolution of queries

Ensuring financial counseling and collection is performed

Apprising the team of changes or additions in the departmental/sectional policies and procedures as needed post approval of management

Ensuring that the confidentiality of patient information throughout the department/section by proper disposal of confidential information and by limiting access to staff on a need to know basis
Managing external relations
Serving as a liaison with sister services and external contacts
Managing the daily operations of the department /
Processing the day to day operations within the patient access section/department

Preparing work schedules and distributing the work as needed to meet the operational priorities of the department