مسؤول التسجيل والتحقق من أهلية التأمين

Job Purpose:
To perform and support all front-line registration, eligibility verification, and appointment scheduling activities accurately and efficiently. The role ensures smooth patient flow, compliance with payer requirements, and delivery of a positive patient experience through timely and precise data entry, coordination, and communication.

Key Responsibilities and Duties:

• Register patients accurately in the hospital information system (HIS), ensuring all demographic and insurance data are complete and verified.
• Schedule, reschedule, or cancel appointments according to physician availability and departmental policy.
• Validate insurance eligibility and approvals prior to service delivery in alignment with payer and CHI/NPHIES requirements.
• Ensure all required documents (e.g., insurance cards, ID, pre-approvals) are valid, current, and scanned into the patient record.
• Maintain updated healthcare practitioner information, including Saudi Commission for Health Specialties (SCFHS) license numbers and validity.
• Handle patient inquiries and provide clear communication regarding appointments, eligibility, or billing requirements.
• Coordinate with clinical and billing teams to address incomplete or inaccurate patient data.
• Process cash and card payments, ensuring proper documentation and reconciliation at the end of each shift.
• Generate and review daily transaction summaries, ensuring consistency between HIS data and financial logs.
• Uphold Fakeeh Care's confidentiality, safety, and compliance standards in all interactions.
• Participate actively in continuous improvement, attending periodic training sessions on patient registration systems and eligibility processes.
• Other duties as assigned within the scope of the job.

Requirements

Skills and Abilities:

• Strong leadership, communication, and team management skills.
• Excellent organizational and multitasking abilities to manage simultaneous admissions and discharges.
• Ability to work under pressure while maintaining accuracy and service quality.
• High attention to detail and data accuracy.
• Proficient in Microsoft Office (Excel, Word, PowerPoint) and Hospital Information Systems (HIS/NPHIES).
• Strong understanding of medical insurance, eligibility, and billing workflows.
• Problem-solving and decision-making skills with a focus on patient-centered care.

Experience:

• Minimum of 2-3 years of experience in healthcare administration and admissions.

Education:

• Bachelor's degree in healthcare administration or similar field.

Language:

• Excellent command of oral and written English and Arabic.

Licenses / Certifications:

• N/A